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渗透压对醛固酮分泌的影响。

Effect of osmolality on aldosterone secretion.

作者信息

Schneider E G, Radke K J, Ulderich D A, Taylor R E

出版信息

Endocrinology. 1985 Apr;116(4):1621-6. doi: 10.1210/endo-116-4-1621.

Abstract

The purpose of these experiments was to determine if the powerful effect of sodium chloride concentration on angiotensin II- and potassium-stimulated aldosterone secretion by isolated perfused adrenal glands is mediated by the sodium or chloride ion or by the obligatory change in osmolality. We used isolated Ringer's bicarbonate perfused canine adrenal gland preparations to determine the effects of a variety of isosmotic, hyperosmotic, and hyposmotic solutions on angiotensin II- and potassium-stimulated aldosterone secretion. When we increased the osmolality of the perfusion medium (8-10 mosmol) by the addition of NaCl, sucrose, mannitol, or glucose, angiotensin II-stimulated aldosterone secretion was inhibited to a similar extent, whereas urea addition had no effect. Similarly, when we increased the osmolality of the perfusion medium (8-10 mosmol) by the addition of NaCl, sucrose, or mannitol, potassium-stimulated aldosterone secretion was also inhibited to a similar extent. In contrast to the increase in angiotensin II- and potassium-stimulated aldosterone secretion observed during hyposmotic reductions in NaCl concentration, (addition of sucrose) did not increase angiotensin II- or potassium-stimulated aldosterone secretion. Even the marked increase in aldosterone secretion caused by large hyposmotic reduction in NaCl concentration did not occur with an equivalent isosmotic reduction in NaCl concentration. These results clearly demonstrate that changes in NaCl concentration affect aldosterone secretion by a mechanism sensitive to the osmolality. Moreover, since hyperosmolality caused by urea addition had no effect on angiotensin II-stimulated aldosterone secretion, changes in intracellular volume or composition appear to be an important modulator of aldosterone secretion.

摘要

这些实验的目的是确定氯化钠浓度对分离的灌注肾上腺中血管紧张素II和钾刺激的醛固酮分泌的强大作用是由钠离子、氯离子介导,还是由渗透压的必然变化介导。我们使用分离的林格氏碳酸氢盐灌注犬肾上腺制剂,以确定各种等渗、高渗和低渗溶液对血管紧张素II和钾刺激的醛固酮分泌的影响。当通过添加氯化钠、蔗糖、甘露醇或葡萄糖来增加灌注介质的渗透压(8 - 10毫摩尔)时,血管紧张素II刺激的醛固酮分泌受到类似程度的抑制,而添加尿素则没有影响。同样,当通过添加氯化钠、蔗糖或甘露醇来增加灌注介质的渗透压(8 - 10毫摩尔)时,钾刺激的醛固酮分泌也受到类似程度的抑制。与在低渗降低氯化钠浓度期间观察到的血管紧张素II和钾刺激的醛固酮分泌增加相反,(添加蔗糖)并没有增加血管紧张素II或钾刺激的醛固酮分泌。即使氯化钠浓度大幅低渗降低导致醛固酮分泌显著增加,在等渗降低氯化钠浓度时也不会发生。这些结果清楚地表明,氯化钠浓度的变化通过一种对渗透压敏感的机制影响醛固酮分泌。此外,由于添加尿素引起的高渗对血管紧张素II刺激的醛固酮分泌没有影响,细胞内体积或成分的变化似乎是醛固酮分泌的重要调节因素。

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