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[促胰液素对犬肾功能的影响]

[Effects of secretin on renal functions in the dog].

作者信息

Nakanishi H, Ohtaki Y, Ueda J, Abe Y

出版信息

Nihon Yakurigaku Zasshi. 1977 Jan;73(1):103-112. doi: 10.1254/fpj.73.103.

Abstract

In anesthetized mongreal dogs, the intrarenal arterial (0.2 approximately 1.0 unit/kg-min) and the intravenous infusion (0.4 approximately 2.0 unit/kg-min) of secretin caused dose-dependent increase of RBF, accompanied by decreases of the calculated afferent arteriolar resistance (Ra) and efferent arteriolar resistance (Re), but produced no significant effect on GFR, urine flow, electrolyte excretion, osmolar clearance and free water reabsorption. The distribution of cortical blood flow was examined using the radioactive microsphere technique. The intrarenal infusion of secretin (1.0 unit/kg-min) increased renal cortical blood flow in the juxtamedullary area much more than in the superficial area, shifting the blood flow from the outer to the inner zone. Simultaneous intrarenal infusion of secretin (1.0 unit/kg-min) and glucagon (0.5 microng/kg-min) produced increases in GFR, urine flow and electrolyte excretion to a lesser degree than those induced by glucagon alone, whereas the increment in RBF and the decreases in Ra and Re were almost to the same degree as those caused by secretin alone. The present results indicate that secretin produces the dilation of afferent and efferent arterioles, resulting in an increase in RBF, with no change in GFR and urine flow, and that the effects of glucagon on renal functions are masked by secretin mainly through the effects of renal hemodynamics.

摘要

在麻醉的杂种犬中,静脉输注(0.4~2.0单位/千克·分钟)和肾内动脉注射(0.2~1.0单位/千克·分钟)促胰液素均可引起肾血流量(RBF)呈剂量依赖性增加,同时计算得出的入球小动脉阻力(Ra)和出球小动脉阻力(Re)降低,但对肾小球滤过率(GFR)、尿流量、电解质排泄、渗透清除率和自由水重吸收无显著影响。采用放射性微球技术检测皮质血流量分布。肾内注射促胰液素(1.0单位/千克·分钟)时,肾皮质近髓区血流量的增加幅度远大于浅表区,使血流从外层向内层转移。同时肾内注射促胰液素(1.0单位/千克·分钟)和胰高血糖素(0.5微克/千克·分钟)时,GFR、尿流量和电解质排泄的增加幅度小于单独注射胰高血糖素时,但RBF的增加以及Ra和Re的降低幅度与单独注射促胰液素时几乎相同。目前的结果表明,促胰液素可使入球和出球小动脉扩张,导致RBF增加,而GFR和尿流量无变化,并且胰高血糖素对肾功能的影响主要通过肾血流动力学效应被促胰液素掩盖。

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