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肾小管阻塞对大鼠肾小球功能的影响。

Effects of kidney tubule obstruction on glomerular function in rats.

作者信息

Tanner G A

出版信息

Am J Physiol. 1979 Nov;237(5):F379-85. doi: 10.1152/ajprenal.1979.237.5.F379.

Abstract

The effects of chronic blockade of single kidney tubules on glomerular capillary pressure (GCP) and blood flow were examined in anesthetized rats. Tubule blockade with castor oil for 24 h decreased GCP from 48.0 +/- 3.8 to 39.5 +/- 4.7 mmHg (P less than 0.001). The full decrease in GCP observed at 24 h was apparent by about 12 h. Bilateral ureteral obstruction for 24 h prevented a decrease in GCP. Nonradioactive microspheres (8.4 +/- 0.84 micron diam) were used to assess relative blood flow to blocked and normal nephrons. These microspheres were completely extracted by rat kidneys and had no effect on total renal blood flow. The ratio of microsphere counts in glomeruli of blocked versus normal nephrons averaged 0.61 +/- 0.21, indicating a significantly (P less than 0.001) decreased glomerular blood flow in nephrons obstructed for 24 h. Since both GCP and blood flow were reduced after tubule obstruction, afferent arteriolar constriction is involved. The data suggest a local mechanism activated by prolonged tubule blockade which shifts filtrate formation and blood flow away from blocked nephrons.

摘要

在麻醉大鼠中研究了单个肾小管长期阻塞对肾小球毛细血管压力(GCP)和血流的影响。用蓖麻油阻塞肾小管24小时可使GCP从48.0±3.8降至39.5±4.7 mmHg(P<0.001)。在24小时时观察到的GCP的完全降低在约12小时时就已明显。双侧输尿管梗阻24小时可防止GCP降低。使用非放射性微球(直径8.4±0.84微米)评估阻塞和正常肾单位的相对血流。这些微球被大鼠肾脏完全摄取,对总肾血流无影响。阻塞肾单位与正常肾单位肾小球中微球计数的比率平均为0.61±0.21,表明阻塞24小时的肾单位中肾小球血流显著减少(P<0.001)。由于肾小管阻塞后GCP和血流均降低,因此涉及入球小动脉收缩。数据表明,长期肾小管阻塞激活了一种局部机制,该机制使滤液形成和血流从阻塞的肾单位转移。

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