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肾性高血压时肾小球入球小动脉和出球小动脉的反应性

Reactivity of gomerular afferent and efferent arterioles in renal hypertension.

作者信息

Click R L, Joyner W L, Gilmore J P

出版信息

Kidney Int. 1979 Feb;15(2):109-15. doi: 10.1038/ki.1979.16.

Abstract

Renal tissue from neonatal hamsters was grafted into the cheek pouch of adult hamsters. Renal hypertension was induced in 28 hamsters, and sham operation was performed in 27. When blood pressure became elevated in hypertensive hamsters (10 to 12 days), the renal microcirculation of both groups was evaluated by direct microscopy. Wall and luminal diameter and vascular responses to norepinephrine (NE) and angiotensin II (AII) were determined on glomerular afferent and efferent arterioles and on the corresponding cheek pouch arterioles. In the hypertensive hamsters, the luminal diameter of the afferent arteriole increased, as did the wall/lumen ratio of the efferent arteriole. Although all vessels responded to direct application of NE and AII in both groups, the response of the afferent to AII and the response of the efferent to both NE and AII was greater in the hypertensive hamsters as compared to the sham-operated hamsters. These results indicate that during the development of renal hypertension structural alterations of glomerular vessels and the selective vascular responses to vasoactive agents would lead to an increased glomerular capillary pressure.

摘要

将新生仓鼠的肾组织移植到成年仓鼠的颊囊内。对28只仓鼠诱导产生肾性高血压,对27只仓鼠进行假手术。当高血压仓鼠的血压升高时(10至12天),通过直接显微镜检查评估两组的肾微循环。测定肾小球入球小动脉和出球小动脉以及相应颊囊小动脉的血管壁和管腔直径以及对去甲肾上腺素(NE)和血管紧张素II(AII)的血管反应。在高血压仓鼠中,入球小动脉的管腔直径增加,出球小动脉的壁/腔比值也增加。尽管两组中所有血管对直接应用NE和AII均有反应,但与假手术仓鼠相比,高血压仓鼠中入球小动脉对AII的反应以及出球小动脉对NE和AII两者的反应更大。这些结果表明,在肾性高血压的发展过程中,肾小球血管的结构改变以及对血管活性物质的选择性血管反应会导致肾小球毛细血管压力升高。

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