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限水和补液过程中的肾素、抗利尿激素与肾脏

Renin, antidiuretic hormone and the kidney in water restriction and rehydration.

作者信息

Blair-West J R, Brook A H, Gibson A, Morris M, Pullan P T

出版信息

J Physiol. 1979 Sep;294:181-93. doi: 10.1113/jphysiol.1979.sp012924.

Abstract
  1. The effect of restricted water intake followed by voluntary rehydration with water or 10 mM-KCl was studied in four conscious sheep with respect to plasma concentrations of renin, antidiuretic hormone (ADH), protein and electrolytes, and urine flow rate, osmolality and osmolal excretion. 2. Water restriction increased the plasma renin concentration and the plasma ADH concentration. 3. Rehydration with water caused a further rise in plasma renin, but plasma ADH returned to basal levels in less than 2 hr. 4. Rehydration with 10 mM-KCl in order to stabilize plasma K concentration greatly attenuated the post-drinking rise in plasma renin concentration, while plasma ADH levels fell as before. 5. Urine flow rates after rehydration with water and 10 mM-KCl remained low for at least 6 hr in most experiments despite low plasma ADH levels. The effect on urine osmolality ranged from no change to a large drop. 6. The post-drinking antidiuresis was associated with a reduction in solute excretion rate. However, free water clearance usually remained negative. 7. These experiments do not support the existence of a direct nexus between plasma ADH levels and plasma renin concentration.
摘要
  1. 在四只清醒绵羊中,研究了限水后自愿补充水或10 mM氯化钾对血浆肾素、抗利尿激素(ADH)、蛋白质和电解质浓度以及尿流率、渗透压和渗透排泄的影响。2. 限水使血浆肾素浓度和血浆ADH浓度升高。3. 补充水导致血浆肾素进一步升高,但血浆ADH在不到2小时内恢复到基础水平。4. 为稳定血浆钾浓度而补充10 mM氯化钾大大减弱了饮水后血浆肾素浓度的升高,而血浆ADH水平如前下降。5. 在大多数实验中,尽管血浆ADH水平较低,但补充水和10 mM氯化钾后尿流率至少6小时保持较低。对尿渗透压的影响从无变化到大幅下降不等。6. 饮水后抗利尿与溶质排泄率降低有关。然而,自由水清除率通常仍为负值。7. 这些实验不支持血浆ADH水平与血浆肾素浓度之间存在直接联系。

相似文献

2
Renin responses to water restriction and rehydration.肾素对限水和补液的反应。
J Physiol. 1972 Oct;226(1):1-13. doi: 10.1113/jphysiol.1972.sp009970.

本文引用的文献

1
The secretion of urine during dehydration and rehydration.脱水和补液过程中的尿液分泌。
J Physiol. 1944 Apr 4;102(4):415-28. doi: 10.1113/jphysiol.1944.sp004047.
2
[Inhibition of plasmatic renin activity by potassium].
J Urol Nephrol (Paris). 1967 Apr-May;73(4):271-5.
5
The excretion of vasopressin by normal and dehydrated sheep.
Aust J Exp Biol Med Sci. 1970 Feb;48(1):115-27. doi: 10.1038/icb.1970.11.
6
Effect of an increase and of lack of antidiuretic hormone on plasma renin activity in the rat.
Life Sci I. 1971 Oct 1;10(19):1081-5. doi: 10.1016/0024-3205(71)90226-8.
7
Vasopressin-renin-cortisol interrelations.血管加压素-肾素-皮质醇的相互关系。
Endocrinology. 1971 Jul;89(1):246-53. doi: 10.1210/endo-89-1-246.
8
Renin responses to water restriction and rehydration.肾素对限水和补液的反应。
J Physiol. 1972 Oct;226(1):1-13. doi: 10.1113/jphysiol.1972.sp009970.
10
Control of renin release.肾素释放的调控
Physiol Rev. 1967 Jul;47(3):359-82. doi: 10.1152/physrev.1967.47.3.359.

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