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肾内肾素与肾血浆流量和肾小球滤过率的自身调节

Intrarenal renin and autoregulation of renal plasma flow and glomerular filtration rate.

作者信息

Murray R D, Malvin R L

出版信息

Am J Physiol. 1979 Jun;236(6):F559-66. doi: 10.1152/ajprenal.1979.236.6.F559.

DOI:10.1152/ajprenal.1979.236.6.F559
PMID:443438
Abstract

Autoregulatory responses of renal plasma flow (RPF) and glomerular filtration rate (GFR) to reductions in renal artery pressure (RAP) were studied in both kidneys of two-kidney, one-clamp dogs and in dogs treated with deoxycorticosterone acetate (DOCA; 25 mg/kg) plus high sodium diets with and without renal arterial clamping. In non-DOCA-treated animals, unilateral renal artery constriction resulted in a significant difference (P = 0.004) in renal renin activity (RRA) between the clamped (171 +/- 37 ng AI.mg-1.h-1) and the contralateral (57 +/- 23 mg AI.mg-1.h-1) kidneys with no change in their relative autoregulatory ability. In dogs treated with DOCA/high sodium there were no differences in RRA between the clamped and contralateral kidneys. The dogs treated with DOCA/high sodium were able to autoregulate both RPF and GFR even though their RRA was only 5.4 ng AI.mg-1.h-1. DOCA/high sodium treatment, however, reduced basal RPF (22%) and GFR (23%) below those in non-DOCA-treated animals. Analysis of the autoregulatory ability of individual kidneys showed no relationship to either RRA or renin secretory rates. These results support the conclusion that the renin-angiotensin system is not necessary component in the autoregulation of RPF or GFR.

摘要

在双肾单夹狗的双侧肾脏以及用醋酸脱氧皮质酮(DOCA;25毫克/千克)加高钠饮食处理且有或无肾动脉夹闭的狗身上,研究了肾血浆流量(RPF)和肾小球滤过率(GFR)对肾动脉压(RAP)降低的自身调节反应。在未用DOCA处理的动物中,单侧肾动脉狭窄导致夹闭肾(171±37纳克血管紧张素I·毫克⁻¹·小时⁻¹)和对侧肾(57±23毫克血管紧张素I·毫克⁻¹·小时⁻¹)之间的肾素活性(RRA)有显著差异(P = 0.004),而它们的相对自身调节能力无变化。在用DOCA/高钠处理的狗中,夹闭肾和对侧肾之间的RRA无差异。尽管在用DOCA/高钠处理的狗中其RRA仅为5.4纳克血管紧张素I·毫克⁻¹·小时⁻¹,但它们仍能够对RPF和GFR进行自身调节。然而,DOCA/高钠处理使基础RPF(22%)和GFR(23%)低于未用DOCA处理的动物。对单个肾脏自身调节能力的分析表明,其与RRA或肾素分泌率均无关系。这些结果支持这样的结论,即肾素 - 血管紧张素系统不是RPF或GFR自身调节的必要组成部分。

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引用本文的文献

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Renal autoregulation in health and disease.健康与疾病状态下的肾自动调节
Physiol Rev. 2015 Apr;95(2):405-511. doi: 10.1152/physrev.00042.2012.
2
A comparison of the ability of two angiotensin II receptor blocking drugs, 1-Sar; 8-Ala angiotensin II and 1-Sar, 8-Ile angiotensin II, to modify the regulation of glomerular filtration rate in the cat.比较两种血管紧张素II受体阻断药物,即1-肌氨酸;8-丙氨酸血管紧张素II和1-肌氨酸,8-异亮氨酸血管紧张素II对猫肾小球滤过率调节的影响。
Br J Pharmacol. 1980;71(2):499-506. doi: 10.1111/j.1476-5381.1980.tb10963.x.
3
The control of glomerular filtration rate and renal blood flow in chronically volume-expanded rats.
慢性容量扩张大鼠肾小球滤过率和肾血流量的调控
J Physiol. 1988 Aug;402:473-95. doi: 10.1113/jphysiol.1988.sp017216.
4
Autoregulation of the glomerular filtration rate and the single-nephron glomerular filtration rate despite inhibition of tubuloglomerular feedback in rats chronically volume-expanded by deoxycorticosterone acetate.尽管通过醋酸脱氧皮质酮使大鼠长期容量扩张,抑制了肾小管-肾小球反馈,但肾小球滤过率和单肾单位肾小球滤过率仍存在自身调节。
Pflugers Arch. 1990 Jul;416(5):548-53. doi: 10.1007/BF00382688.