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兔视前区-下丘脑前部受热时的肾功能变化。

Renal function changes during preoptic-anterior hypothalamic heating in the rabbit.

作者信息

Sadowski J, Kruk B, Chwalbińska-Moneta J

出版信息

Pflugers Arch. 1977 Jul 29;370(1):51-57. doi: 10.1007/BF00707945.

DOI:10.1007/BF00707945
PMID:561382
Abstract

Thermoregulatory reactions evoked by selective preoptic-anterior hypothalamic (PO/AH) heating in conscious rabbits were associated with significant changes in renal function. Urine flow rate decreased from a control value of 0.92 +/- (S.E.) 0.08 to 0.47 +/- 0.07 ml/min after 10-20 min of heating, urine osmolality increased from 273 +/- 34 to 417 +/- 46 Osm/kg H2O, and free water clearance per 100 ml GFR decreased from 1.11 +/- 0.46 to -0.50 +/- 0.23 ml/min. These changes were followed by a gradual recovery despite continued heating. Clearances of exogenous creatinine and p-aminohippurate fell transiently during the first 10 min of heating and then returned to normal. Plasma antidiuretic activity (ADA) measured by rat bioassay increased regularly and markedly during PO/AH heating but was poorly correlated with changes in urine concentration. Moreover, a similar increase in plasma ADA observed with selective heating of a different brain area (supraoptic nucleus) never produced urine concentration or other renal changes. This suggests that a large and variable fraction of ADA appearing in rabbit blood in response to thermal stimuli was not identical with antidiuretic hormone. Therefore, the causal relationship of ADH release and antidiuresis associated with thermoregulatory reactions could not be clearly demonstrated. The physiological role of renal water conservation would be to compensate for extrarenal water loss related to thermal sweating or panting.

摘要

清醒家兔视前区-下丘脑前部(PO/AH)选择性受热所诱发的体温调节反应与肾功能的显著变化相关。受热10 - 20分钟后,尿流率从对照值0.92±(标准误)0.08降至0.47±0.07毫升/分钟,尿渗透压从273±34升至417±46毫渗量/千克H₂O,每100毫升肾小球滤过率的自由水清除率从1.11±0.46降至 - 0.50±0.23毫升/分钟。尽管持续受热,这些变化随后逐渐恢复。外源性肌酐和对氨基马尿酸的清除率在受热的前10分钟短暂下降,然后恢复正常。通过大鼠生物测定法测得的血浆抗利尿活性(ADA)在PO/AH受热期间有规律且显著增加,但与尿液浓缩的变化相关性较差。此外,对不同脑区(视上核)进行选择性加热时观察到的血浆ADA类似增加从未引起尿液浓缩或其他肾脏变化。这表明,家兔血液中因热刺激而出现的大量且变化不定的ADA部分与抗利尿激素并不相同。因此,抗利尿激素释放与体温调节反应相关的抗利尿作用之间的因果关系无法明确证实。肾脏保水的生理作用是补偿与热出汗或喘气相关的肾外水分流失。

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本文引用的文献

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Indirect sodium-retaining action of oxytocin on dog kidney.催产素对犬肾的间接保钠作用。
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Redistribution of blood flow during sustained high skin temperature in resting man.静息状态下人体皮肤温度持续处于高位时的血流重新分布
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Regional blood flow antagonism induced by central thermal stimulation in the conscious dog.
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Regional differentiation of sympathetic activity during hypothalamic heating and cooling in anesthetized rabbits.麻醉兔下丘脑加热和冷却过程中交感神经活动的区域差异
Pflugers Arch. 1971;328(4):320-31. doi: 10.1007/BF00586834.
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Differentiation of cutaneous and intestinal blood flow during hypothalamic heating and cooling in anesthetized dogs.麻醉犬下丘脑加热和冷却过程中皮肤和肠道血流的分化
Pflugers Arch. 1971;328(2):145-54. doi: 10.1007/BF00592442.
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Interaction of vasopressin and the baroreceptor reflex system in the regulation of arterial blood pressure in the dog.血管升压素与压力感受器反射系统在犬动脉血压调节中的相互作用。
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Plasma ADH increase and thirst suppression elicited by preoptic heating in the dog.视前区加热引起的犬血浆抗利尿激素增加及口渴抑制
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