Arendshorst W J, Beierwaltes W H
Am J Physiol. 1979 Jul;237(1):F38-47. doi: 10.1152/ajprenal.1979.237.1.F38.
We characterized renal tubular reabsorption before and during acute expansion in anesthetized 12-wk-old spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats (WKY). Although mean arterial pressure was higher in euvolemic, nondiuretic SHR than in WKY, 158 vs. 114 mmHg, kidney and nephron glomerular filtration rate (GFR) as well as fluid reabsorption by the proximal convoluted tubule, loop of Henle, and distal convoluted tubule-collecting duct were similar. In euvolemic SHR with aortic constriction (SHR-AC), an acute decrease in renal perfusion pressure to 114 mmHg reduced sodium and water excretion. Kidney and nephron GFR and fluid reabsorption by segments along the nephron resembled values for SHR and WKY. Infusion of isotonic saline (3 ml.100 g body wt-1.h-1) produced similar increases in fractional sodium and water excretion by SHR and WKY, whereas SHR-AC exhibited a blunted natriuresis and diuresis. During expansion, fluid reabsorption by the nephron segments did not differ appreciably among the three groups. The effect(s) of perfusion pressure on reabsorption by superficial nephrons may be covert and was not unmasked, or may be manifested preferentially by deeper nephrons. We conclude that kidneys of SHR require a higher arterial pressure than kidneys of WKY to excrete a given amount of salt and water.
我们对麻醉状态下12周龄自发性高血压大鼠(SHR)和Wistar-Kyoto大鼠(WKY)急性扩容前后的肾小管重吸收情况进行了表征。尽管血容量正常、无利尿作用的SHR的平均动脉压高于WKY,分别为158 mmHg和114 mmHg,但两者的肾脏和肾单位的肾小球滤过率(GFR)以及近端曲管、髓袢和远端曲管-集合管的液体重吸收情况相似。在主动脉缩窄的血容量正常的SHR(SHR-AC)中,肾灌注压急性降至114 mmHg会减少钠和水的排泄。肾脏和肾单位的GFR以及肾单位各节段的液体重吸收情况与SHR和WKY的值相似。输注等渗盐水(3 ml·100 g体重-1·h-1)使SHR和WKY的钠和水排泄分数有相似的增加,而SHR-AC的利钠和利尿作用减弱。在扩容期间,三组肾单位各节段的液体重吸收情况没有明显差异。灌注压对浅表肾单位重吸收的影响可能是隐蔽的,未被揭示出来,或者可能优先表现在较深的肾单位。我们得出结论,与WKY的肾脏相比,SHR的肾脏需要更高的动脉压来排泄给定数量的盐和水。