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硫酸盐替代氯化物对血液灌注的离体狗肾尿液排泄及肾小球滤过率的影响

Influence of replacement of chloride by sulphate upon urine excretion and glomerular filtration rate in blood perfused isolated dog kidneys.

作者信息

Nizet A

出版信息

Pflugers Arch. 1979 Nov;382(3):217-23. doi: 10.1007/BF00583705.

Abstract

Tubular reabsorption was inhibited in isolated dog kidneys by the progressive substitution of plasma chloride by sulphate. In the absence of antidiuretic hormone activity, urine output remained unchanged owing to an equivalent decrease in glomerular filtration rate. This equilibrium was demonstrated under conditions of "saline natriuresis" and was not disturbed by furosemide. Although the impairment of glomerular filtration rate was accompanied by a decrease of total renal blood flow, the equilibrium was not disrupted by angiotensin antagonism. Sodium excretion was enhanced by low plasma chloride concentrations in the absence, but not in the presence of furosemide. The results are not compatible with a specific role of osmolality, sodium or chloride concentrations in the tubular fluid in the adjustment of glomerular filtration. Simultaneous changes in blood flow and tubular flow resistances might explain the results. It is suggested that, in contrast to the mechanism of tubulo-glomerular feedback found in individual nephrons of hydropenic animals, this intrarenal mechanism might serve to protect the organism against sodium loss under conditions of high intake.

摘要

通过用硫酸盐逐步替代血浆中的氯离子,可抑制离体犬肾的肾小管重吸收。在抗利尿激素活性缺乏的情况下,由于肾小球滤过率同等程度降低,尿量保持不变。这种平衡在“盐水利尿”条件下得到证实,且不受速尿干扰。尽管肾小球滤过率受损伴有肾总血流量减少,但血管紧张素拮抗作用并未破坏这种平衡。在无速尿存在时,低血浆氯离子浓度可增强钠排泄,而有速尿存在时则不然。这些结果与肾小管液中的渗透压、钠或氯离子浓度在调节肾小球滤过方面的特定作用不相符。血流和肾小管血流阻力的同时变化可能解释了这些结果。有人提出,与缺水动物单个肾单位中发现的球管反馈机制不同,这种肾内机制可能在高摄入量情况下保护机体防止钠丢失。

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