Kotchen T A, Mauli K I, Luke R, Rees D, Flamenbaum W
J Clin Invest. 1974 Dec;54(6):1279-86. doi: 10.1172/JCI107873.
To evaluate the effect of Ca(++) on renin release, plasma renin activity (PRA) was measured after acute and chronic Ca(++) administration. 1% CaCl(2) was infused into one renal artery of 10 anesthetized dogs (0.3 mg/kg/min). The excreted fraction of filtered calcium (EF(ca++)) and EF(Na+) from the infused kidney were elevated (P < 0.04) during three successive 15-min infusion periods. Serum calcium concentration was significantly elevated (P < 0.001). Creatinine clearance, systemic arterial pressure, and renal blood flow did not change (P > 0.10). Compared to control (45 ng/ml/h+/-5.2 SE), renal venous PRA was suppressed (P < 0.0001) after infusion of Ca(++) for 15, 30, and 45 min (20 ng/ml/h+/-4.6, 16 ng/ml/h+/-4.0, and 13 ng/ml/h+/-2.7, respectively). 15 and 30-min after infusion, PRA did not differ from control (P > 0.20). Chronic Ca(++) loading was achieved in Sprague-Dawley rats by replacing drinking water with 1% CaCl(2) for 17 days. At sacrifice, serum Ca(++), Na(+), and K(+) of controls (n = 12) did not differ (P > 0.60) from Ca(++)-loaded rats (n = 12). Ca(++) excretion (467 mueq/24 h+/-51) was elevated (P < 0.001) compared to controls (85 mueq/24 h+/-12). PRA (8.6 ng/ml/h+/-1.4) and renal renin content of Ca(++)-loaded rats did not differ from controls (P > 0.80). However, after 8 days of sodium deprivation, both PRA and renal renin content of calcium-loaded animals were significantly lower than the respective values in pair-fed controls (P < 0.005). During the period of sodium deprivation, calcium-drinking animals were in greater negative sodium balance than controls (P < 0.005). The data are consistent with the hypothesis that acute and chronic calcium administration inhibit renin secretion.
为评估钙离子(Ca(++))对肾素释放的影响,在急性和慢性给予Ca(++)后测量血浆肾素活性(PRA)。将1%氯化钙(CaCl(2))注入10只麻醉犬的一条肾动脉(0.3毫克/千克/分钟)。在连续三个15分钟的输注期内,来自输注肾脏的滤过钙排泄分数(EF(ca++))和EF(Na+)升高(P < 0.04)。血清钙浓度显著升高(P < 0.001)。肌酐清除率、体动脉压和肾血流量未改变(P > 0.10)。与对照组(45纳克/毫升/小时±5.2标准误)相比,在输注Ca(++)15、30和45分钟后,肾静脉PRA受到抑制(P < 0.0001)(分别为20纳克/毫升/小时±4.6、16纳克/毫升/小时±4.0和13纳克/毫升/小时±2.7)。输注后15和30分钟,PRA与对照组无差异(P > 0.20)。通过用1% CaCl(2)替代饮用水17天,在斯普拉格-道利大鼠中实现慢性Ca(++)负荷。处死时,对照组(n = 12)的血清Ca(++)、Na(+)和K(+)与Ca(++)负荷大鼠(n = 12)无差异(P > 0.60)。与对照组(85微当量/24小时±12)相比,Ca(++)排泄(467微当量/24小时±51)升高(P < 0.001)。Ca(++)负荷大鼠的PRA(8.6纳克/毫升/小时±1.4)和肾脏肾素含量与对照组无差异(P > 0.80)。然而,在8天的钠缺乏后,钙负荷动物的PRA和肾脏肾素含量均显著低于配对喂养对照组的相应值(P < 0.005)。在钠缺乏期间,饮用钙溶液的动物比对照组有更大的负钠平衡(P < 0.005)。这些数据与急性和慢性给予钙抑制肾素分泌的假说一致。