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在没有抗利尿激素的情况下脱水时的尿液浓缩能力。

Urinary concentrating ability during dehydration in the absence of vasopressin.

作者信息

Gellai M, Edwards B R, Valtin H

出版信息

Am J Physiol. 1979 Aug;237(2):F100-4. doi: 10.1152/ajprenal.1979.237.2.F100.

Abstract

Despite the apparent absence of vasopressin (ADH), Brattleboro homozygotes [diabetes insipidus (DI) rats] can concentrate their urine when deprived of drinking water. Since other investigators have shown that reducing glomerular filtration rate (GFR) improves the concentrating ability of water-loaded dogs, the present studies were undertaken to quantify the magnitude and time course of changes in GFR during dehydration. Clearance experiments were performed in 10 conscious DI rats before and following 3, 6, 9, 12, 15, and 24 h of dehydration. Urine osmolality increased from 155.0 +/- 12.6 (SE) to 696.7 +/- 8.4 mosmol/kg H2O after 24 h. GFR averaged 984.3 +/- 79.6 microliters . min-1 . 100 g body wt-1 in the control phase, fell to about 80% of this value over the first 12 h of dehydration, and then declined to 27% at 24 h. The rats lost 20% of their body weight over the 24 h. The osmolality of the papillary tip averaged 896 +/- 44 mosmol/kg H2O at 24 h compared to a control value of 493 +/- 28. The lack of osmotic equilibration between urine and papillary interstitium suggests that dehydration did not appreciably increase the water permeability of the distal nephron. These experiments clearly show a progressive decline in GFR as urine becomes concentrated during dehydration in the absence of ADH; these events may or may not be causally related.

摘要

尽管明显缺乏血管加压素(抗利尿激素,ADH),但布拉特洛维纯合子[尿崩症(DI)大鼠]在禁水时仍能浓缩尿液。由于其他研究人员已表明降低肾小球滤过率(GFR)可提高水负荷狗的浓缩能力,因此进行了本研究以量化脱水过程中GFR变化的幅度和时间进程。对10只清醒的DI大鼠在脱水3、6、9、12、15和24小时之前及之后进行了清除率实验。24小时后尿渗透压从155.0±12.6(SE)升至696.7±8.4 mosmol/kg H2O。在对照阶段,GFR平均为984.3±79.6微升·分钟-1·100克体重-1,在脱水的前12小时降至该值的约80% , 然后在24小时时降至27%。大鼠在24小时内体重减轻了20%。24小时时乳头尖端的渗透压平均为896±44 mosmol/kg H2O,而对照值为493±28 mosmol/kg H2O。尿液与乳头间质之间缺乏渗透平衡表明脱水并未明显增加远端肾单位的水通透性。这些实验清楚地表明,在没有ADH的情况下脱水过程中随着尿液浓缩GFR逐渐下降;这些事件可能有因果关系,也可能没有。

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