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利血平、胍乙啶或普萘洛尔引起的肾皮质血流自身调节功能损害(作者译)

[Impairment of renal cortical blood flow autoregulation induced by reserpine, guanethidine or propranolol (author's transl)].

作者信息

Rovere A A, Lapetina J A, Scremin O U

出版信息

Acta Physiol Lat Am. 1977;27(3):121-7.

PMID:616179
Abstract

Local blood flow was measured in renal cortex (at 1 mm below cortical surface) by means of the hydrogen clearance method in urethanized rats. Recording of blood pressure from femoral artery was performed. The blood flow autoregulation was studied by plotting renal cortical vascular resistance (R.C.V.R.) as a function of arterial pressure in all the experimental conditions. R.C.V.R. was calculated as arterial pressure/blood flow ratio. In control animals R.C.V.R. was linearly correlated to arterial pressure; this implies the existence of autoregulation in the studied zone. In animals pretreated with guanethidine or propranolol, and in animals injected with propranolol immediately before the experiment, the increase of arterial pressure was not followed by an increase in R.C.V.R.; this implies that autoregulation was absent. In animals pretreated with reserpine the increase of arterial pressure was not followed by a significant increase in R.C.V.R., although a tendency to increase was detected. It is suggested that the impairment of autoregulation induced by guanethidine, propranolol or reserpine may be due to an inhibition of renin release. The results obtained with guanethidine and reserpine may be partially attributable to a decrease in adrenergic activity on the vascular smooth muscle of the studied zone, although other mechanisms cannot be discarded.

摘要

在乌拉坦麻醉的大鼠中,通过氢清除法测量肾皮质(皮质表面以下1毫米处)的局部血流。记录股动脉血压。在所有实验条件下,通过绘制肾皮质血管阻力(R.C.V.R.)作为动脉压的函数来研究血流自动调节。R.C.V.R.计算为动脉压与血流之比。在对照动物中,R.C.V.R.与动脉压呈线性相关;这意味着在所研究的区域存在自动调节。在用胍乙啶或普萘洛尔预处理的动物以及在实验前立即注射普萘洛尔的动物中,动脉压升高后R.C.V.R.并未升高;这意味着不存在自动调节。在用利血平预处理的动物中,动脉压升高后R.C.V.R.没有显著升高,尽管检测到有升高的趋势。有人提出,胍乙啶、普萘洛尔或利血平引起的自动调节受损可能是由于肾素释放受到抑制。用胍乙啶和利血平获得的结果可能部分归因于所研究区域血管平滑肌上肾上腺素能活性的降低,尽管不能排除其他机制。

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