Bulger R E, Eknoyan G, Purcell D J, Dobyan D C
J Clin Invest. 1983 Jul;72(1):128-41. doi: 10.1172/jci110950.
A reduction in glomerular capillary endothelial pore size and density has been reported in several models of acute renal failure. It has been suggested that these changes underlie the decrease in glomerular filtration rate and altered glomerular capillary hemodynamics measured in various experimental models of acute renal failure. We have thoroughly quantitated the surface characteristics of glomerular capillaries in control rats and in rats with either mercuric chloride-induced acute renal failure (2 mg/kg body wt) evaluated at 6 and 24 h after administration of the nephrotoxin or with gentamicin (G)1-induced acute renal failure evaluated after 8-9 d of 40 mg/kg body wt twice a day. Despite reductions in glomerular filtration rate in the experimental groups, no significant differences were observed between control (C) and any experimental group with respect to percent areas occupied by fenestrated endothelium (C = 53.6 +/- 2.7%; 6 h HgCl2 = 50.9 +/- 1.9%; 24 h HgCl2 = 53.9 +/- 5.7%; G = 56.7 +/- 2.4%), by cytoplasmic ridges (C = 31.2 +/- 1.5%; 6 h HgCl2 = 29.8 +/- 1.9%; 24 h HgCl2 = 30.6 +/- 3.1%; G = 26.5 +/- 1.5%), nonfenestrated endothelium (C = 15.5 +/- 4.0%; 6 h HgCl2 = 19.3 +/- 2.0%; 24 h HgCl2 = 15.6 +/- 4.3%; G = 16.9 +/- 2.3%), in the individual pore area expressed in square nanometers (C = 1,494 +/- 75; 6 h HgCl2 = 1,326 +/- 48; 24 h HgCl2 = 1,559 +/- 130; G = 1,340 +/- 101), or in the percentage of total pore area within fenestrated areas that were measured (C = 12.8 +/- 0.8%; 6 h HgCl2 = 11.2 +/- 0.7%; 24 h HgCl2 = 10.9 +/- 0.8%; G = 10.9 +/- 0.7%). These results provide quantitative data on the normal glomerular capillary endothelial surface characteristics and suggest that reductions of glomerular filtration rate in acute renal failure are not always associated with alterations in glomerular endothelial capillaries.
在几种急性肾衰竭模型中,均有肾小球毛细血管内皮孔隙大小和密度降低的报道。有人认为,这些变化是急性肾衰竭各种实验模型中肾小球滤过率降低及肾小球毛细血管血流动力学改变的基础。我们已全面定量检测了正常大鼠以及用氯化汞(2mg/kg体重)诱导急性肾衰竭的大鼠(在给予肾毒素后6小时和24小时进行评估)和用庆大霉素(G)诱导急性肾衰竭的大鼠(每天两次给予40mg/kg体重,持续8 - 9天,之后进行评估)肾小球毛细血管的表面特征。尽管实验组的肾小球滤过率降低,但在有窗孔内皮所占面积百分比(对照组 = 53.6 ± 2.7%;氯化汞处理6小时组 = 50.9 ± 1.9%;氯化汞处理24小时组 = 53.9 ± 5.7%;庆大霉素组 = 56.7 ± 2.4%)、细胞质嵴所占面积百分比(对照组 = 31.2 ± 1.5%;氯化汞处理6小时组 = 29.8 ± 1.9%;氯化汞处理24小时组 = 30.6 ± 3.1%;庆大霉素组 = 26.5 ± 1.5%)、无窗孔内皮所占面积百分比(对照组 = 15.5 ± 4.0%;氯化汞处理6小时组 = 19.3 ± 2.0%;氯化汞处理24小时组 = 15.6 ± 4.3%;庆大霉素组 = 16.9 ± 2.3%)、以平方纳米表示的单个孔隙面积(对照组 = 1,494 ± 75;氯化汞处理6小时组 = 1,326 ± 48;氯化汞处理24小时组 = 1,559 ± 130;庆大霉素组 = 1,340 ± 101)或所测量的有窗孔区域内总孔隙面积的百分比(对照组 = 12.8 ± 0.8%;氯化汞处理6小时组 = 11.2 ± 0.7%;氯化汞处理24小时组 = 10.9 ± 0.8%;庆大霉素组 = 10.9 ± 0.7%)方面,对照组(C)与任何实验组之间均未观察到显著差异。这些结果提供了关于正常肾小球毛细血管内皮表面特征的定量数据,并表明急性肾衰竭时肾小球滤过率的降低并不总是与肾小球内皮毛细血管的改变相关。