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缬氨酸-5-血管紧张素II酰胺对犬肾小球滤过率和钠排泄影响的一些决定因素。

Some determinants of the effects of VAL-5-angiotensin II amide on glomerular filtration rate and sodium excretion in dogs.

作者信息

McGiff J C, Lynch J R, Leinicke J A, Strand J C, Aboosi A

出版信息

J Clin Invest. 1969 Jan;48(1):146-55. doi: 10.1172/JCI105963.

Abstract

In 12 dogs anesthetized with chloralose, angiotensin (angiotensin II amide) given intravenously increased the glomerular filtration rate (GFR) of an ischemic kidney while simultaneously having little effect on the GFR of the contralateral kidney. In the ischemic kidney, in 14 of 30 observations, increments of GFR greater than 100% of mean control GFR (9 ml/min) occurred in response to angiotensin. The magnitude of the increase in GFR produced by angiotensin was independent of dose (range 0.005-0.050 mug/kg per min), the degree of accompanying pressor response, and alterations in renal blood flow (RBF) (electromagnetic flow-meter). In the ischemic kidney, increments of GFR could be produced by sub-pressor doses of angiotensin. Dissociations between increments of GFR and sodium excretion occurred. Equivalent increments of GFR in the ischemic kidney in dogs receiving either 5% glucose in water or 10% mannitol in 0.3% saline were associated with natriuresis only in the latter group: a) as an initial response of the contralateral kidney to renal arterial constriction (RAC) in spite of a concomitant reduction in RBF and an unchanged GFR; b) in the ischemic kidney on giving angiotensin. The natriuresis produced by angiotensin was independent of the magnitude of elevations in blood pressure, altered filtration fraction, and was associated with a further reduction in RBF. After release of RAC in the dogs receiving mannitol, an antinatriuresis was again observed in response to angiotensin. The presence of unilateral renal ischemia allowed the demonstration of a differential action of angiotensin on the GFR of an ischemic and nonischemic kidney. The natriuresis in response to angiotensin requires, in addition to mannitol, the participation of undefined factors invoked by unilateral renal ischemia.

摘要

在12只用氯醛糖麻醉的狗身上,静脉注射血管紧张素(血管紧张素II酰胺)可增加缺血肾脏的肾小球滤过率(GFR),而对侧肾脏的GFR几乎没有影响。在缺血肾脏中,30次观察中有14次,血管紧张素使GFR增加超过平均对照GFR(9毫升/分钟)的100%。血管紧张素引起的GFR增加幅度与剂量(范围为0.005 - 0.050微克/千克每分钟)、伴随的升压反应程度以及肾血流量(RBF)的改变(电磁流量计)无关。在缺血肾脏中,血管紧张素的亚升压剂量可引起GFR增加。GFR增加与钠排泄之间存在分离现象。给狗静脉输注5%葡萄糖溶液或0.3%盐水中的10%甘露醇时,缺血肾脏中相同的GFR增加仅在后一组中伴有利钠作用:a)作为对侧肾脏对肾动脉收缩(RAC)的初始反应,尽管同时RBF降低且GFR不变;b)在缺血肾脏中给予血管紧张素时。血管紧张素引起的利钠作用与血压升高幅度、滤过分数改变无关,且与RBF进一步降低有关。在接受甘露醇的狗中解除RAC后,再次观察到血管紧张素引起的抗利钠作用。单侧肾缺血的存在使得能够证明血管紧张素对缺血和非缺血肾脏GFR的不同作用。血管紧张素引起的利钠作用除了需要甘露醇外,还需要单侧肾缺血引发的未明确因素的参与。

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