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大鼠对慢性静脉输注盐负荷的肾脏反应。

Renal response to chronic intravenous salt loading in the rat.

作者信息

Daugharty T M, Ueki I F, Nicholas D P, Brenner B M

出版信息

J Clin Invest. 1973 Jan;52(1):21-31. doi: 10.1172/JCI107167.

Abstract

The natriuresis of acute Ringer's loading is associated with a rise in the rate of delivery of fluid beyond the proximal tubule due both to a rise in glomerular filtration and a fall in absolute reabsorption, the latter being causally mediated, at least in part, by the accompanying fall in postglomerular vascular [protein]. To determine whether these factors also contribute to the renal response to chronic Ringer's loading, nine rats given continuous infusions, 30% body weight/day over 5-14 days, were studied using free-flow micro-puncture techniques. Results were compared with data from 10 chronic control rats given less than 1.5% body wt/day. Late proximal tubule fluid-to-plasma [inulin] ratios, (TF/P)(IN), single nephron glomerular filtration rate (SNGFR), absolute proximal reabsorption, and postglomerular vascular [protein] in chronic control rats and chronically loaded rats averaged 2.2+/-SE 0.1 (n = 35) and 1.5+/-0 (35), P<0.001; 37+/-2 (35) and 47+/-4 nl/min (35), P<0.05; 19+/-1 (35) and 16+/-2 nl/min (35), P>0.2; and 9.5+/-0.3 (8) and 8.6+/-0.3 g/100 ml (8), P>0.05, respectively. Thus the fall in (TF/P)(IN) and the rise in distal delivery during chronic Ringer's loading were due almost entirely to the rise in SNGFR, and not to any large fall in absolute reabsorption. Hence chronic and acute Ringer's loading increase delivery of proximal tubule fluid by different mechanisms, with chronic sodium homeostasis being governed overwhelmingly by adjustments in GFR. When, however, an acute Ringer's load was infused into chronically loaded rats, we observed significant and parallel reductions in absolute proximal reabsorption and postglomerular vascular [protein]. These findings suggest that the difference between the effects of chronic vs. acute Ringer's loading on absolute proximal reabsorption may have been due, at least in part, to the corresponding difference in the effects these two loading procedures have on postglomerular vascular [protein].

摘要

急性输注林格液所致的利钠作用与近端小管液流量增加有关,这是由于肾小球滤过率升高以及绝对重吸收减少,后者至少部分是由肾小球后血管[蛋白]含量下降所致。为了确定这些因素是否也对慢性输注林格液时的肾脏反应有影响,我们采用自由流微穿刺技术对9只大鼠进行了研究,这些大鼠连续5 - 14天以每天30%体重的剂量输注林格液。将结果与10只慢性对照大鼠(每天输注量小于体重的1.5%)的数据进行比较。慢性对照大鼠和慢性输注林格液大鼠的近端小管晚期液/血浆[菊粉]比值(TF/P)(IN)、单肾单位肾小球滤过率(SNGFR)、近端绝对重吸收以及肾小球后血管[蛋白]的平均值分别为2.2±标准误0.1(n = 35)和1.5±0(35),P<0.001;37±2(35)和47±4 nl/min(35),P<0.05;19±1(35)和16±2 nl/min(35),P>0.2;以及9.5±0.3(8)和8.6±0.3 g/100 ml(8),P>0.05。因此,慢性输注林格液期间(TF/P)(IN)的下降和远端小管液流量的增加几乎完全是由于SNGFR升高,而非绝对重吸收的大幅下降。所以,慢性和急性输注林格液通过不同机制增加近端小管液流量,慢性钠稳态主要由肾小球滤过率的调节来控制。然而,当向慢性输注林格液的大鼠急性输注林格液负荷时,我们观察到近端绝对重吸收和肾小球后血管[蛋白]显著且平行下降。这些发现表明,慢性与急性输注林格液对近端绝对重吸收影响的差异可能至少部分是由于这两种负荷方式对肾小球后血管[蛋白]影响的相应差异所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a0/302223/3086df1cdca4/jcinvest00177-0031-a.jpg

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