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赖氨酸加压素剂量对清醒大鼠肾组织及尿液成分变化时间进程的影响。

Influence of lysine-vasopressin dosage on the time course of changes in renal tissue and urinary composition in the conscious rat.

作者信息

Atherton J C, Green R, Thomas S

出版信息

J Physiol. 1971 Mar;213(2):291-309. doi: 10.1113/jphysiol.1971.sp009383.

Abstract
  1. The changes in urinary and renal tissue composition induced by continuous, intravenous infusion of lysine-vasopressin (2.5, 5, 15 and 60 mu-u./min. 100 g body wt.) for up to 4(1/2) hr in water-loaded, conscious rats were determined.2. Both the magnitude of, and the time required to attain, maximal and stable responses, in respect to both urinary and tissue composition, varied with the dose.3. The dose-dependent changes in medullary composition were compounded of graded decreases in water content and graded increases in solute (mainly Na and urea) content.4. The relative contribution of the changes in water, Na and urea contents varied with time and with dose. Significant increases in papillary urea content occurred with all doses. The range of change in urea content was wider than that for any other solute.5. At low doses, the changes in urinary flow and osmolality were ascribable, almost entirely, to large decreases in free-water clearance, with minor changes in medullary composition; at higher doses, the increases in urinary osmolality were accompanied by steep increases in medullary solute concentrations.6. A variable, dose-dependent, transient natriuresis occurred during the phase of increasing medullary Na concentration; the peak natriuresis preceded the times of maximal osmolal and Na concentrations in the papilla and urine.7. The differences in osmolal, urea and Na concentrations between papilla and urine also changed with time.8. Both the transitional and steady-state changes induced by lysine-vasopressin are discussed in terms of intrarenal mechanisms. It is concluded that the data are most reasonably interpreted on the basis that several hormone-sensitive loci exist in the kidneys, each with individual dose-response and kinetic characteristics.
摘要
  1. 测定了在水负荷、清醒大鼠中持续静脉输注赖氨酸加压素(2.5、5、15和60微单位/分钟·100克体重)长达4.5小时所引起的尿液和肾组织成分的变化。

  2. 就尿液和组织成分而言,达到最大和稳定反应的程度以及所需时间均随剂量而变化。

  3. 髓质成分的剂量依赖性变化包括含水量的分级降低和溶质(主要是钠和尿素)含量的分级增加。

  4. 水、钠和尿素含量变化的相对贡献随时间和剂量而变化。所有剂量下乳头尿素含量均显著增加。尿素含量的变化范围比任何其他溶质都更宽。

  5. 在低剂量时,尿流量和渗透压的变化几乎完全归因于自由水清除率的大幅降低,髓质成分变化较小;在高剂量时,尿渗透压的增加伴随着髓质溶质浓度的急剧增加。

  6. 在髓质钠浓度增加阶段出现了可变的、剂量依赖性的短暂利钠作用;最大利钠作用先于乳头和尿液中最大渗透压和钠浓度出现的时间。

  7. 乳头和尿液之间的渗透压、尿素和钠浓度差异也随时间而变化。

  8. 从肾内机制的角度讨论了赖氨酸加压素引起的过渡性和稳态变化。得出的结论是,基于肾脏中存在几个激素敏感位点,每个位点都有各自的剂量反应和动力学特征,这些数据能得到最合理的解释。

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