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同种灌注犬肾浅表肾单位功能的自身调节

Autoregulation of superficial nephron function in the alloperfused dog kidney.

作者信息

Heller J, Horácek V

出版信息

Pflugers Arch. 1979 Oct;382(1):99-104. doi: 10.1007/BF00585911.

Abstract

Isolated dog kidneys were each pump-perfused by another dog during 4 experimental periods at perfusion pressures (PP) of 21, 17, 13, and 8 kPa, resp. (i.e. 160, 130, 94, and 60 mm Hg). At the 3 highest PP values, the total kidney renal blood flow (RBF) and glomerular filtration rate (GFR) were perfectly autoregulated while at the lowest value both values were significantly lowered. No significant difference was observed between the single nephron GFR (SNGFR) of periods 1 and 2; in period 3 (PP = 13 kPa) a lower value was observed (P less than 0.05). Free flow pressure in proximal convolution (FFP), stop-flow pressure (SFP), and peritubular capillary pressure (PCP) were not different in period 2 than in period 1, but were significantly lower in period 3 (P = 0.02--0.05). Effective filtration pressure (EFP) was the highest in period 1, decreasing significantly with decreasing PP. Filtration pressure equilibrium was observed in period 4 at PP 8 kPa. Total blood flow resistance (RT) fell with decreasing PP, the drop being due to a steep decline in afferent resistance (RA). Efferent resistance (RE) increased as PP decreased. Ultrafiltration coefficient (Kf) rose with declining PP both within and outside the autoregulatory range. The results indicate that the lower limit of autoregulation is higher in superficial nephrons than in the whole kidney.

摘要

在4个实验阶段,用另一只狗对离体狗肾进行泵灌注,灌注压力(PP)分别为21、17、13和8 kPa(即160、130、94和60 mmHg)。在3个最高PP值时,总肾肾血流量(RBF)和肾小球滤过率(GFR)得到完美的自身调节,而在最低值时,这两个值均显著降低。第1阶段和第2阶段的单肾单位GFR(SNGFR)之间未观察到显著差异;在第3阶段(PP = 13 kPa)观察到较低的值(P < 0.05)。近端小管的自由流压力(FFP)、停流压力(SFP)和肾小管周围毛细血管压力(PCP)在第2阶段与第1阶段无差异,但在第3阶段显著降低(P = 0.02 - 0.05)。有效滤过压(EFP)在第1阶段最高,随PP降低而显著下降。在第4阶段,PP为8 kPa时观察到滤过压平衡。总血流阻力(RT)随PP降低而下降,下降是由于入球阻力(RA)急剧下降。随着PP降低,出球阻力(RE)增加。在自身调节范围内外,超滤系数(Kf)均随PP下降而升高。结果表明,浅表肾单位自身调节的下限高于整个肾脏。

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