Olsen M E, Hall J E, Montani J P, Cornell J E
Clin Sci (Lond). 1987 Apr;72(4):429-36. doi: 10.1042/cs0720429.
Although previous studies suggest that the renal vasoconstrictor effects of angiotensin II (ANG II) are normally confined to the efferent arterioles, the mechanisms that prevent ANG II from constricting preglomerular vessels are still unclear. In the present study, the role of prostaglandins (PG) in protecting preglomerular vessels from ANG II constriction was examined in dogs with normal or non-filtering kidneys in which ANG II formation was blocked with captopril and renal artery pressure was servo-controlled at 75-80 mmHg. Before PG blockade (n = 6), ANG II infusion (20 ng min-1 kg-1) decreased renal blood flow (RBF) by 54 +/- 4%, but did not change glomerular filtration rate (GFR) significantly. After PG blockade (n = 6), ANG II infusion decreased GFR by 37 +/- 7% and RBF by 56 +/- 6%, while increasing calculated preglomerular resistance much more than before PG blockade. In another group of dogs, secondary changes in renal resistances, due to tubuloglomerular feedback, were prevented by occluding the ureter during mannitol diuresis until glomerular filtration ceased. After inhibition of tubuloglomerular feedback in non-filtering kidneys (n = 7), ANG II decreased RBF by 40 +/- 3% and increased glomerular hydrostatic pressure, estimated from stop-flow ureteral pressure and plasma colloid osmotic pressure, by 8.7 +/- 1.7 mmHg. Postglomerular resistance increased by 91 +/- 12% while preglomerular resistance was unchanged.(ABSTRACT TRUNCATED AT 250 WORDS)
尽管先前的研究表明,血管紧张素II(ANG II)的肾血管收缩作用通常局限于出球小动脉,但阻止ANG II收缩肾小球前血管的机制仍不清楚。在本研究中,在正常或无滤过功能肾脏的犬中,研究了前列腺素(PG)在保护肾小球前血管免受ANG II收缩方面的作用,这些犬的ANG II生成被卡托普利阻断,肾动脉压力通过伺服控制维持在75 - 80 mmHg。在PG阻断前(n = 6),输注ANG II(20 ng·min⁻¹·kg⁻¹)使肾血流量(RBF)降低54±4%,但肾小球滤过率(GFR)无显著变化。PG阻断后(n = 6),输注ANG II使GFR降低37±7%,RBF降低56±6%,同时计算得出的肾小球前阻力增加幅度远大于PG阻断前。在另一组犬中,在甘露醇利尿期间通过阻断输尿管防止肾小管 - 肾小球反馈引起的肾阻力继发性变化,直至肾小球滤过停止。在无滤过功能肾脏中抑制肾小管 - 肾小球反馈后(n = 7),ANG II使RBF降低40±3%,根据停流输尿管压力和血浆胶体渗透压估算的肾小球静水压力升高8.7±1.7 mmHg。球后阻力增加91±12%,而肾小球前阻力未改变。(摘要截短于250字)