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犬后肢挤压和胸段下腔静脉阻塞期间去甲肾上腺素和多巴胺向血浆的肾溢流

Renal overflow of noradrenaline and dopamine to plasma during hindquarter compression and thoracic inferior vena cava obstruction in the dog.

作者信息

Bradley T, Hjemdahl P

出版信息

Acta Physiol Scand. 1986 Jul;127(3):305-12. doi: 10.1111/j.1748-1716.1986.tb07909.x.

Abstract

Efferent renal nerve activity was assessed by measurements of the overflow of endogenous noradrenaline (NA) and dopamine (DA) to plasma in the kidney. To obtain correct estimates of the renal contribution to the renal venous outflow of NA and DA, corrections for the renal extraction of catecholamines in arterial plasma were performed by use of tracer amounts of [3H]NA. Hindquarter compression (previously known to cause a neurogenically mediated blood pressure elevation) increased the concentrations of NA, adrenaline and DA in arterial and renal venous plasma. The renal overflow of NA increased from 83.7 +/- 32.0 to 361.3 +/- 119.4 pmol min-1 (P less than 0.05) during hindquarter compression. When compared to the renal NA overflow during electrical renal nerve stimulation, this corresponds to an increase in average renal nerve impulse activity from approximately 0.4 to 1.6 Hz. Hindquarter compression also increased the renal overflow of DA to plasma. When venous return to the heart was reduced by obstruction of the thoracic inferior vena cava, the mean arterial blood pressure fell and all catecholamines in plasma increased gradually during the first 10 min of obstruction. The renal overflow of NA was only slightly increased, indicating a minor increase in renal nerve activity. The overflow of DA to plasma was not altered by obstruction of the thoracic inferior vena cava. Neither maneuver substantially altered the DA/NA ratio for renal overflow rates or for renal venous plasma concentrations indicating that there was no preferential activation of either noradrenergic or putative dopaminergic nerve fibres.

摘要

通过测量肾脏中内源性去甲肾上腺素(NA)和多巴胺(DA)向血浆的溢出量来评估肾传出神经活动。为了准确估计肾脏对NA和DA肾静脉流出量的贡献,使用示踪量的[3H]NA对动脉血浆中儿茶酚胺的肾脏提取进行校正。后肢压迫(先前已知会导致神经源性介导的血压升高)增加了动脉和肾静脉血浆中NA、肾上腺素和DA的浓度。在后肢压迫期间,NA的肾脏溢出量从83.7±32.0增加到361.3±119.4 pmol min-1(P<0.05)。与电刺激肾神经期间的肾脏NA溢出量相比,这相当于平均肾神经冲动活动从约0.4 Hz增加到1.6 Hz。后肢压迫也增加了DA向血浆的肾脏溢出量。当通过阻塞胸段下腔静脉减少心脏的静脉回流时,平均动脉血压下降,血浆中的所有儿茶酚胺在阻塞的前10分钟内逐渐增加。NA的肾脏溢出量仅略有增加,表明肾神经活动略有增加。胸段下腔静脉阻塞未改变DA向血浆的溢出量。这两种操作均未实质性改变肾脏溢出率或肾静脉血浆浓度的DA/NA比值,表明去甲肾上腺素能或假定的多巴胺能神经纤维均未被优先激活。

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