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维拉帕米和锰对血管紧张素II肾皮质作用的逆转

Reversal of renal cortical actions of angiotensin II by verapamil and manganese.

作者信息

Ichikawa I, Miele J F, Brenner B M

出版信息

Kidney Int. 1979 Aug;16(2):137-47. doi: 10.1038/ki.1979.115.

Abstract

Experiments were performed on 19 euvolemic Munich Wistar rats to examine the role of calcium in the action of angiotensin II(AII) on the glomerular microcirculation. Intravenous infusion of a mildly pressor dose of AII(N = 7 rats) led to a significant rise in mean glomerular capillary hydraulic pressure (PGC) and significant decines in glomerular plasma flow rate (QA) and the ultrafiltration coefficient (Kf). Because of these offsetting effects, single nephron GFR (SNGFR) and total kidney GFR failed to change significantly. Both afferent and efferent arteriolar resistances (RA and RE) increased during AII infusion, on average by approximately 40% and 75%, respectively. Despite continued AII infusion, addition of verapamil led to return of values for PGC, QA, Kf, RA, and RE essentially to pre-AII levels. In 7 other rats, verapamil infusion alone failed to exert significant influences on these indices. Likewise, no significant changes in these measures were observed when this same dose of AII was infused into verapamil-pretreated animals. Moreover, intrarenal arterial injection of a nonpressor dose of AII into 6 other rats also resulted in changes in PGC, QA, Kf, and RE similar to those seen during intravenous infusion, and addition of manganese abolished these effects. Since verapamil and manganese are both known to interfere with excitation-contraction coupling of smooth muscle, perhaps by inhibiting transcellular calcium transport, the present results suggest that the calcium ion may be an important cofactor required for the expression of AII action on the glomerular microcirculation, by affecting mesangial and efferent arteriolar smooth muscle contractility.

摘要

对19只血容量正常的慕尼黑Wistar大鼠进行实验,以研究钙在血管紧张素II(AII)对肾小球微循环作用中的作用。静脉输注轻度升压剂量的AII(N = 7只大鼠)导致平均肾小球毛细血管液压(PGC)显著升高,肾小球血浆流速(QA)和超滤系数(Kf)显著下降。由于这些抵消作用,单肾单位肾小球滤过率(SNGFR)和总肾肾小球滤过率未发生显著变化。在输注AII期间,入球小动脉和出球小动脉阻力(RA和RE)均增加,平均分别增加约40%和75%。尽管持续输注AII,但加入维拉帕米后,PGC、QA、Kf、RA和RE的值基本恢复到输注AII前的水平。在另外7只大鼠中,单独输注维拉帕米对这些指标未产生显著影响。同样,当将相同剂量的AII注入维拉帕米预处理的动物时,这些指标也未观察到显著变化。此外,向另外6只大鼠肾内动脉注射非升压剂量的AII也导致PGC、QA、Kf和RE发生与静脉输注时相似的变化,加入锰可消除这些影响。由于已知维拉帕米和锰均会干扰平滑肌的兴奋-收缩偶联,可能是通过抑制跨细胞钙转运,目前的结果表明,钙离子可能是AII对肾小球微循环作用表达所需的重要辅助因子,通过影响系膜和出球小动脉平滑肌收缩性来实现。

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