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缓激肽引起的肾体积扩张和前列腺素释放。吲哚美辛预处理的影响。

Kidney volume expansion and prostaglandin release by bradykinin. The effect of indomethacin pretreatment.

作者信息

Olsen U B

出版信息

Acta Physiol Scand. 1978 Feb;102(2):129-36. doi: 10.1111/j.1748-1716.1978.tb06055.x.

Abstract

100 ng/kg/min bradykinin was infused into the left renal artery in anaesthetized dogs which were loaded with 10% mannitol in saline to produce a diuresis of approximately 1 ml/min. Bradykinin initially increased renal blood flow (70%), kidney volume (20%). Kidney volume, diuresis and urine osmolarity remained equally changed during continuous kinin infusion, while other parameters subsided toward the control levels. When renal blood flow was maintained constant during the infusion of bradykinin, urine PG-excretion increased (330%), the glomerular filtration decreased (60%) and this was accompanied by decreased kidney volume, diuresis/natriuresis with unchanged urine osmolarity. Indomethacin treatment (2.5 mg/kg i.v.) decreased renal blood flow (35%) and inhibited urine PG-excretion. Bradykinin after indomethacin showed effects which were very similar to those observed before indomethacin treatment. It is concluded that increased intratubular volume is a main determinant of bradykinin induced increase of whole kidney volume. The accompanying increase of intrarenal pressure does not apparently contribute to the kinin induced PG-release. The vasodilation by bradykinin seems independent of released prostaglandins. The diuresis/natriuresis and decreased urine osmolarity are probably of hemodynamic origin.

摘要

将100纳克/千克/分钟的缓激肽注入麻醉犬的左肾动脉,这些犬在生理盐水中输注10%的甘露醇以产生约1毫升/分钟的利尿作用。缓激肽最初使肾血流量增加(70%),肾脏体积增加(20%)。在持续输注激肽期间,肾脏体积、利尿和尿渗透压保持同等变化,而其他参数则恢复到对照水平。当在输注缓激肽期间肾血流量保持恒定时,尿前列腺素排泄增加(330%),肾小球滤过率降低(60%),同时伴有肾脏体积减小、利尿/利钠作用,尿渗透压不变。吲哚美辛治疗(静脉注射2.5毫克/千克)使肾血流量减少(35%)并抑制尿前列腺素排泄。吲哚美辛处理后的缓激肽显示出与吲哚美辛治疗前观察到的非常相似的作用。结论是,肾小管内体积增加是缓激肽诱导全肾体积增加的主要决定因素。伴随的肾内压力增加显然对激肽诱导的前列腺素释放没有贡献。缓激肽引起的血管舒张似乎独立于释放的前列腺素。利尿/利钠作用和尿渗透压降低可能源于血流动力学。

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