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动脉化学感受器刺激期间的肾功能。II. 麻醉猫颈动脉体低氧高碳酸灌注对血浆醛固酮浓度的抑制作用。

Kidney function during arterial chemoreceptor stimulation. II. Suppression of plasma aldosterone concentration due to hypoxic-hypercapnic perfusion of the carotid bodies in anaesthetized cats.

作者信息

Schmidt M, Wedler B, Zingler C, Ledderhos C, Honig A

出版信息

Biomed Biochim Acta. 1985;44(5):711-22.

PMID:4062917
Abstract

The reactions of the mean systemic arterial blood pressure, kidney function (clearance technique) and plasma aldosterone concentration (radio-immuno-assay) elicited by perfusion of the vascularly isolated carotid bodies with venous blood were studied in two series of chloralosed, vagotomized, relaxed, and constantly ventilated cats undergoing saline diuresis. In one group of animals the carotid body chemoreceptors were left intact; in the other one, they were abolished by injecting acetic acid into the glomera carotici. In the cats with intact chemoreceptors perfusion of the carotid bodies with venous blood immediately caused a small and transient increase of the blood pressure, whereas renal plasma flow tended to fall despite continuous chemoreceptor stimulation. Renal fractional sodium excretion already increased in the first 25 min of chemoreceptor stimulation, whereas plasma aldosterone concentration showed a significant decrease only after 45 min of venous perfusion of the glomera carotici. Plasma electrolytes changed only little at that time. No clear relationships between the responses of plasma aldosterone and those of the other parameters measured could be obtained. On subsequent perfusion of the carotid bodies with arterial blood plasma aldosterone returned to the values determined before chemoreceptor stimulation. Inactivation of the carotid body chemoreceptors per se already enhanced plasma aldosterone concentration. Perfusion of the glomera carotici with venous blood in the cats with abolished chemoreceptors did not suppress plasma aldosterone content. The data show that plasma aldosterone changes are not involved in the development of the initial phase (first hour) of the inhibition of renal tubular sodium reabsorption provoked by arterial chemoreceptor stimulation, but during long-lasting chemoreceptor stimulation they might contribute to the maintenance of this type of natriuresis. Furthermore the experiments suggest that the decrease of plasma aldosterone repeatedly observed during exposure of mammals to acute hypoxic hypoxia is possibly the reflex result of the stimulation of the arterial chemoreceptors.

摘要

在两组用氯醛糖麻醉、切断迷走神经、处于松弛状态且持续通气并进行盐水利尿的猫中,研究了用静脉血灌注血管分离的颈动脉体所引起的平均体循环动脉血压、肾功能(清除技术)和血浆醛固酮浓度(放射免疫测定)的反应。一组动物的颈动脉体化学感受器保持完整;另一组通过向颈动脉小球注射醋酸将其化学感受器破坏。在化学感受器完整的猫中,用静脉血灌注颈动脉体立即引起血压小幅短暂升高,而尽管化学感受器持续受到刺激,肾血浆流量仍趋于下降。在化学感受器刺激的最初25分钟内,肾钠排泄分数已经增加,而仅在颈动脉小球静脉灌注45分钟后血浆醛固酮浓度才出现显著下降。此时血浆电解质变化很小。血浆醛固酮的反应与所测量的其他参数之间未获得明确的关系。随后用动脉血灌注颈动脉体时,血浆醛固酮恢复到化学感受器刺激前测定的值。颈动脉体化学感受器本身失活已使血浆醛固酮浓度升高。在化学感受器被破坏的猫中,用静脉血灌注颈动脉小球并未抑制血浆醛固酮含量。数据表明,血浆醛固酮变化不参与动脉化学感受器刺激引起的肾小管钠重吸收抑制初始阶段(第一小时)的发生,但在长期化学感受器刺激期间,它们可能有助于维持这种利钠作用。此外,实验表明,在哺乳动物暴露于急性低氧性缺氧期间反复观察到的血浆醛固酮降低可能是动脉化学感受器刺激的反射结果。

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