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前列腺素抑制大鼠的肾氨生成。

Prostaglandins inhibit renal ammoniagenesis in the rat.

作者信息

Jones E R, Beck T R, Kapoor S, Shay R, Narins R G

出版信息

J Clin Invest. 1984 Sep;74(3):992-1002. doi: 10.1172/JCI111520.

Abstract

We describe the inhibitory effect of prostaglandins (PGs) on in vivo rat renal ammonia synthesis. The influence of systemic pH upon urinary PG excretion and ammoniagenesis was also investigated. Finally, PG production by incubated rat renal cortical slices was suppressed to investigate the PG-ammonia interplay in the absence of changes in renal blood flow, glomerular filtration rate, ambient electrolyte concentrations or extrarenal hormonal factors. In vivo ammonia synthesis doubled and PG excretion fell by 44% in normal rats, after intravenous administration of 1 mg/kg of meclofenamate. Higher doses of meclofenamate further augmented ammonia production and further reduced PG excretion. PG depletion was also associated with an increase in fractional excretion of ammonia (FENH3) that was independent of changes in urine flow rate or pH. Acute metabolic acidosis (AMA) increased total ammonia synthesis but also stimulated PG production. Administration of meclofenamate to rats with mild AMA markedly reduced urinary PG excretion, further augmented ammonia synthesis, and significantly increased the FENH3. Inhibition of stimulated PG synthesis during severe AMA did not increase ammoniagenesis or FENH3. Acute metabolic alkalosis did not alter production of PGs or ammonia, but reduced the FENH3 by 42%. Meclofenamate nearly normalized the FENH3 but stimulated synthesis to a lesser degree than was seen in nonalkalotic rats that received meclofenamate. Inhibition of PG synthesis in incubated rat renal cortical slices also stimulated ammoniagenesis. Conversely, stimulation of PG synthesis decreased ammonia production and acidification of the incubation medium increased prostaglandin F2 alpha production. Thus, in vitro findings support the in vivo results. We conclude that PGs inhibit ammonia synthesis in normal rats and in those undergoing mild AMA. Severe acidosis overrides this inhibitory effect of PGs, whereas metabolic alkalosis suppresses the stimulatory effect of PG synthesis inhibition.

摘要

我们描述了前列腺素(PGs)对大鼠体内肾氨合成的抑制作用。还研究了全身pH对尿PG排泄和氨生成的影响。最后,抑制孵育的大鼠肾皮质切片的PG生成,以研究在肾血流量、肾小球滤过率、周围电解质浓度或肾外激素因素无变化的情况下PG与氨之间的相互作用。在正常大鼠静脉注射1mg/kg甲氯芬那酸后,体内氨合成增加一倍,PG排泄下降44%。更高剂量的甲氯芬那酸进一步增加氨生成并进一步降低PG排泄。PG耗竭还与氨分数排泄(FENH3)增加有关,这与尿流率或pH的变化无关。急性代谢性酸中毒(AMA)增加了总氨合成,但也刺激了PG生成。给轻度AMA大鼠给予甲氯芬那酸可显著降低尿PG排泄,进一步增加氨合成,并显著增加FENH3。在严重AMA期间抑制刺激的PG合成并未增加氨生成或FENH3。急性代谢性碱中毒未改变PG或氨的生成,但使FENH3降低了42%。甲氯芬那酸使FENH3几乎恢复正常,但刺激合成的程度低于接受甲氯芬那酸的非碱中毒大鼠。抑制孵育的大鼠肾皮质切片中的PG合成也刺激了氨生成。相反,刺激PG合成可降低氨生成,孵育培养基酸化可增加前列腺素F2α生成。因此,体外研究结果支持体内研究结果。我们得出结论,PGs在正常大鼠和轻度AMA大鼠中抑制氨合成。严重酸中毒可克服PGs的这种抑制作用,而代谢性碱中毒则抑制PG合成抑制的刺激作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3bd/425258/a58d11f8581c/jcinvest00135-0333-a.jpg

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