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硝普钠诱导的低血压对犬肾儿茶酚胺溢出的影响。

Effect of hypotension induced by sodium nitroprusside on catecholamine overflow in the canine kidney.

作者信息

Bradley T, Sollevi A, Lagerkranser M

出版信息

Acta Physiol Scand. 1986 Oct;128(2):305-8. doi: 10.1111/j.1748-1716.1986.tb07978.x.

Abstract

The overflow of noradrenaline (NA) and dopamine (DA) to plasma in the kidney in response to hypotension induced by sodium nitroprusside were studied in barbiturate-anaesthetized dogs in order to evaluate the possible existence of separately regulated renal noradrenergic and dopaminergic nerve fibres. When mean arterial blood pressure was lowered to 55 +/- 5 mmHg, arterial plasma NA, DA and adrenaline concentrations were increased and renal blood flow decreased. Renal sympathetic nerve activity was assessed by measuring the renal overflow of catecholamines to plasma. To obtain more accurate estimates of the renal contribution to catecholamines in renal venous plasma we corrected for the renal extraction of arterial catecholamines, assessed by the extraction of endogenous adrenaline. The corrected renal NA overflow to plasma increased from 164 +/- 52 to 419 +/- 137 pmol min-1 (P less than 0.05) during sodium nitroprusside induced hypotension. The renal overflow of DA to plasma was, however, not influenced significantly. The DA/NA ratio for renal venous plasma concentration as well as for renal overflow to plasma was decreased (P less than 0.05) by sodium nitroprusside induced renal nerve activation. In contrast, electrical renal nerve stimulation has previously been shown to enhance the overflows of DA and NA in parallel. One possible interpretation of these findings is that sodium nitroprusside selectively activated renal noradrenergic but not the putative dopaminergic nerve fibres while electrical stimulation activated both types of fibres.

摘要

为了评估肾去甲肾上腺素能和多巴胺能神经纤维是否存在分别调节,在巴比妥麻醉的犬中研究了硝普钠诱导低血压时肾脏中去甲肾上腺素(NA)和多巴胺(DA)向血浆中的溢出情况。当平均动脉血压降至55±5 mmHg时,动脉血浆中NA、DA和肾上腺素浓度升高,肾血流量降低。通过测量儿茶酚胺向血浆中的肾脏溢出量来评估肾交感神经活性。为了更准确地估计肾脏对肾静脉血浆中儿茶酚胺的贡献,我们校正了动脉儿茶酚胺的肾脏提取率,通过内源性肾上腺素的提取来评估。在硝普钠诱导的低血压期间,校正后的肾脏NA向血浆中的溢出量从164±52增加到419±137 pmol min-1(P<0.05)。然而,DA向血浆中的肾脏溢出量没有受到显著影响。硝普钠诱导的肾神经激活使肾静脉血浆浓度以及肾脏向血浆中的溢出量的DA/NA比值降低(P<0.05)。相比之下,先前已证明电刺激肾神经会同时增强DA和NA的溢出量。这些发现的一种可能解释是,硝普钠选择性地激活了肾去甲肾上腺素能神经纤维,而不是假定的多巴胺能神经纤维,而电刺激则激活了这两种类型的纤维。

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