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大鼠的球管反馈和单肾肾小球滤过率自动调节

Tubuloglomerular feedback and SNGFR autoregulation in the rat.

作者信息

Moore L C

出版信息

Am J Physiol. 1984 Aug;247(2 Pt 2):F267-76. doi: 10.1152/ajprenal.1984.247.2.F267.

Abstract

Experimental and simulation studies were undertaken to examine what influence the state of filtration dynamics has on single nephron glomerular filtration rate (SNGFR) autoregulation, to verify the presence of partial autoregulation during tubuloglomerular feedback (TGF) inhibition, and to determine whether small changes in tubular reabsorption could enhance the ability of TGF to regulate SNGFR during autoregulation. The experimental studies in hydropenic rats revealed partial autoregulation of glomerular capillary pressure (using the stop-flow method) and SNGFR during TGF inhibition and complete SNGFR autoregulation with functional TGF. A small significant decrease in fractional volume reabsorption was observed in the distal measurements with increased arterial pressure. Results from a mathematical model of glomerular filtration suggest that SNGFR is inherently more sensitive to changes in arterial pressure in animals exhibiting filtration pressure equilibrium rather than filtration pressure disequilibrium. These data and the simulation results provide additional support for the existence of a TGF-independent autoregulatory mechanism that appears to be an intrinsic property of the preglomerular vasculature. Finally, analysis of autoregulation with a simple control-system model suggests that small changes in proximal tubule or loop of Henle volume reabsorption can provide some or all of the stimulus for TGF activation, thereby significantly increasing the ability of TGF to stabilize SNGFR in response to a rise in arterial pressure.

摘要

开展了实验和模拟研究,以检验滤过动力学状态对单肾单位肾小球滤过率(SNGFR)自身调节有何影响,验证在肾小管-肾小球反馈(TGF)抑制期间是否存在部分自身调节,并确定肾小管重吸收的微小变化是否能增强TGF在自身调节过程中调节SNGFR的能力。对禁水大鼠的实验研究表明,在TGF抑制期间,肾小球毛细血管压力(采用停流法)和SNGFR存在部分自身调节,而在功能性TGF存在时,SNGFR可完全自身调节。随着动脉压升高,在远端测量中观察到分数体积重吸收有轻微但显著的下降。肾小球滤过数学模型的结果表明,在表现为滤过压力平衡而非滤过压力失衡的动物中,SNGFR对动脉压变化本质上更敏感。这些数据和模拟结果为存在一种不依赖TGF的自身调节机制提供了额外支持,该机制似乎是球前血管系统的一种固有特性。最后,用一个简单控制系统模型对自身调节进行分析表明,近端小管或髓袢体积重吸收的微小变化可为TGF激活提供部分或全部刺激,从而显著增强TGF在动脉压升高时稳定SNGFR的能力。

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