Kauker M L, Crofton J T, Share L, Nasjletti A
J Clin Invest. 1984 Mar;73(3):824-31. doi: 10.1172/JCI111277.
To study the relationship between vasopressin and the renal kallikrein-kinin system we measured the rate of excretion of kinins into the urine of anesthetized rats during conditions of increased and decreased vasopressin level. The excretion of immunoreactive kinins in Brattleboro rats with hereditary diabetes insipidus (DI) (24 +/- 3 pg min-1 kg-1) was lower than in the control Long Evans (LE) rats (182 +/- 22 pg min-1 kg-1; P less than 0.05). The DI rats also exhibited negligible urinary excretion of immunoreactive vasopressin, reduced urine osmolality, and increased urine flow and kininogenase excretion. In LE rats, volume expansion by infusion of 0.45% NaCl-2.5% dextrose to lower vasopressin secretion reduced (P less than 0.05) kinin excretion, vasopressin excretion, and urine osmolality to 41, 26, and 15% of their respective control values, while increasing (P less than 0.05) urine flow and kininogenase excretion. On the other hand, the infusion of 5% NaCl, which promotes vasopressin secretion, increased (P less than 0.05) the urinary excretion of kinins and vasopressin to 165 and 396% of control, while increasing (P less than 0.05) urine flow and kininogenase excretion. Infusion of vasopressin (1.2 mU/h, intravenous) enhanced (P less than 0.05) kinin excretion by two to threefold in DI rats and in LE rats during volume expansion with 0.45% NaCl-2.5% dextrose, while decreasing urine flow and increasing urine osmolality. This study demonstrates that the urinary excretion of immunoreactive kinins varies in relation to the urinary level of vasopressin, irrespective of urine volume and osmolality and of the urinary excretions of sodium and kininogenase. The study suggests a role for vasopressin in promoting the activity of the renal kallikrein-kinin system in the rat.
为研究血管加压素与肾激肽释放酶-激肽系统之间的关系,我们在血管加压素水平升高和降低的情况下,测定了麻醉大鼠尿液中激肽的排泄率。遗传性尿崩症(DI)的Brattleboro大鼠中免疫反应性激肽的排泄量(24±3 pg·min⁻¹·kg⁻¹)低于对照的Long Evans(LE)大鼠(182±22 pg·min⁻¹·kg⁻¹;P<0.05)。DI大鼠的免疫反应性血管加压素尿排泄量也可忽略不计,尿渗透压降低,尿流量和激肽原酶排泄增加。在LE大鼠中,输注0.45%NaCl-2.5%葡萄糖以降低血管加压素分泌来进行容量扩张,使激肽排泄、血管加压素排泄和尿渗透压分别降至各自对照值的41%、26%和15%(P<0.05),同时增加(P<0.05)尿流量和激肽原酶排泄。另一方面,输注5%NaCl可促进血管加压素分泌,使激肽和血管加压素的尿排泄量增加至对照值的165%和396%(P<0.05),同时增加(P<0.05)尿流量和激肽原酶排泄。在DI大鼠和LE大鼠中,用0.45%NaCl-2.5%葡萄糖进行容量扩张期间,静脉输注血管加压素(1.2 mU/h)使激肽排泄增加(P<0.05)两到三倍,同时降低尿流量并增加尿渗透压。本研究表明,免疫反应性激肽的尿排泄量随血管加压素的尿水平而变化,与尿量、渗透压以及钠和激肽原酶的尿排泄无关。该研究提示血管加压素在促进大鼠肾激肽释放酶-激肽系统的活性中起作用。