Stumpe K O, Lowitz H D, Ochwadt B
J Clin Invest. 1970 Jun;49(6):1200-12. doi: 10.1172/JCI106334.
The function of the short loops of Henle was investigated by micropuncture technique in normal rats, in rats with spontaneous hypertension, and in the untouched kidney of rats with experimental renal hypertension. All animals received a standard infusion of 1.2 ml of isotonic saline per hr. With increasing arterial blood pressure (range from 90 to 220 mm Hg), a continuous decrease in transit time of Lissamine green through Henle's loop from 32 to 10 sec was observed. Fractional water reabsorption along the loop declined progressively from 26 to 10%, and fractional sodium reabsorption decreased from 40 to 36% of the filtered load. The fluid volume in Henle's loop calculated from transit time and mean flow rate also decreased with increasing blood pressure. There was no change in superficial single nephron filtration rate but there was a slight increase in total glomerular filtration rate (GFR). Sodium and water reabsorption in the proximal tubule remained unchanged. Urine flow rate, sodium excretion, osmolar clearance, and negative free water clearance increased with increasing blood pressure. The osmolal urine to plasma (U/P) ratio declined but did not fall below a value of 1.5. It is concluded that the increase in sodium and water excretion with chronic elevation of arterial blood pressure is caused by a decrease of sodium and water reabsorption along the loop of Henle, presumably as a consequence of increased medullary blood pressure.
采用微穿刺技术,对正常大鼠、自发性高血压大鼠以及实验性肾性高血压大鼠未受影响的肾脏中髓袢短袢的功能进行了研究。所有动物均接受每小时1.2 ml等渗盐水的标准输注。随着动脉血压升高(范围为90至220 mmHg),观察到荧光素绿通过髓袢的转运时间从32秒持续减少至10秒。沿髓袢的水重吸收分数从26%逐渐降至10%,钠重吸收分数从滤过负荷的40%降至36%。根据转运时间和平均流速计算得出的髓袢内液体量也随血压升高而减少。浅表单肾单位滤过率无变化,但总肾小球滤过率(GFR)略有增加。近端小管中的钠和水重吸收保持不变。尿流率、钠排泄、渗透清除率和负自由水清除率随血压升高而增加。尿渗透压与血浆渗透压之比(U/P)下降,但未降至1.5以下。得出的结论是,动脉血压长期升高导致钠和水排泄增加是由于髓袢中钠和水重吸收减少所致,推测这是髓质血压升高的结果。