Karim F, Poucher S M, Summerill R A
J Physiol. 1984 Oct;355:557-66. doi: 10.1113/jphysiol.1984.sp015438.
In chloralose-anaesthetized and artificially ventilated dogs, the carotid sinuses were vascularly isolated and perfused with arterial blood. Mean aortic pressure was held constant at 100 +/- 2 mmHg (mean +/- S.E. of mean, n = 19) by means of a pressure bottle connected to the aorta. Both vagus nerves were sectioned in the neck and propranolol hydrochloride (0.5 mg kg-1) was administered every 30 min. The left renal blood flow was measured by an electromagnetic flowmeter (wrap-round probe), glomerular filtration rate by creatinine clearance and urinary sodium by flame photometry. Decreasing pressure in the isolated carotid sinuses from 186 +/- 10 to 63 +/- 5 mmHg resulted in significant decreases in renal blood flow from 281 +/- 35 to 177 +/- 30 ml min-1 100 g-1 renal mass; glomerular filtration rate from 40.0 +/- 7.8 to 12.3 +/- 4.4 ml min-1 100 g-1; urine flow from 0.31 +/- 0.05 to 0.12 +/- 0.03 ml min-1 100 g-1 and sodium excretion from 21.7 +/- 7.2 to 8.2 +/- 3.0 mumol min-1 100 g-1. Increasing carotid sinus pressure back to 188 +/- 11 mmHg resulted in increases in all the variables to values not significantly different from their initial values. Tying renal sympathetic nerves at low carotid sinus pressure (73 +/- 11 mmHg) caused an increase in all of the variables. After denervation there was no response to changes in carotid sinus pressure. These results show that changes in carotid sinus pressure can result in significant reflex effects on renal function and that these effects are mediated by renal sympathetic nerves.
在水合氯醛麻醉并人工通气的犬中,将颈动脉窦进行血管分离并用动脉血灌注。通过连接到主动脉的压力瓶将平均主动脉压维持在100±2 mmHg(平均值±平均值的标准误,n = 19)。双侧迷走神经在颈部切断,每30分钟给予盐酸普萘洛尔(0.5 mg·kg-1)。用电磁流量计(环绕式探头)测量左肾血流量,用肌酐清除率测量肾小球滤过率,用火焰光度法测量尿钠。将分离的颈动脉窦压力从186±10 mmHg降至63±5 mmHg,导致肾血流量从281±35 ml·min-1·100 g-1肾质量显著降至177±30 ml·min-1·100 g-1;肾小球滤过率从40.0±7.8 ml·min-1·100 g-1降至12.3±4.4 ml·min-1·100 g-1;尿流量从0.31±0.05 ml·min-1·100 g-1降至0.12±0.03 ml·min-1·100 g-;钠排泄量从21.7±7.2 μmol·min-1·100 g-1降至8.2±3.0 μmol·min-1·100 g-1。将颈动脉窦压力回升至188±11 mmHg,导致所有变量增加至与初始值无显著差异的值。在低颈动脉窦压力(73±11 mmHg)下结扎肾交感神经导致所有变量增加。去神经支配后,对颈动脉窦压力变化无反应。这些结果表明,颈动脉窦压力变化可对肾功能产生显著的反射效应,且这些效应由肾交感神经介导。