Kobrin I, Pegram B L, Frohlich E D
Am J Physiol. 1985 Dec;249(6 Pt 2):H1114-8. doi: 10.1152/ajpheart.1985.249.6.H1114.
Spontaneously hypertensive rats (SHR) develop proteinuria and glomerular lesions during the first year of their life. To determine whether an intrarenal hemodynamic abnormality might participate in the pathogenesis of these lesions, normotensive Wistar-Kyoto (WKY) and SHR rats were subjected to acute pressure increase with phenylephrine infusion (2.5 and 5 micrograms X kg-1 X min-1), and renal blood flow (RBF), afferent and efferent arteriolar resistances, glomerular filtration rate (GFR), and glomerular capillary hydrostatic pressure were measured or calculated. The results indicate that the two strains responded differently to the pressure rise. Thus, although the increment in renal perfusion pressure and afferent arteriolar resistance increased similarly in the two strains, efferent resistance increased only in the SHR (7.2 +/- 1.6 vs. 9.0 +/- 2.1 units, P less than 0.02) but decreased in the WKY (5.3 +/- 0.8 vs. 4.0 +/- 0.5 units, P less than 0.05). This was associated with a decreased RBF of SHR (8.31 +/- 0.71 vs. 7.22 +/- 0.57 ml X min-1 X g kidney-1, P less than 0.05) but stable RBF in WKY (7.36 +/- 0.55 vs. 7.79 +/- 0.51 ml X min-1 X g kidney-1); GFR remained unchanged in both strains. Calculated glomerular hydrostatic pressure, however, increased in the SHR (43.6 +/- 3.0 vs. 48.5 +/- 2.2 mmHg, P less than 0.05) but decreased in the WKY (33.2 +/- 2.5 vs. 28.8 +/- 1.7 mmHg, P less than 0.01). The observed higher base-line glomerular pressure in the SHR and a greater rise with phenylephrine infusion may participate in the pathogenesis of the SHR glomerular lesions and proteinuria.(ABSTRACT TRUNCATED AT 250 WORDS)
自发性高血压大鼠(SHR)在出生后的第一年出现蛋白尿和肾小球病变。为了确定肾内血流动力学异常是否可能参与这些病变的发病机制,对正常血压的Wistar-Kyoto(WKY)大鼠和SHR大鼠进行去氧肾上腺素输注(2.5和5微克×千克⁻¹×分钟⁻¹)以急性升高血压,并测量或计算肾血流量(RBF)、入球和出球小动脉阻力、肾小球滤过率(GFR)以及肾小球毛细血管静水压。结果表明,这两个品系对血压升高的反应不同。因此,尽管两个品系的肾灌注压和入球小动脉阻力的增加相似,但出球阻力仅在SHR中增加(7.2±1.6对9.0±2.1单位,P<0.02),而在WKY中降低(5.3±0.8对4.0±0.5单位,P<0.05)。这与SHR的RBF降低相关(8.31±0.71对7.22±0.57毫升×分钟⁻¹×克肾⁻¹,P<0.05),而WKY的RBF保持稳定(7.36±0.55对7.79±0.51毫升×分钟⁻¹×克肾⁻¹);两个品系的GFR均保持不变。然而,计算得出的肾小球静水压在SHR中升高(43.6±3.0对48.5±2.2毫米汞柱,P<0.05),而在WKY中降低(33.2±2.5对28.8±1.7毫米汞柱,P<0.01)。在SHR中观察到的较高基线肾小球压力以及去氧肾上腺素输注后的更大升高可能参与了SHR肾小球病变和蛋白尿的发病机制。(摘要截取自250字)