Gabbai F B, Gushwa L C, Peterson O W, Wilson C B, Blantz R C
Am J Physiol. 1987 Jan;252(1 Pt 2):F131-7. doi: 10.1152/ajprenal.1987.252.1.F131.
We analyzed the renal functional responses in all rats 4-6 wk after application of a clip to one renal artery and maintained on either a normal NaCl-intake or a NaCl-depletion protocol utilizing both clearance methods and micropuncture evaluations of glomerular hemodynamics. Although mean arterial pressure (MAP) rose significantly, the response was quite variable and the frequency and degree of hypertension independent of NaCl dietary protocol (142 +/- 7 vs. 137 +/- 6 mmHg, NS). Glomerular filtration rate (GFR) of the unclipped kidney was well maintained regardless of absolute MAP, however, GFR in the clipped kidney was somewhat MAP dependent. The glomerular ultrafiltration coefficient (LpA) was reduced in all clipped rats independent of MAP and dietary NaCl (0.037 +/- 0.002 vs. 0.063 +/- 0.009 nl X s-1 X mmHg-1, P less than 0.05). Glomerular capillary hydrostatic (PG) and glomerular capillary hydrostatic gradient (delta P) were elevated in all clipped rats, regardless of MAP, and to a greater extent in clipped rats maintained on the NaCl-depletion protocol (PG, 59.6 vs. 53.2, P less than 0.05). Among clipped rats, multiple regression analysis revealed no correlation between PG or delta P and the degree of reduction in LpA. The unclipped kidney of the two-kidney, one-clip model is characterized by uniform reductions in LpA independent of the MAP and awake blood pressure produced. Although the increase in PG and delta P may contribute to the reduction in LpA observed, the degree of LpA reduction is independent of the magnitude of elevation in PG and delta P in clipped rats.
我们在给所有大鼠的一侧肾动脉夹闭4 - 6周后,采用清除率方法和肾小球血流动力学的微穿刺评估,对维持正常氯化钠摄入或氯化钠耗竭方案的大鼠进行肾功能反应分析。尽管平均动脉压(MAP)显著升高,但反应差异很大,高血压的频率和程度与氯化钠饮食方案无关(142±7 vs. 137±6 mmHg,无显著性差异)。无论绝对MAP如何,未夹闭肾脏的肾小球滤过率(GFR)都能得到良好维持,然而,夹闭肾脏的GFR在一定程度上依赖于MAP。所有夹闭大鼠的肾小球超滤系数(LpA)均降低,与MAP和饮食中的氯化钠无关(0.037±0.002 vs. 0.063±0.009 nl×s⁻¹×mmHg⁻¹,P<0.05)。所有夹闭大鼠的肾小球毛细血管静水压(PG)和肾小球毛细血管静水压梯度(δP)均升高,与MAP无关,并且在维持氯化钠耗竭方案的夹闭大鼠中升高程度更大(PG,59.6 vs. 53.2,P<0.05)。在夹闭大鼠中,多元回归分析显示PG或δP与LpA降低程度之间无相关性。两肾一夹模型中未夹闭的肾脏表现为LpA均匀降低,与所产生的MAP和清醒血压无关。尽管PG和δP的升高可能导致观察到的LpA降低,但LpA降低的程度与夹闭大鼠中PG和δP升高的幅度无关。