Morgan M L, Anderson R J, Ellis M A, Berl T
Am J Physiol. 1983 Feb;244(2):F210-6. doi: 10.1152/ajprenal.1983.244.2.F210.
The effect of cold exposure (CE) on renal water excretion has not been clearly delineated. Conscious rats were exposed to decreased ambient temperature (15 degrees C). Forty-five minutes of CE resulted in reversible increases in urine flow and decreases in urine osmolality. The diuresis was not due to a diminished response to vasopressin (VP), as the antidiuresis associated with 500 microU of Pitressin given to water-diuresing rats was comparable at 15 and 30 degrees C. To determine whether the diuresis was due to intrarenal factors, glomerular filtration rate, renal blood flow, sodium excretion, and osmolar clearances were measured and found to be equivalent during control and cold conditions. To determine whether the observed diuresis was due to suppression of endogenous VP, VP-free Brattleboro rats undergoing a constant VP infusion were cold exposed. In these rats, CE was not associated with a change in either urine flow or urinary osmolality. This antidiuretic hormone-mediated mechanism was corroborated by a decrease in immunoassayable VP levels. To determine the mechanism whereby CE suppresses endogenous VP, plasma osmolality and hemodynamic parameters were measured. Although CE was not associated with a change in plasma osmolality, it did result in a significant increase in both mean arterial pressure and cardiac index. Pretreatment of rats with 6-hydroxydopamine prevented both the increase in mean arterial pressure and cold diuresis. We conclude that the diuresis observed upon exposure to 15 degrees C results from nonosmotic suppression of endogenous VP, as a consequence of the increase in mean arterial pressure.
冷暴露(CE)对肾脏水排泄的影响尚未明确界定。将清醒大鼠暴露于降低的环境温度(15摄氏度)下。45分钟的冷暴露导致尿流量可逆性增加,尿渗透压降低。这种利尿并非由于对血管加压素(VP)的反应减弱,因为给予水利尿大鼠500微单位垂体后叶素所产生的抗利尿作用在15摄氏度和30摄氏度时相当。为了确定利尿是否由肾内因素引起,测量了肾小球滤过率、肾血流量、钠排泄和渗透清除率,发现在对照和寒冷条件下它们是相等的。为了确定观察到的利尿是否由于内源性VP的抑制,对持续输注VP的无VP布拉特洛伐大鼠进行冷暴露。在这些大鼠中,冷暴露与尿流量或尿渗透压的变化无关。免疫测定的VP水平降低证实了这种抗利尿激素介导的机制。为了确定冷暴露抑制内源性VP的机制,测量了血浆渗透压和血流动力学参数。尽管冷暴露与血浆渗透压的变化无关,但它确实导致平均动脉压和心脏指数显著增加。用6-羟基多巴胺预处理大鼠可防止平均动脉压升高和冷利尿。我们得出结论,暴露于15摄氏度时观察到的利尿是由于平均动脉压升高导致内源性VP的非渗透性抑制所致。