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肾小管中的液波。

Fluid waves in renal tubules.

作者信息

Sakai T, Craig D A, Wexler A S, Marsh D J

出版信息

Biophys J. 1986 Nov;50(5):805-13. doi: 10.1016/S0006-3495(86)83521-4.

Abstract

Autoregulation of renal blood flow is ineffective when arterial pressure perturbations occur at frequencies above 0.05 Hz. To determine whether wave propagation velocity to the macula densa is rate limiting, we estimated compliances of the proximal tubule and the loop of Henle, and used these values in a model of pressure and flow as functions of time and distance in the nephron. Compliances were estimated from measurements of pressures and flows in early proximal, late proximal, and early distal tubules in rats under normal and Ringer-loaded conditions. A model of steady pressure and flow in a compliant, reabsorbing tubule was fitted to these results. The transient model was a set of nonlinear, hyperbolic partial differential equations with split, nonlinear boundary conditions, and was solved with finite difference methods. The loop of Henle compliance was larger than the proximal tubule compliance, and impulses in glomerular filtration rate were attenuated in magnitude and delayed in time in the loop of Henle. Simulated step forcings revealed a similar pattern. Periodic variations of GFR were attenuated at frequencies greater than 0.05 Hz, and there was a delay of 5 s between variations in GFR and macula densa flow rate. The high compliance of the loop slows wave propagation to the macular densa and reduces the amplitude of high frequency waves originating in the glomerulus, but other parts of the signal chain also contribute to the slow response of macula densa feedback.

摘要

当动脉压扰动频率高于0.05Hz时,肾血流的自动调节是无效的。为了确定向致密斑的波传播速度是否是限速因素,我们估算了近端小管和髓袢的顺应性,并将这些值用于一个将压力和流量作为肾单位中时间和距离函数的模型。顺应性是根据正常和林格液负荷条件下大鼠早期近端小管、晚期近端小管和早期远端小管中的压力和流量测量值估算得出的。一个关于顺应性重吸收小管中稳定压力和流量的模型被拟合到这些结果上。瞬态模型是一组具有分裂非线性边界条件的非线性双曲型偏微分方程,并采用有限差分法求解。髓袢的顺应性大于近端小管的顺应性,肾小球滤过率的脉冲在髓袢中幅度衰减且时间延迟。模拟的阶跃强迫显示出类似的模式。肾小球滤过率的周期性变化在频率大于0.05Hz时衰减,并且肾小球滤过率变化和致密斑流速变化之间存在5秒的延迟。髓袢的高顺应性减缓了向致密斑的波传播,并降低了起源于肾小球的高频波的幅度,但信号链的其他部分也对致密斑反馈的缓慢反应有贡献。

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