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猪体内去甲肾上腺素和肾上腺素的肾脏处理

Renal handling of norepinephrine and epinephrine in the pig.

作者信息

Link L, Weidmann P, Probst P, Futterlieb A

出版信息

Pflugers Arch. 1985 Sep;405(1):66-9. doi: 10.1007/BF00591099.

Abstract

To investigate the renal handling of catecholamines in the pig, intravenous infusions of 51Cr-EDTA and PAH were performed in 7 animals, and samples for simultaneous measurement of norepinephrine (NE), epinephrine (E), 51Cr-EDTA and PAH were obtained through catheters placed into the aorta, left renal vein and both urethers. For both kidneys together, 51Cr-EDTA clearance [GFR] averaged 48 +/- 14 (+/- SD) ml/min (2.23 +/- 0.66 ml/kg/min). In the left kidney, GFR averaged 22 +/- 9 ml/min, arteriovenous PAH extraction 0.87 +/- 0.09, and calculated total renal plasma flow 91 +/- 30 ml/min. Plasma NE and E were lower in renal venous than arterial blood (P less than 0.005), extraction ratios averaging 0.36 and 0.77, respectively. NE excretion rate in final urine (8.9 +/- 4.3 ng/min) exceeded transrenal NE extraction rate (5.2 +/- 3.9 ng/min) by 3.7 +/- 4.4 ng/min. In contrast, urinary E excretion rate (2.9 +/- 2.0 ng/min) was slightly lower than transrenal E extraction rate (3.6 +/- 3.8 ng/min). These observations suggest that in pig kidneys, plasma PAH extraction rate and GFR related to body weight are quite similar to values in man. Three quarters of circulating E are extracted for the most part by tubular secretion, and the slightly smaller amount appearing in urine is consistent with some intrarenal metabolism. NE, presumably originating from intrarenal neuronal release and/or de novo production, is secreted into the urine.

摘要

为研究猪体内儿茶酚胺的肾脏处理情况,对7只动物进行了51Cr - 乙二胺四乙酸(51Cr - EDTA)和对氨基马尿酸(PAH)的静脉输注,并通过置于主动脉、左肾静脉和双侧输尿管的导管获取样本,以同时测量去甲肾上腺素(NE)、肾上腺素(E)、51Cr - EDTA和PAH。双侧肾脏的51Cr - EDTA清除率[肾小球滤过率(GFR)]平均为48±14(±标准差)毫升/分钟(2.23±0.66毫升/千克/分钟)。左肾的GFR平均为22±9毫升/分钟,动静脉PAH提取率为0.87±0.09,计算得出的总肾血浆流量为91±30毫升/分钟。肾静脉血中的血浆NE和E低于动脉血(P<0.005),提取率平均分别为0.36和0.77。终尿中NE排泄率(8.9±4.3纳克/分钟)超过经肾NE提取率(5.2±3.9纳克/分钟)3.7±4.4纳克/分钟。相比之下,尿E排泄率(2.9±2.0纳克/分钟)略低于经肾E提取率(3.6±3.8纳克/分钟)。这些观察结果表明,猪肾脏中血浆PAH提取率和与体重相关的GFR与人的值相当相似。循环中的E约四分之三大部分通过肾小管分泌被提取,而尿中出现的量略少与一些肾内代谢相符。NE可能源自肾内神经元释放和/或从头合成,被分泌到尿液中。

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