Johns E J
Clin Sci (Lond). 1985 Aug;69(2):185-95. doi: 10.1042/cs0690185.
Experiments were undertaken in pentobarbitone-anaesthetized cats to determine how reflex activation of the renal nerves altered the responsiveness of the kidney to release renin during reductions in renal perfusion pressure. Reflex activation of the renal nerves was achieved by reducing carotid sinus perfusion pressure by 30 mmHg, which increased systemic blood pressure. During this period renal perfusion pressure was regulated at control levels and neither renal blood flow nor glomerular filtration rate changed, but there was a significant decrease in sodium excretion and increase in renin secretion. Renal denervation abolished both these latter responses. Renal perfusion pressure reduction, by 25-30 mmHg, had no effect on renal blood flow or glomerular filtration rate but significantly decreased sodium excretion and increased renin secretion. Simultaneous reduction of carotid sinus and renal perfusion pressures had no effect on renal blood flow or glomerular filtration rate, decreased sodium excretion, and the magnitude of the increase in renin secretion was significantly greater than that obtained with reduction in renal perfusion pressure alone. Renal denervation abolished the increase in renin secretion during these manoeuvres. During atenolol administration, renal haemodynamics and sodium excretion responses to renal pressure reduction were similar to those obtained in the absence of the drug. Renin secretion was increased, but significantly less than in the absence of atenolol. Simultaneous carotid sinus and renal pressure reductions during atenolol administration had no effect on renal haemodynamics, reduced sodium excretion and increased renin secretion, the magnitude of which was significantly greater than that recorded with only renal pressure reduction in the presence of atenolol. Direct electrical stimulation of the renal nerves, at frequencies which caused a 5-10% reduction in renal blood flow, did not change glomerular filtration rate, decreased sodium excretion by 30% and increased the rate of renin secretion twofold. In the presence of atenolol, such renal nerve stimulation reduced renal blood flow to the same degree, did not change filtration rate, decreased sodium excretion by 37% but did not change renin secretion. These results show that the magnitude of the release of renin in response to renal pressure reduction is dependent on activity within the renal nerves, being blunted after denervation, and enhanced during reflex activation of the renal nerves.
在戊巴比妥麻醉的猫身上进行了实验,以确定肾神经的反射激活如何改变肾脏在肾灌注压降低期间释放肾素的反应性。通过将颈动脉窦灌注压降低30 mmHg来实现肾神经的反射激活,这会增加全身血压。在此期间,肾灌注压被调节至对照水平,肾血流量和肾小球滤过率均未改变,但钠排泄显著减少,肾素分泌增加。肾去神经支配消除了后两种反应。将肾灌注压降低25 - 30 mmHg,对肾血流量或肾小球滤过率没有影响,但显著减少了钠排泄并增加了肾素分泌。同时降低颈动脉窦和肾灌注压对肾血流量或肾小球滤过率没有影响,减少了钠排泄,并且肾素分泌增加的幅度显著大于仅降低肾灌注压时的情况。肾去神经支配消除了这些操作期间肾素分泌的增加。在给予阿替洛尔期间,肾脏血流动力学和钠排泄对肾压降低的反应与未使用该药物时相似。肾素分泌增加,但显著少于未使用阿替洛尔时。在给予阿替洛尔期间同时降低颈动脉窦和肾压对肾脏血流动力学没有影响,减少了钠排泄并增加了肾素分泌,其幅度显著大于在阿替洛尔存在下仅降低肾压时的记录值。以导致肾血流量降低5 - 10%的频率直接电刺激肾神经,并未改变肾小球滤过率,使钠排泄减少30%,并使肾素分泌速率增加两倍。在阿替洛尔存在的情况下,这种肾神经刺激使肾血流量降低到相同程度,未改变滤过率,使钠排泄减少37%,但未改变肾素分泌。这些结果表明,肾素对肾压降低的释放幅度取决于肾神经内的活动,去神经支配后减弱,而在肾神经反射激活期间增强。