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肝脏在胰高血糖素介导的犬肾血流动力学增加中的重要性。

Importance of the liver during glucagon-mediated increases in canine renal hemodynamics.

作者信息

Premen A J

出版信息

Am J Physiol. 1985 Aug;249(2 Pt 2):F319-22. doi: 10.1152/ajprenal.1985.249.2.F319.

Abstract

We ascertained the importance of the liver in mediating glucagon-induced increases in renal blood flow (RBF) and glomerular filtration rate (GFR) by comparing the renal hemodynamic responses to intrarenal versus intraportal infusion of glucagon at 3 ng X kg-1 X min-1 (a dose previously considered "physiologic") in two separate sets of anesthetized dogs. Following intrarenal infusion for 60 min (n = 6), glucagon was without effect on RBF and GFR. On the average, RBF and GFR increased by only 2 +/- 1 and 3 +/- 1%, respectively. However, in a second group of dogs (n = 6), intraportal infusion of glucagon significantly increased both RBF and GFR by the same order of magnitude over 60 min. RBF and GFR increased, on the average, by 22 +/- 2 and 20 +/- 2%, respectively. Peak responses occurred 30 min following glucagon infusion when RBF and GFR were elevated by 25 +/- 2 and 26 +/- 2%, respectively. In neither group of dogs were filtration fraction, arterial pressure, heart rate, arterial hematocrit, or arterial plasma protein concentration altered. These data indicate that the liver plays an important role in mediating the renal hyperemia and hyperfiltration observed following a physiologic infusion of glucagon.

摘要

我们通过比较两组分别麻醉的犬在以3 ng·kg⁻¹·min⁻¹(先前被认为是“生理剂量”)的胰高血糖素进行肾内输注与门静脉内输注时的肾血流动力学反应,确定了肝脏在介导胰高血糖素诱导的肾血流量(RBF)和肾小球滤过率(GFR)增加中的重要性。肾内输注60分钟后(n = 6),胰高血糖素对RBF和GFR无影响。平均而言,RBF和GFR仅分别增加2±1%和3±1%。然而,在第二组犬(n = 6)中,门静脉内输注胰高血糖素在60分钟内使RBF和GFR均显著增加了相同的幅度。RBF和GFR平均分别增加22±2%和20±2%。胰高血糖素输注后30分钟出现峰值反应,此时RBF和GFR分别升高25±2%和26±2%。两组犬的滤过分数、动脉压、心率、动脉血细胞比容或动脉血浆蛋白浓度均未改变。这些数据表明,肝脏在介导生理剂量输注胰高血糖素后观察到的肾充血和超滤中起重要作用。

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