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血浆胶体渗透压升高时犬的肾小球滤过动力学

Glomerular filtration dynamics in the dog during elevated plasma colloid osmotic pressure.

作者信息

Thomas C E, Bell P D, Navar L G

出版信息

Kidney Int. 1979 May;15(5):502-12. doi: 10.1038/ki.1979.65.

Abstract

To determine if the glomerular filtration coefficient (Kf) of the dog is influenced by changes in plasma colloid osmotic pressure (COP), we conducted micropuncture experiments in dogs given concentrated albumin solutions. In one group (N = 9), filtration dynamics were evaluated following infusion of 450 to 600 ml of a 25% bovine albumin solution. To minimize the effects of acute volume expansion, we also achieved high COP levels in another group (N = 7) by albumin loading on the day prior to the experiment. In all experiments, renal arterial pressure was reduced to approximately 90 mm Hg to minimize potential errors that might lead to overestimation of single nephron filtration rate (SNGFR) and glomerular pressure (GP). In the acutely expanded dogs, COP increased to 23.0 +/- (SEM) 0.9 mm Hg, SNGFR was 59 +/- 6 nl/min, estimated GP was 61.0 +/- 2.0 mm Hg, proximal tubule pressure (PTP) was 23.0 +/- 1.6 mm Hg, and superficial filtration fraction (SFF) was 0.13 +/- 0.02. A similarly reduced whole kidney filtration fraction was also observed, due almost entirely to a marked increase in renal blood flow. When compared to noninfused control dogs (N = 13), Kf was significantly higher in the dogs with elevated COP, being 5.3 +/- 0.6 nl/min/mm Hg as compared to 3.4 +/- 0.3 nl/min/mm Hg. Average effective filtration pressure (EFP) was 12 +/- 1mm Hg, and EFP at the efferent end of the glomerular capillaries was 8.9 +/- 1.2 mm Hg. In the group infused on the prior day, COP was 20.0 +/- 0.8 mm Hg, SFF was 0.26 +/- 0.01, SNGFR was 70 +/-8 nl/min, GP was 59 +/- 2 mm Hg, and PTP was 19.0 +/- 1.5 mm Hg. Average EFP was 15 +/- 1 mm Hg, and EFP at the efferent end of the capillaries was 7.5 +/- 0.7 mm Hg. kf was 4.85 +/- 0.66 nl/min/mm Hg, a value significantly higher than that obtained in control dogs having a COP of 15.0 +/- 0.6 mm Hg. Furthermore, one group of control dogs (N = 4), expanded with an isooncotic albumin solution, did not exhibit significant changes in Kf even though the degree of plasma volume expansion was similar to the group expanded with concentrated albumin solution. These experiments are consistent with previous findings obtained in the rat that Kf is influenced by the COP, although the changes in Kf appear to be less than they are in the rat. The data indicate that even under these conditions of elevated COP, the filtration process in the dog is characterized by positive filtration pressures throughout the length of the glomerular capillaries.

摘要

为了确定犬的肾小球滤过系数(Kf)是否受血浆胶体渗透压(COP)变化的影响,我们对输注浓缩白蛋白溶液的犬进行了微穿刺实验。在一组(n = 9)中,输注450至600 ml 25%的牛白蛋白溶液后评估滤过动力学。为了尽量减少急性容量扩张的影响,我们在另一组(n = 7)中,通过在实验前一天输注白蛋白使COP升高。在所有实验中,肾动脉压降至约90 mmHg,以尽量减少可能导致单肾单位滤过率(SNGFR)和肾小球压力(GP)高估的潜在误差。在急性扩容的犬中,COP升至23.0±(标准误)0.9 mmHg,SNGFR为59±6 nl/min,估计GP为61.0±2.0 mmHg,近端小管压力(PTP)为23.0±1.6 mmHg,表面滤过分数(SFF)为0.13±0.02。还观察到全肾滤过分数有类似程度的降低,几乎完全是由于肾血流量显著增加所致。与未输注的对照犬(n = 13)相比,COP升高的犬的Kf显著更高,分别为5.3±0.6 nl/min/mmHg和3.4±0.3 nl/min/mmHg。平均有效滤过压(EFP)为12±1 mmHg,肾小球毛细血管出球端的EFP为8.9±1.2 mmHg。在前一天输注的组中,COP为20.0±0.8 mmHg,SFF为0.26±0.01,SNGFR为70±8 nl/min,GP为59±2 mmHg,PTP为19.0±1.5 mmHg。平均EFP为15±1 mmHg,毛细血管出球端的EFP为7.5±0.7 mmHg。Kf为4.85±0.66 nl/min/mmHg,该值显著高于COP为15.0±0.6 mmHg的对照犬。此外,一组用等渗白蛋白溶液扩容的对照犬(n = 4),尽管血浆容量扩张程度与用浓缩白蛋白溶液扩容的组相似,但Kf未表现出显著变化。这些实验与先前在大鼠中获得的结果一致,即Kf受COP影响,尽管犬中Kf的变化似乎小于大鼠。数据表明,即使在COP升高的这些条件下,犬的滤过过程在肾小球毛细血管全长中仍以正滤过压为特征。

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