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前列腺素对清醒、麻醉和剖腹犬肾循环的作用。

Contribution of prostaglandins to the renal circulation in conscious, anesthetized, and laparotomized dogs.

作者信息

Terragno N A, Terragno D A, McGiff J C

出版信息

Circ Res. 1977 Jun;40(6):590-5. doi: 10.1161/01.res.40.6.590.

Abstract

The effects of an inhibitor of prostaglandin (PG) synthetase, indomethacin, were studied on renal blood flow (RBF) and mean aortic blood pressure (MABP) and related to changes in concentrations of PGs in renal venous blood under widely different experimental conditions. Although levels of PGE-like material ("PGE") in renal venous blood of the chloralose-anesthetized-laparotomized dog were 8-fold greater than in conscious dogs, viz., 0.39 vs. 0.05 ng/ml of blood, respectively, RBF and MABP were similar for each group. Indomethacin in doses as high as 10 mg/kg, iv, affected neither RBF, MABP, nor PG levels either in the conscious dog or in the anesthetized dog. However, in the anesthetized-laparotomized dog, smaller doses of indomethacin (2 mg/kg, iv) decreased RBF by more than 40% and increased MABP by 15%. This was associated with a decline in concentration of renal venous PGs to those levels observed in conscious dogs. The principal renal PG varied according to the experimental conditions. The venous levels of "PGF" were greater than "PGE" in conscious dogs, whereas in acutely stressed dogs the renal venous concentrations of "PGE" were more than 2-fold those of "PGF". Plasma renin activity was highly correlated with "PGE" levels in renal venous blood, but not with "PGF" levels. Thus, in the acutely stressed dog, the renal circulation is supported by a major PG component, withdrawal of which results in a decline in RBF. In contrast, in the conscious dog at rest, renal PGs do not appear to contribute significantly to RBF. The significance of the small basal release of PGs into the renal venous effluent of the conscious dog, which is not affected by indomethacin, remains to be determined.

摘要

研究了前列腺素(PG)合成酶抑制剂吲哚美辛对肾血流量(RBF)和平均主动脉血压(MABP)的影响,并将其与在广泛不同的实验条件下肾静脉血中PG浓度的变化相关联。尽管在氯醛糖麻醉并开腹的狗的肾静脉血中,类PGE物质(“PGE”)的水平比清醒狗高8倍,即分别为0.39 ng/ml血液和0.05 ng/ml血液,但每组的RBF和MABP相似。高达10 mg/kg静脉注射剂量的吲哚美辛,对清醒狗或麻醉狗的RBF、MABP及PG水平均无影响。然而,在麻醉并开腹的狗中,较小剂量的吲哚美辛(2 mg/kg静脉注射)使RBF降低超过40%,MABP升高15%。这与肾静脉PG浓度降至清醒狗中观察到的水平有关。主要的肾PG根据实验条件而变化。在清醒狗中,“PGF”的静脉水平高于“PGE”,而在急性应激狗中,肾静脉中“PGE”的浓度是“PGF”的2倍多。血浆肾素活性与肾静脉血中“PGE”水平高度相关,但与“PGF”水平无关。因此,在急性应激狗中,肾循环由主要的PG成分维持,去除该成分会导致RBF下降。相反,在静息的清醒狗中,肾PG似乎对RBF没有显著贡献。清醒狗肾静脉流出液中不受吲哚美辛影响的少量基础PG释放的意义尚待确定。

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