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各种激素和血管活性物质对大鼠肾小球超滤作用的机制。

Mechanisms of action of various hormones and vasoactive substances on glomerular ultrafiltration in the rat.

作者信息

Schor N, Ichikawa I, Brenner B M

出版信息

Kidney Int. 1981 Oct;20(4):442-51. doi: 10.1038/ki.1981.160.

Abstract

Angiotensin II (AII) and arginine vasopressin are capable of triggering glomerular mesangial cell contraction in vitro. A similar mechanism acting in vivo to reduce glomerular capillary surface area could account for the decline in the ultrafiltration coefficient (Kf)( that occurs in single glomeruli in response to infusion of these substances. Less clear is the mechanism whereby similar declines in Kf are induced with infusions of dibutyryl cyclic AMP (DBcAMP), parathyroid hormone (PTH), and prostaglandins, because PTH and PGE2, at least, are incapable of eliciting mesangial cell contraction in vitro. To further explore the factors that regulate Kf in vivo, we performed micropuncture experiments in 47 euvolemic Munich-Wistar rats. Infusions of DBcAMP, PTH, prostaglandins I2 and E2 led to lower mean values for plasma flow rate (QA) and Kf in superficial glomeruli than were found in animals given vehicle alone (control group), whereas average values for glomerular transcapillary hydraulic pressure difference (delta P) and total renal arteriolar resistance (RTA) tended to be higher. These increases in delta P and RTA, and decreases in QA and Kf, with DBcAMP, PTH, PGI2, and PGE2 are typical of changes induced by AII. Indeed, when saralasin, a competitive AII antagonist, was infused together with these various vasoactive substances, the effects on delta P, QA, RTA, and Kf were largely abolished. Therefore, the actions of DBcAMP, PTH, PGI2, and PGE2 on the glomerular microcirculation appear to depend on an intermediate action of AII. By contrast, although pitressin (ADH) infusion also led to a significant decline in Kf, saralasin administration did not reverse this change, suggesting that the action of ADH on the glomerular microcirculation is independent of a pathway involving AII. Based on these studies, it seems reasonable to propose that AII and ADH are both potentially important regulators of mesangial cell contraction, and thereby, glomerular capillary filtering surface area and Kf.

摘要

血管紧张素II(AII)和精氨酸加压素在体外能够触发肾小球系膜细胞收缩。体内存在一种类似机制,可减少肾小球毛细血管表面积,这可能是在向单个肾小球输注这些物质时超滤系数(Kf)下降的原因。目前尚不清楚输注二丁酰环磷腺苷(DBcAMP)、甲状旁腺激素(PTH)和前列腺素后,Kf出现类似下降的机制,因为至少PTH和前列腺素E2在体外无法引发系膜细胞收缩。为了进一步探究体内调节Kf的因素,我们对47只血容量正常的慕尼黑-威斯塔大鼠进行了微穿刺实验。与仅给予赋形剂的动物(对照组)相比,输注DBcAMP、PTH、前列腺素I2和E2导致浅表肾小球的血浆流速(QA)和Kf平均值降低,而肾小球跨毛细血管液压差(δP)和总肾小动脉阻力(RTA)的平均值则趋于升高。DBcAMP、PTH、前列环素I2和前列腺素E2导致的δP和RTA升高以及QA和Kf降低,是AII诱导变化的典型特征。事实上,当竞争性AII拮抗剂沙拉新与这些各种血管活性物质一起输注时,对δP、QA、RTA和Kf的影响基本消除。因此,DBcAMP、PTH、前列环素I2和前列腺素E2对肾小球微循环的作用似乎依赖于AII的中间作用。相比之下,尽管输注抗利尿激素(ADH)也导致Kf显著下降,但给予沙拉新并未逆转这种变化,这表明ADH对肾小球微循环的作用独立于涉及AII的途径。基于这些研究,提出AII和ADH都是系膜细胞收缩以及肾小球毛细血管滤过表面积和Kf的潜在重要调节因子似乎是合理的。

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