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肾内前列腺素释放:花生四烯酸和高氯血症的影响。

Intrarenal prostaglandin release: effects of arachidonic acid and hyperchloremia.

作者信息

Wilcox C S, Roddis S, Peart W S, Gordon D, Lewis G P

出版信息

Kidney Int. 1985 Jul;28(1):43-50. doi: 10.1038/ki.1985.116.

Abstract

We measured the release of PGE2, 6kPGF1 alpha, PGF2 alpha, and TXB2 into urine (U) and renal hilar lymph (L) to assess the possible roles of intrarenal prostaglandins (PGs) in arachidonic acid (AA)-induced renal vasodilation and Cl-induced renal vasoconstriction, (a model of tubuloglomerular feedback, TG). AA caused an ipsilateral fall in renal vascular resistance (RVR) and diuresis and increased release of all PGs into U; release of 6kPGF1 alpha into L increased ninefold. Hypertonic NaCl infusion caused ipsilateral vasoconstriction and decreased GFR; the release of TXB2 into U and L increased, but other PGs were not altered consistently. During a background infusion of AA, hypertonic NaCl infusion again evoked TXB2 release into U and L without significant changes in other PGs. AA attenuated the NaCl-induced renal vasoconstriction in dogs with the highest rates of PGE2 release into L. Changes in RVR correlated with the ratio of excretion of vasodilator PG (PGE2 + 6kPGF1 alpha) to TXB2 (r = -0.74). Indomethacin administration blunted, but did not abolish, the Cl-induced increase in RVR. In conclusion, (1) AA evokes the release of PGs, especially prostacyclin, into renal cortex; (2) hypercholoremia increases RVR and evokes a rather selective release of renal TX; (3) the production of vasodilator PGs by AA may attenuate Cl-induced renal vasoconstriction; (4) renal vasodilator and vasoconstrictor PGs can be released relatively independently--their balance could modulate RVR during activation of the TG response.

摘要

我们测定了前列腺素E2(PGE2)、6-酮-前列腺素F1α(6kPGF1α)、前列腺素F2α(PGF2α)和血栓素B2(TXB2)在尿液(U)和肾门淋巴液(L)中的释放情况,以评估肾内前列腺素(PGs)在花生四烯酸(AA)诱导的肾血管舒张和氯离子(Cl)诱导的肾血管收缩(一种管球反馈模型,TG)中可能发挥的作用。AA导致同侧肾血管阻力(RVR)下降、利尿,并使所有PGs向尿液中的释放增加;6kPGF1α向肾门淋巴液中的释放增加了9倍。输注高渗氯化钠导致同侧血管收缩、肾小球滤过率(GFR)降低;TXB2向尿液和肾门淋巴液中的释放增加,但其他PGs的变化并不一致。在持续输注AA的背景下,输注高渗氯化钠再次引起TXB2向尿液和肾门淋巴液中的释放,而其他PGs无明显变化。在PGE2向肾门淋巴液中释放率最高的犬中,AA减轻了氯化钠诱导的肾血管收缩。RVR的变化与血管舒张性PG(PGE2 + 6kPGF1α)与TXB2的排泄率之比相关(r = -0.74)。给予吲哚美辛可减弱但不能消除氯离子诱导的RVR升高。总之,(1)AA可引起PGs尤其是前列环素向肾皮质的释放;(2)高氯血症可增加RVR并引起肾内TX的选择性释放;(3)AA产生的血管舒张性PGs可能减轻氯离子诱导的肾血管收缩;(4)肾血管舒张性和收缩性PGs可相对独立地释放——它们之间的平衡可在管球反馈反应激活期间调节RVR。

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