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肾小球滤过率的调控:肾内生成的血管紧张素II的作用

Control of glomerular filtration rate: role of intrarenally formed angiotensin II.

作者信息

Kastner P R, Hall J E, Guyton A C

出版信息

Am J Physiol. 1984 Jun;246(6 Pt 2):F897-906. doi: 10.1152/ajprenal.1984.246.6.F897.

Abstract

This study was designed to investigate the role of intrarenally formed angiotensin II (ANG II) in controlling glomerular filtration rate (GFR) during reduction of renal artery pressure (RAP). The experimental design prevented renin released by the kidney from entering the systemic circulation and therefore prevented changes in circulating ANG II from influencing GFR control. In dogs with only a functional intrarenal renin-angiotensin system (RAS), GFR and renal blood flow (RBF) were not significantly altered by RAP reduction to 70 mmHg. After blockade of intrarenal ANG II formation with SQ 14225, reduction of RAP to 70 mmHg decreased GFR and filtration fraction to 75.6 +/- 7.0 and 59.0 +/- 4.1% of control, respectively, while RBF remained at 129.3 +/- 8.8% of control. Calculated efferent arteriolar resistance decreased considerably more when RAP was reduced after SQ 14225, whereas preglomerular resistance decreased to about the same level as observed prior to SQ 14225 infusion. After return of endogenously produced ANG II by recirculation of the renal venous blood or after infusion of ANG II (following SQ 14225) at a rate that restored RBF to the control level (with RAP held at 70 mmHg in each case), GFR, filtration fraction, and calculated efferent resistance were restored to control levels, but preglomerular resistance did not change. These results suggest that intrarenal ANG II formation plays an important role in maintaining GFR during reductions in RAP by constricting efferent arterioles.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究旨在探讨肾内生成的血管紧张素II(ANG II)在肾动脉压(RAP)降低过程中对肾小球滤过率(GFR)的控制作用。实验设计阻止了肾脏释放的肾素进入体循环,从而防止循环ANG II的变化影响GFR的控制。在仅具有功能性肾内肾素-血管紧张素系统(RAS)的犬中,将RAP降至70 mmHg时,GFR和肾血流量(RBF)未发生显著改变。用SQ 14225阻断肾内ANG II生成后,将RAP降至70 mmHg时,GFR和滤过分数分别降至对照值的75.6±7.0%和59.0±4.1%,而RBF保持在对照值的129.3±8.8%。当在SQ 14225后降低RAP时,计算得出的出球小动脉阻力下降幅度更大,而球前阻力降至与SQ 14225输注前观察到的水平大致相同。通过肾静脉血再循环使内源性生成的ANG II恢复后,或在输注ANG II(在SQ 14225后)使RBF恢复到对照水平(每种情况下RAP保持在70 mmHg)后,GFR、滤过分数和计算得出的出球阻力恢复到对照水平,但球前阻力未改变。这些结果表明,在RAP降低期间,肾内ANG II的生成通过收缩出球小动脉在维持GFR方面发挥重要作用。(摘要截短至250字)

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