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茶碱对腺苷诱导的肾素释放减少的拮抗作用。

Antagonistic effect of theophylline on the adenosine-induced decreased in renin release.

作者信息

Spielman W S

出版信息

Am J Physiol. 1984 Aug;247(2 Pt 2):F246-51. doi: 10.1152/ajprenal.1984.247.2.F246.

Abstract

The action of theophylline on the adenosine-induced decrease in renin release was studied in anesthetized dogs. Adenosine inhibited renin release, decreased GFR and fractional sodium excretion, and decreased the concentration of angiotensin II in the renal lymph. Theophylline (5 mumol/min intrarenally) had no significant effect on GFR or RBF yet produced a significant increase in the release of renin and the fractional excretion of sodium. The intrarenal infusion of adenosine (3 X 10(-7) mol/min) during theophylline infusion produced no effect on GFR or RBF, but fractional sodium excretion and renin release were significantly decreased. Adenosine was infused at a lower dose (3 X 10(-8) mol/min) during theophylline (5 X 10(-6) mol/min) infusion in a second group of dogs. With the exception of fractional sodium excretion, all effects of adenosine were effectively antagonized by theophylline. Theophylline at 5 X 10(-6) mol/min, which stimulates renin release and effectively antagonizes the renal effects of adenosine, had no detectable effect on cAMP measured in renal cortex. Furthermore, no change in cortical cAMP was observed until theophylline was increased 50-fold over the dose effective in antagonizing adenosine. These findings demonstrate that theophylline, at concentrations having no effect on cortical cAMP, antagonizes the effect of adenosine on renin release. The results are also consistent with the view that theophylline stimulates renin release by a mechanism other than its action on cAMP.

摘要

在麻醉犬身上研究了茶碱对腺苷诱导的肾素释放减少的作用。腺苷抑制肾素释放,降低肾小球滤过率(GFR)和钠排泄分数,并降低肾淋巴中血管紧张素II的浓度。茶碱(肾内5 μmol/min)对GFR或肾血流量(RBF)无显著影响,但可使肾素释放和钠排泄分数显著增加。在输注茶碱期间肾内输注腺苷(3×10⁻⁷ mol/min)对GFR或RBF无影响,但钠排泄分数和肾素释放显著降低。在第二组犬中,在输注茶碱(5×10⁻⁶ mol/min)期间以较低剂量(3×10⁻⁸ mol/min)输注腺苷。除钠排泄分数外,茶碱有效拮抗了腺苷的所有作用。5×10⁻⁶ mol/min的茶碱可刺激肾素释放并有效拮抗腺苷的肾脏作用,但对肾皮质中测量的环磷酸腺苷(cAMP)无可检测到的影响。此外,在将茶碱剂量增加至有效拮抗腺苷剂量的50倍之前,未观察到皮质cAMP的变化。这些发现表明,在对皮质cAMP无影响的浓度下,茶碱可拮抗腺苷对肾素释放的作用。结果也与茶碱通过其对cAMP以外的机制刺激肾素释放的观点一致。

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