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细胞外液快速扩充引起的近端和远端肾小管重吸收的变化。

Changes in proximal and distal tubular reabsorption produced by rapid expansion of extracellular fluid.

作者信息

Hayslett J P, Kashgarian M, Epstein F H

出版信息

J Clin Invest. 1967 Jul;46(7):1254-63. doi: 10.1172/JCI105618.

DOI:10.1172/JCI105618
PMID:6027087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC297124/
Abstract

Acute infusions of isotonic saline in the rat cause an increase in glomerular filtration rate and in the excretion of salt and water. The kidney swells, due to expansion of tubular and interstitial volume. Despite the increase in tubular diameter, transit time through the proximal tubules and loops of Henle is decreased, presumably owing to a greatly accelerated rate of tubular flow. Proximal tubular reabsorption, measured in blocked tubules, is inhibited in a way that cannot be ascribed to changes in tubular diameter. The prolongation of proximal reabsorptive half-time is not affected by the administration of aldosterone. It occurs equally in rats chronically loaded with or deprived of salt, and it is therefore not likely that it is influenced by the renal content of renin. In contrast, reabsorption from the distal convoluted tubule is enhanced by saline infusion. This change is observed in segments of tubules blocked with oil and isolated from their glomeruli and thus appears to occur independently of changes in glomerular filtration or tubular flow.

摘要

给大鼠急性输注等渗盐水会导致肾小球滤过率以及盐和水排泄增加。由于肾小管和间质体积增大,肾脏会肿胀。尽管肾小管直径增大,但通过近端小管和亨利氏袢的转运时间却缩短了,推测这是由于肾小管流速大幅加快所致。在阻塞的肾小管中测量近端肾小管重吸收,其受到抑制的方式无法归因于肾小管直径的变化。近端重吸收半衰期的延长不受醛固酮给药的影响。它在长期摄入盐分或缺乏盐分的大鼠中同样会发生,因此不太可能受肾素肾含量的影响。相比之下,输注盐水会增强远曲小管的重吸收。这种变化在被油阻塞且与肾小球分离的肾小管节段中观察到,因此似乎独立于肾小球滤过或肾小管流速的变化而发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf7/297124/2267268d9140/jcinvest00234-0132-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf7/297124/2267268d9140/jcinvest00234-0132-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbf7/297124/2267268d9140/jcinvest00234-0132-a.jpg

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本文引用的文献

1
Effect of pulse pressure and mean arterial pressure modification on renal hemodynamics and electrolyte and water excretion.脉压和平均动脉压改变对肾血流动力学及电解质和水排泄的影响。
Circulation. 1951 Oct;4(4):541-51. doi: 10.1161/01.cir.4.4.541.
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MECHANISM OF NATRIURESIS AND DIURESIS DURING ELEVATED RENAL ARTERIAL PRESSURE.肾动脉压升高时的利钠和利尿机制。
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THE RELATIONSHIP BETWEEN THE RENAL ARTERIAL PERFUSION PRESSURE AND THE INCREASE IN SODIUM EXCRETION WHICH OCCURS DURING AN INFUSION OF SALINE.
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Pflugers Arch. 1983 Feb;396(2):110-4. doi: 10.1007/BF00615514.
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A direct evaluation of the Gertz hypothesis on single rat proximal tubules in vivo: failure of the tubular volume to be the sole determinant of the reabsorptive rate.对格茨关于活体单只大鼠近端小管的假说进行的直接评估:小管容积并非重吸收率的唯一决定因素。
Pflugers Arch. 1969;308(2):149-65. doi: 10.1007/BF00587022.
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Effects of plasmapheresis on renal hemodynamics and sodium excretion in dogs.血浆置换对犬肾血流动力学和钠排泄的影响。
Pflugers Arch. 1969;306(1):92-102. doi: 10.1007/BF00586613.
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Attempts to demonstrate a hormonal nattriuretic factor by micropuncture techniques.通过微穿刺技术证明一种激素性利钠因子的尝试。
Yale J Biol Med. 1969 Jun;41(6):415-21.
8
Failure to demonstrate a hormonal inhibitor of proximal sodium reabsorption.未能证实存在近端钠重吸收的激素抑制剂。
J Clin Invest. 1969 Jun;48(6):1107-13. doi: 10.1172/JCI106067.
9
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J Clin Invest. 1969 Jun;48(6):1002-6. doi: 10.1172/JCI106056.
10
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Pflugers Arch. 1968;304(4):336-50. doi: 10.1007/BF00587709.
肾动脉灌注压与输注生理盐水期间发生的钠排泄增加之间的关系。
Nephron. 1965;2:1-14. doi: 10.1159/000179370.
4
THE EFFECTS OF SALINE INFUSION ON SODIUM REABSORPTION BY THE PROXIMAL TUBULE OF THE DOG.盐水输注对犬近端小管钠重吸收的影响。
J Clin Invest. 1965 Jul;44(7):1160-70. doi: 10.1172/JCI105223.
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J Clin Invest. 1965 Mar;44(3):449-57. doi: 10.1172/JCI105158.
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Acta Physiol Scand. 1964 Dec;62:436-48. doi: 10.1111/j.1748-1716.1964.tb10441.x.
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Clin Sci. 1961 Oct;21:249-58.