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肾素-血管紧张素系统是否参与尿液浓缩机制?

Is the renin-angiotensin system involved in urinary concentration mechanisms?

作者信息

Imbs J L, Schmidt M, Giesen E M, Schwartz J

出版信息

J Physiol (Paris). 1984;79(6):481-4.

PMID:6399315
Abstract

Renin release elicited by i.v. injection of loop-diuretics was used to study the effects of angiotensin II (AII) on intrarenal hemodynamics. The vasoconstrictive action of intrarenally synthesized AII predominates in the efferent glomerular arteriole. Such a vasoconstrictive effect could affect blood flow in the vasa recta which stem from efferent arterioles of juxtamedullary glomeruli. Renin secretion and renal inner medullary blood flow (tissue clearance of 133Xe) were simultaneously measured before and after frusemide-induced renin release. The relationship between renin secretion and renal inner medullary blood flow was inverse. Changes in renal medullary blood flow may be physiological determinants of medullary osmolality and renal concentration ability. The intrarenal role of AII in urinary concentration recovery after frusemide was examined. Inhibition of renin release by propranolol or AII-blockade (by saralasin or Hoe 409) delayed recovery of urinary osmolality. In the conscious rat, propranolol slowed down recovery of the cortico-papillary gradient for sodium. Its vasoconstrictive action on the efferent glomerular arteriole might enable the renin-angiotensin system to participate in the control of renal excretion of salt and water.

摘要

通过静脉注射袢利尿剂引发肾素释放,以此研究血管紧张素II(AII)对肾内血流动力学的影响。肾内合成的AII的血管收缩作用在出球小动脉中占主导。这种血管收缩效应可能会影响源自近髓肾单位出球小动脉的直小血管中的血流。在速尿诱导肾素释放前后,同时测量肾素分泌和肾内髓质血流(133Xe的组织清除率)。肾素分泌与肾内髓质血流之间呈负相关。肾髓质血流的变化可能是髓质渗透压和肾脏浓缩能力的生理决定因素。研究了AII在速尿后尿浓缩恢复中的肾内作用。普萘洛尔抑制肾素释放或AII阻断(通过沙拉新或Hoe 409)会延迟尿渗透压的恢复。在清醒大鼠中,普萘洛尔减缓了皮质 - 乳头钠梯度的恢复。其对出球小动脉的血管收缩作用可能使肾素 - 血管紧张素系统参与对肾脏盐和水排泄的控制。

相似文献

1
Is the renin-angiotensin system involved in urinary concentration mechanisms?肾素-血管紧张素系统是否参与尿液浓缩机制?
J Physiol (Paris). 1984;79(6):481-4.
2
Effect of captopril on intrarenal blood flow.卡托普利对肾内血流的影响。
Am J Med. 1984 May 31;76(5B):53-7. doi: 10.1016/0002-9343(84)90884-2.
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Intrarenal control of urine concentration by angiotensin II.血管紧张素 II 对尿液浓缩的肾内调控。
Clin Sci Mol Med Suppl. 1978 Dec;4:229s-231s. doi: 10.1042/cs055229s.
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Contribution of angiotensin to the control of medullary hemodynamics.
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[Interrelationship between the brain and kidney renin--angiotensin systems in combined hypertension: the effect of a central block with saralasin].[联合性高血压中脑与肾素 - 血管紧张素系统的相互关系:沙拉新中枢阻断的作用]
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Regulation of renin release and intrarenal formation of angiotensin. Studies in the isolated perfused rat kidney.肾素释放及肾内血管紧张素生成的调节。对离体灌注大鼠肾脏的研究。
Clin Exp Pharmacol Physiol. 1976 Jan-Feb;3(1):73-93. doi: 10.1111/j.1440-1681.1976.tb00593.x.
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Renal vasoconstrictive response to contrast medium. The role of sodium balance and the renin-angiotensin system.肾脏对造影剂的血管收缩反应。钠平衡和肾素-血管紧张素系统的作用。
J Lab Clin Med. 1983 Mar;101(3):385-91.
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Combined intrarenal renin-angiotensin blockade alters renal function and this is reversed by angiotensin II.联合肾内肾素 - 血管紧张素阻断会改变肾功能,而这种改变可被血管紧张素II逆转。
J Hypertens Suppl. 1989 Dec;7(6):S174-5. doi: 10.1097/00004872-198900076-00083.
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Effects of angiotensin-converting enzyme inhibition on renal adaptations to acute furosemide administration in conscious rats.血管紧张素转换酶抑制对清醒大鼠急性给予速尿后肾脏适应性变化的影响。
J Pharmacol Exp Ther. 1993 Jul;266(1):33-40.

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