Simchon S, Chien S
Am J Physiol. 1983 Dec;245(6):F784-91. doi: 10.1152/ajprenal.1983.245.6.F784.
The effects of variations in renal hemodynamics on the time course of renin secretion were studied in dogs anesthetized with pentobarbital-chloralose. Hemodynamic changes were induced either locally in kidneys perfused in situ via an extracorporeal circuit (with or without a pump system) or systemically by hemorrhage or nitroprusside infusion. In the autoperfused kidney the reduction of renal perfusion pressure to approximately one-half of the arterial pressure by inflow occlusion caused an increase in renal conductance (renal vasodilation) and an increase in renin secretion rate (RSR). In the pump-perfused kidney, a step increase in renal blood flow (RBF) caused renal vasoconstriction and a decrease in RSR; a step decrease in RBF caused renal vasodilation and an increase in RSR. Following step changes in RBF, the time constant of the alterations of renal conductance was 56.5 s, and the time constant of the RSR responses was 80.1 s. The total time required to reach a steady state for RSR lagged behind that for renal conductance by approximately 5 min. These differences reflect the time needed for the kidney to release renin in response to changes in renal vascular caliber. The results suggest that renin release occurs in response to the autoregulatory dilation of the renal arterioles. When systemic hypotension was induced by nitroprusside infusion, RSR also increased together with the renal conductance. Following hemorrhage, however, RSR increased despite a decrease in renal conductance, reflecting the role of neurohumoral factors in causing renin release in this case. The comparison of renin secretion following different types of hemodynamic alterations serves to elucidate the mechanisms of renin secretion.
在戊巴比妥 - 氯醛麻醉的犬中,研究了肾血流动力学变化对肾素分泌时间进程的影响。血流动力学变化可通过体外循环(有或无泵系统)在原位灌注的肾脏局部诱导,或通过出血或硝普钠输注全身诱导。在自身灌注的肾脏中,通过流入阻断将肾灌注压降低至动脉压的约一半,导致肾电导增加(肾血管舒张)和肾素分泌率(RSR)增加。在泵灌注的肾脏中,肾血流量(RBF)的阶梯式增加导致肾血管收缩和RSR降低;RBF的阶梯式降低导致肾血管舒张和RSR增加。在RBF发生阶梯式变化后,肾电导改变的时间常数为56.5秒,RSR反应的时间常数为80.1秒。RSR达到稳态所需的总时间比肾电导落后约5分钟。这些差异反映了肾脏响应肾血管口径变化释放肾素所需的时间。结果表明,肾素释放是对肾小动脉自身调节性舒张的反应。当通过硝普钠输注诱导全身性低血压时,RSR也随着肾电导增加而增加。然而,出血后,尽管肾电导降低,RSR仍增加,这反映了神经体液因素在这种情况下引起肾素释放的作用。不同类型血流动力学改变后肾素分泌的比较有助于阐明肾素分泌的机制。