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肾动脉血浆渗透压的生理性升高对肾素分泌率的影响。

Effects of physiological increments in renal arterial plasma osmolality on renin secretion rate.

作者信息

Kopp U C, DiBona G F

出版信息

J Lab Clin Med. 1983 Aug;102(2):250-9.

PMID:6345700
Abstract

The present study was performed in anesthetized dogs to examine the effects of physiological increments in renal arterial plasma osmolality on basal renin secretion rate and on the response of renin secretion rate to RNS. Three concentrations of hypertonic NaCl were infused into the renal artery (i.r.a.) at 0.38 ml/min for 3 min; i.r.a. Hypertonic NaCl at 0.45M, 0.9M, and 1.8M increased the renal arterial plasma osmolality by 6 +/- 2, 8 +/- 2, and 28 +/- 9 mOsm/kg H2O, respectively. NaCl, 0.45M, did not affect renal function, whereas both 0.9M and 1.8M NaCl increased renal blood flow and urinary sodium excretion; neither 0.45M, 0.9M, nor 1.8M NaCl affected renin secretion rate. RNS was applied at two different frequencies: LFRNS and HFRNS. LFRNS did not affect renal blood flow, whereas HFRNS reduced renal blood flow by 50%. Both LFRNS and HFRNS increased renin secretion rate significantly. An i.r.a. infusion of 0.9M NaCl increased urinary sodium excretion and reduced the renin secretion rate response to LFRNS (-52% +/- 15, p less than 0.02) and HFRNS (-25% +/- 8, p less than 0.01). These findings demonstrate that increases in renal arterial plasma osmolality within the physiological range increase renal blood flow but do not affect renal secretion rate. The renal secretion rate response to RNS is attenuated by increased renal arterial plasma osmolality, an effect consistent with increased sodium chloride delivery to the distal tubular macula densa receptor.

摘要

本研究在麻醉犬身上进行,以检查肾动脉血浆渗透压的生理增量对基础肾素分泌率以及肾素分泌率对肾神经刺激(RNS)反应的影响。以0.38 ml/min的速度将三种浓度的高渗氯化钠注入肾动脉(i.r.a.),持续3分钟;注入0.45M、0.9M和1.8M的i.r.a.高渗氯化钠分别使肾动脉血浆渗透压增加6±2、8±2和28±9 mOsm/kg H2O。0.45M的氯化钠不影响肾功能,而0.9M和1.8M的氯化钠均增加肾血流量和尿钠排泄;0.45M、0.9M和1.8M的氯化钠均不影响肾素分泌率。以两种不同频率施加RNS:低频肾神经刺激(LFRNS)和高频肾神经刺激(HFRNS)。LFRNS不影响肾血流量,而HFRNS使肾血流量减少50%。LFRNS和HFRNS均显著增加肾素分泌率。注入0.9M的i.r.a.氯化钠增加尿钠排泄,并降低对LFRNS(-52%±15,p<0.02)和HFRNS(-25%±8,p<0.01)的肾素分泌率反应。这些发现表明,生理范围内肾动脉血浆渗透压的增加会增加肾血流量,但不影响肾分泌率。肾动脉血浆渗透压的增加会减弱对RNS的肾分泌率反应,这一效应与向远端肾小管致密斑受体输送的氯化钠增加一致。

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