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球管反馈、前列腺素和血管紧张素在肾小球滤过率的自身调节中的作用

Tubuloglomerular feedback, prostaglandins, and angiotensin in the autoregulation of glomerular filtration rate.

作者信息

Schnermann J, Briggs J P, Weber P C

出版信息

Kidney Int. 1984 Jan;25(1):53-64. doi: 10.1038/ki.1984.8.

Abstract

To define the mechanisms responsible for autoregulation of SNGFR in the subnormal pressure range, the response of SNGFR to graded reductions of arterial pressure was measured before and after interfering with the tubuloglomerular feedback system (TGF), angiotensin II action and prostaglandin (PG) synthesis. Studies were performed in male Sprague-Dawley rats in which estimated surgical plasma losses were replaced, because euvolemic animals were found to have better autoregulatory capacity than hydropenic animals. In control plasma-replaced animals, a pressure reduction from normal to 97.5 mm Hg and a further reduction to 78 mm Hg had no significant effect on SNGFR (31.8 +/- 1.32 to 31.7 +/- 1.6 to 29.3 +/- 1.48 nl/min) when all autoregulatory mechanisms were intact. After eliminating TGF, the same pressure steps were followed by significant reductions in SNGFR (40.8 +/- 1.75 to 36.4 +/- 2.18 to 31.0 +/- 1.56 nl/min). During infusion of saralasin (1 microgram/kg X min), SNGFR did not change significantly during reduction of pressure from normal to 95.5 mm Hg (32.0 +/- 1.02 to 30.7 +/- 1.58 nl/min) but fell when pressure was reduced to 77 mm Hg (26.0 +/- 1.19 nl/min). Infusion of this dose of saralasin was without significant effect on the response of early proximal flow rate to loop of Henle perfusion. During indomethacin-induced inhibition of PG synthesis, SNGFR fell significantly in response to both pressure steps (38.6 +/- 1.4 to 34.0 +/- 1.68 to 25.5 +/- 1.29 nl/min). An analysis of the autoregulatory components indicates that in the higher pressure interval 115 to 95 mm Hg, TGF contributes about 50% and PG's about 30% to autoregulatory adjustments. In the lower pressure interval, 95 to 78 mm Hg, 30% autoregulatory compensation occurs through the TGF mechanism and 20% depends upon the action of angiotensin II. Probably in part by interfering with both of those mechanisms, inhibition of PG synthesis reduces autoregulatory compensation by about 60%.

摘要

为了确定在低于正常压力范围内肾小球滤过率(SNGFR)自身调节的机制,在干扰肾小管-肾小球反馈系统(TGF)、血管紧张素II作用和前列腺素(PG)合成之前和之后,测量了SNGFR对动脉压分级降低的反应。研究在雄性Sprague-Dawley大鼠中进行,术中估计的血浆损失已得到补充,因为发现血容量正常的动物比缺水动物具有更好的自身调节能力。在对照的补充血浆的动物中,当所有自身调节机制完整时,动脉压从正常降至97.5 mmHg以及进一步降至78 mmHg对SNGFR(31.8±1.32至31.7±1.6至29.3±1.48 nl/min)没有显著影响。消除TGF后,相同的压力变化导致SNGFR显著降低(40.8±1.75至36.4±2.18至31.0±1.56 nl/min)。在输注沙拉新(1微克/千克×分钟)期间,动脉压从正常降至95.5 mmHg时SNGFR没有显著变化(32.0±1.02至30.7±1.58 nl/min),但当压力降至77 mmHg时下降(26.0±1.19 nl/min)。输注此剂量的沙拉新对早期近端流速对髓袢灌注的反应没有显著影响。在吲哚美辛诱导的PG合成抑制期间,SNGFR对两个压力变化均显著下降(38.6±1.4至34.0±1.68至25.5±1.29 nl/min)。对自身调节成分的分析表明,在较高压力区间115至95 mmHg,TGF对自身调节调整的贡献约为50%,PG约为30%。在较低压力区间95至78 mmHg,30%的自身调节补偿通过TGF机制发生,20%取决于血管紧张素II的作用。PG合成的抑制可能部分通过干扰这两种机制,使自身调节补偿降低约60%。

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