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犬肾内输注花生四烯酸期间肾静脉和尿液中前列腺素E2的排出量

Renal venous and urinary PGE2 output during intrarenal arachidonic acid infusion in dogs.

作者信息

Sejersted O M, Vikse A, Eide I, Kiil F

出版信息

Acta Physiol Scand. 1984 Jul;121(3):249-59. doi: 10.1111/j.1748-1716.1984.tb07454.x.

Abstract

Inferences about total renal (venous and urinary) PGE2 output from determinations of urinary excretion rates (U PGE2 V) cannot be made unless the distribution of PGE2 between renal venous plasma and urine is known. Therefore, in the present study on intact kidneys of anesthetized dogs both urinary excretion of PGE2 and the renal venous output (the product of plasma flow and venous concentration of PGE2) was determined during low and high rates of renal PGE2 synthesis. PGE2 was measured in urine and arterial and renal venous plasma by radioimmunoassay during the following conditions: (1) Hydropenia. In the control condition U PGE2 V averaged 0.041 +/- 0.012 pmol/g . min and varied between 4 and 70% of the total PGE2 output. With infusion of arachidonic acid (AA, 160 micrograms/kg . min) into the renal artery total PGE2 output increased from 0.18 +/- 0.03 to 3.23 +/- 0.51 pmol/g . min, whereas arterial concentrations of PGE2 were unchanged. The urinary fraction still varied between 6 and 46% of total renal PGE2 output. (2) High urine flows caused by mannitol, saline or saline and ethacrynic acid (ECA) infusion. These procedures did not stimulate total renal PGE2 output and the urinary fraction varied between 4 and 49%. ECA combined with saline infusion increased the urinary fraction significantly to 34.7 +/- 4.0%. AA increased the total PGE2 output as during hydropenia, but the urinary fraction fell to 13% in 13 dogs and was unchanged at about 8% in six dogs. On average the urinary fraction of total PGE2 output was significantly lower than in hydropenia. Thus, the urinary fraction of total renal PGE2 output is not constant, and urinary excretion of PGE2 does not give reliable information about renal synthetic rates of prostaglandins.

摘要

除非肾静脉血浆和尿液中前列腺素E2(PGE2)的分布情况已知,否则无法根据尿排泄率(U PGE2 V)的测定结果推断肾脏总的(静脉和尿液)PGE2产量。因此,在本项针对麻醉犬完整肾脏的研究中,分别测定了低速率和高速率肾脏PGE2合成过程中PGE2的尿排泄量以及肾静脉输出量(血浆流量与PGE2静脉浓度的乘积)。在以下条件下,通过放射免疫分析法测定尿液、动脉血浆和肾静脉血浆中的PGE2:(1)缺水。在对照状态下,U PGE2 V平均为0.041±0.012 pmol/g·min,占总PGE2产量的4%至70%。向肾动脉输注花生四烯酸(AA,160μg/kg·min)后,总PGE2产量从0.18±0.03增加至3.23±0.51 pmol/g·min,而动脉血中PGE2浓度未变。尿中PGE2所占比例仍在总肾脏PGE2产量的6%至46%之间波动。(2)输注甘露醇、生理盐水或生理盐水与依他尼酸(ECA)导致高尿流。这些操作并未刺激总的肾脏PGE2产量,尿中PGE2所占比例在4%至49%之间波动。ECA与生理盐水输注联合应用使尿中PGE2所占比例显著增加至34.7±4.0%。AA使总PGE2产量如在缺水状态下一样增加,但在13只犬中尿中PGE2所占比例降至13%,在6只犬中保持在约8%不变。总的来说,总PGE2产量中尿中所占比例显著低于缺水状态。因此,肾脏总PGE2产量中尿中所占比例并非恒定不变,PGE2的尿排泄量并不能提供关于肾脏前列腺素合成速率的可靠信息。

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