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急性肾去神经支配在年轻的自发性高血压大鼠中会产生利尿和利钠作用,但在WKY大鼠中则不会。

Acute renal denervation produces a diuresis and natriuresis in young SHR but not WKY rats.

作者信息

Rudd M A, Grippo R S, Arendshorst W J

出版信息

Am J Physiol. 1986 Oct;251(4 Pt 2):F655-61. doi: 10.1152/ajprenal.1986.251.4.F655.

DOI:10.1152/ajprenal.1986.251.4.F655
PMID:3766742
Abstract

Clearance experiments were conducted to determine the effect of acute unilateral renal denervation (DNX) on renal hemodynamics and salt and water excretion in anesthetized 6-wk-old spontaneously hypertensive rats (SHR) and Wistar-Kyoto genetic control rats (WKY). Before DNX, SHR had higher mean arterial pressure (33%) and renal vascular resistance (RVR) (57%) and lower glomerular filtration rate (GFR) (10%); urine flow and sodium excretion were similar. Following DNX in SHR, sodium and water excretion increased by 138 and 62%, respectively (P less than 0.001); GFR and RVR were unchanged. In contrast, DNX in WKY did not affect urine flow (0%) or sodium excretion (-21%). These strain differences were observed in Okamoto-Aoki rats from two sources. Effective DNX was indicated by 95% reduction of norepinephrine content 3 days after DNX in both strains. Six-week-old Sprague-Dawley and Munich-Wistar rats, in contrast to WKY, responded to DNX with a natriuresis (+182%) and diuresis (+95%) (P less than 0.001). Renal function was unaffected by sham DNX in SHR. Our results indicate that efferent renal nerve activity has little tonic influence on the renal vasculature in these young rats. Augmented neurotransmitter release and/or tubular responsiveness may be involved in fluid and electrolyte retention and the pathogenesis of hypertension in SHR. Conversely, blunted renal neuroeffector responses may prevent WKY from developing hypertension.

摘要

进行清除实验以确定急性单侧肾去神经支配(DNX)对麻醉的6周龄自发性高血压大鼠(SHR)和Wistar-Kyoto遗传对照大鼠(WKY)的肾血流动力学以及盐和水排泄的影响。在进行DNX之前,SHR的平均动脉压较高(33%),肾血管阻力(RVR)较高(57%),而肾小球滤过率(GFR)较低(10%);尿流量和钠排泄量相似。在SHR中进行DNX后,钠和水排泄量分别增加了138%和62%(P<0.001);GFR和RVR未改变。相比之下,WKY进行DNX后对尿流量(0%)或钠排泄(-21%)没有影响。在来自两个来源的冈本-青木大鼠中观察到了这些品系差异。在两个品系中,DNX后3天去甲肾上腺素含量降低95%表明DNX有效。与WKY不同,6周龄的Sprague-Dawley大鼠和慕尼黑-威斯塔大鼠对DNX的反应是利钠(+182%)和利尿(+95%)(P<0.001)。假手术DNX对SHR的肾功能没有影响。我们的结果表明,肾传出神经活动对这些幼鼠的肾血管系统几乎没有紧张性影响。神经递质释放增加和/或肾小管反应性增强可能参与了SHR的液体和电解质潴留以及高血压的发病机制。相反,肾神经效应反应减弱可能阻止WKY发生高血压。

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Acute renal denervation produces a diuresis and natriuresis in young SHR but not WKY rats.急性肾去神经支配在年轻的自发性高血压大鼠中会产生利尿和利钠作用,但在WKY大鼠中则不会。
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