Beck N P, Reed S W, Murdaugh H V, Davis B B
J Clin Invest. 1972 Apr;51(4):939-44. doi: 10.1172/JCI106888.
Catecholamines have several physiological effects on the kidney. These include: (a) stimulation of renin synthesis in the cortex: (b) antidiuresis by beta adrenergic agents; and (c) diuresis by alpha adrenergic stimulation. The role of cyclic 3',5'-adenosine monophosphate (cyclic AMP) in the renal actions of catecholamines was evaluated by measuring the effects of several adrenergic agents on cyclic AMP concentration in the dog kidney. Beta adrenergic activity increased cyclic AMP concentration in the renal cortex, a finding consistent with the hypothesis that beta-adrenergic stimulation augments renin synthesis by increasing cyclic AMP generation. Beta adrenergic stimulation, like vasopressin, increased cyclic AMP concentration in the renal medulla. This suggests that beta adrenergic stimulation causes antidiuresis by augmenting cyclic AMP generation in the renal medulla. Alpha adrenergic activity inhibited the effect of vasopressin to stimulate cyclic AMP generation. These results support the hypothesis that the diuretic effect of alpha adrenergic stimulation is mediated by inhibition of the effect of vasopressin to increase cyclic AMP generation.
儿茶酚胺对肾脏有多种生理作用。这些作用包括:(a) 刺激皮质中的肾素合成;(b) β肾上腺素能药物引起抗利尿作用;以及 (c) α肾上腺素能刺激引起利尿作用。通过测量几种肾上腺素能药物对犬肾中环磷酸腺苷(cAMP)浓度的影响,评估了环磷酸腺苷(cAMP)在儿茶酚胺肾脏作用中的作用。β肾上腺素能活性增加了肾皮质中的cAMP浓度,这一发现与β肾上腺素能刺激通过增加cAMP生成来增强肾素合成的假设一致。β肾上腺素能刺激与血管加压素一样,增加了肾髓质中的cAMP浓度。这表明β肾上腺素能刺激通过增强肾髓质中的cAMP生成而导致抗利尿作用。α肾上腺素能活性抑制了血管加压素刺激cAMP生成的作用。这些结果支持了α肾上腺素能刺激的利尿作用是通过抑制血管加压素增加cAMP生成的作用来介导的这一假设。