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发育性高钠血症和血浆高渗期间血管加压素释放的抑制:脑室内甘油的作用

Inhibition of vasopressin-release during developing hypernatremia and plasma hyperosmolality: an effect of intracerebroventricular glycerol.

作者信息

Olsson K, Fyhrquist F, Larsson B, Eriksson L

出版信息

Acta Physiol Scand. 1978 Apr;102(4):399-409. doi: 10.1111/j.1748-1716.1978.tb06087.x.

Abstract

In non-hydrated goats prolonged (3 h, 0.02 ml/min) intracerebroventricular (IVT) infusion of 0.35 M glycerol depressed the plasma vasopressin level during the entire infusion period which resulted in a conspicuous water diuresis outlasting the infusion by about 20 min. Since no compensatory drinking occurred during this sustained water diuresis it gradually induced pronounced dehydration (loss of greater than 1 liter of total body water causing 5% increase in plasma [Na+] and osmolality). The same degree of dehydration was in other experiments induced by water deprivation. It then caused a 5-fold increase in plasma vasopressin level. Corresponding IVT infusions of 0.35 M d-glucose depressed plasma vasopressin level only during the first half of the 3 h infusion period. Consequently, the resulting water diuresis was transient and subsided before the glucose infusion was finished. Plasma renin activity increased during the IVT glycerol infusion and during water deprivation, but was largely unaffected by IVT glucose. Both IVT glycerol and glucose decreased renal sodium excretion. The possibility is discussed that the pronounced ability of IVT glycerol to depress the vasopressin release and thirst is not only due to dilution induced reduction of CSF [Na+], but also to an influence of glycerol on choroidal and/or transependymal Na+-transporting mechanisms.

摘要

在未补水的山羊中,通过脑室内(IVT)以0.02 ml/分钟的速度长时间(3小时)输注0.35 M甘油,在整个输注期间会降低血浆血管加压素水平,这导致明显的水利尿,在输注结束后持续约20分钟。由于在这种持续的水利尿过程中没有发生代偿性饮水,它逐渐导致明显的脱水(全身失水量超过1升,导致血浆[Na⁺]和渗透压增加5%)。在其他实验中,通过禁水诱导出相同程度的脱水。然后它使血浆血管加压素水平增加了5倍。相应地,IVT输注0.35 M d -葡萄糖仅在3小时输注期的前半段降低血浆血管加压素水平。因此,由此产生的水利尿是短暂的,在葡萄糖输注结束前就消退了。在IVT输注甘油期间和禁水期间,血浆肾素活性增加,但IVT葡萄糖对其影响不大。IVT甘油和葡萄糖均降低肾钠排泄。文中讨论了一种可能性,即IVT甘油显著降低血管加压素释放和口渴的能力不仅归因于稀释诱导的脑脊液[Na⁺]降低,还归因于甘油对脉络丛和/或跨室管膜Na⁺转运机制的影响。

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