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影响清醒妊娠母羊及其胎儿血浆肾素和血管紧张素II的因素。

Factors influencing plasma renin and angiotensin II in the conscious pregnant ewe and its foetus.

作者信息

Broughton Pipkin F, Lumbers E R, Mott J C

出版信息

J Physiol. 1974 Dec;243(3):619-36. doi: 10.1113/jphysiol.1974.sp010769.

Abstract
  1. Plasma renin (measured in the presence of additional substrate) was significantly higher (10.7 +/- 1.1 S.E. of mean ng/ml.hr) in foetal lambs of 111-144 days gestation age (full term 147 days) than in their mothers (1.5 +/- 0.2 ng/ml.hr S.E. of mean, P < 0.001) but plasma angiotensin II concentrations were in the same range (ewe 47.3 +/- 6.6 S.E. of mean, foetus 47.4 +/- 14.1 S.E. of mean pg/ml.). The endogenous velocity of renin production by foetal plasma was also greater than that of maternal plasma.2. Foetal plasma [Na(+)] (137 +/- 0.8 S.E. of mean m-equiv/l.), was lower than that in the ewe (142 +/- 1.5 m-equiv/l. S.E. of mean, P < 0.01).3. Foetal plasma renin in lambs of less than 120 days gestation was lower (9.2 +/- 2.7 S.E. of mean ng/ml.hr) than that in lambs of over 130 days gestation (12.6 +/- 2.6 ng/ml.hr S.E. of mean, P < 0.01). Foetal plasma [K(+)] (3.8 +/- 0.1 S.E. of mean m-equiv/l.) was also lower in lambs of less than 120 days gestation than in those over 130 days (4.1 +/- 0.1 S.E. of mean m-equiv/l., P < 0.001).4. When small volumes of blood (</= 3% of blood volume) were withdrawn from foetal lambs, plasma renin increased. The% increase of plasma renin in hypoxaemic foetal lambs was significantly less (P < 0.05) than in control lambs. At the end of 60 min hypoxaemia, arterial pressure and plasma [K(+)] were significantly higher in hypoxaemic than in control foetal lambs.5. During foetal hypoxaemia, plasma angiotensin II concentration increased concurrently with plasma renin.6. Bilateral nephrectomy was performed in two foetal lambs. Plasma renin fell to very low levels and angiotensin II became undetectable.7. Adrenaline ( approximately .0.42 mug/min.kg I.V.) infused into the foetus did not alter foetal plasma renin. When adrenaline was infused into the ewe ( approximately 0.26 mug/min.kg) maternal plasma renin increased. Maternal infusion of adrenaline raised foetal plasma renin significantly more (P < 0.05) than foetal infusion.8. It is concluded that the foetal kidney is the major source of foetal renin in the last quarter of gestation and that renin release is stimulated by very small reductions of blood volume. Hypoxaemia does not augment renin release and cannot be responsible for high levels of renin and angiotensin associated with vaginal delivery.
摘要
  1. 孕龄111 - 144天(足月为147天)的胎羊血浆肾素(在有额外底物存在的情况下测定)显著高于其母羊(平均10.7±1.1标准误ng/ml·小时,母羊为平均1.5±0.2标准误ng/ml·小时,P<0.001),但血浆血管紧张素II浓度处于相同范围(母羊平均47.3±6.6标准误pg/ml,胎羊平均47.4±14.1标准误pg/ml)。胎羊血浆肾素的内源性产生速度也高于母羊血浆。

  2. 胎羊血浆[Na⁺](平均137±0.8标准误mEq/L)低于母羊(平均142±1.5标准误mEq/L,P<0.01)。

  3. 孕龄小于120天的胎羊血浆肾素(平均9.2±2.7标准误ng/ml·小时)低于孕龄超过130天的胎羊(平均12.6±2.6标准误ng/ml·小时,P<0.01)。孕龄小于120天的胎羊血浆[K⁺](平均3.8±0.1标准误mEq/L)也低于孕龄超过130天的胎羊(平均4.1±0.1标准误mEq/L,P<0.001)。

  4. 从胎羊抽取少量血液(≤血容量的3%)时,血浆肾素增加。低氧血症胎羊血浆肾素的增加百分比显著低于对照胎羊(P<0.05)。在低氧血症60分钟末,低氧血症胎羊的动脉压和血浆[K⁺]显著高于对照胎羊。

  5. 在胎儿低氧血症期间,血浆血管紧张素II浓度与血浆肾素同时增加。

  6. 对两只胎羊进行双侧肾切除术。血浆肾素降至极低水平,血管紧张素II无法检测到。

  7. 向胎儿静脉输注肾上腺素(约0.42μg/分钟·千克)未改变胎儿血浆肾素。向母羊输注肾上腺素(约0.26μg/分钟·千克)时,母羊血浆肾素增加。母羊输注肾上腺素使胎儿血浆肾素升高的幅度显著大于胎儿输注(P<0.05)。

  8. 得出结论,胎儿肾脏是妊娠最后一个季度胎儿肾素的主要来源,肾素释放受到血容量非常小的减少的刺激。低氧血症不会增加肾素释放,也不能解释与阴道分娩相关的高水平肾素和血管紧张素。

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