Perrone R D, Schwartz J H, Bengele H H, Dale S L, Melby J C, Alexander E A
Am J Physiol. 1981 Nov;241(5):E406-9. doi: 10.1152/ajpendo.1981.241.5.E406.
Adrenal enucleation is followed by a period of increased sodium reabsorption thought to be due to excess mineralocorticoid activity. However, it has not been demonstrated that increased production of any known mineralocorticoid accounts for this antinatriuresis. Recently, 19-hydroxydeoxycorticosterone (19-OH-DOC) was found in incubates of regenerating adrenal capsules 3-4 days postenucleation and 19-nordeoxycorticosterone (19-nor-DOC) was identified in the urine of rats with regenerating adrenals. Because it was possible that these hormones might play a role in the sodium retention after adrenal enucleation, we compared the mineralocorticoid activity of these steroids to aldosterone using the toad bladder. Using short-circuit current as a measure of sodium transport, we found that 19-OH-DOC (10(-8) M) had no significant effect on sodium transport. However, 19-nor-DOC (10(-8) M) increased sodium transport to a degree not different from aldosterone (10(-8) M). Furthermore, the onset of action, duration of activity, and inhibition of effect of 19-nor-DOC by spironolactone were not different from that of aldosterone. We conclude that 19-nor-DOC exhibits a significant effect on sodium transport and thus has the potential to play a role in the sodium retention following adrenal enucleation. Under the conditions of these studies, 19-OH-DOC exhibited no effect on sodium transport.
肾上腺摘除术后会有一段时间钠重吸收增加,这被认为是由于盐皮质激素活性过高所致。然而,尚未证实任何已知盐皮质激素产量的增加是这种钠潴留的原因。最近,在摘除肾上腺后3 - 4天再生肾上腺包膜的孵育物中发现了19 - 羟脱氧皮质酮(19 - OH - DOC),并且在再生肾上腺大鼠的尿液中鉴定出了19 - 去甲脱氧皮质酮(19 - nor - DOC)。因为这些激素可能在肾上腺摘除术后的钠潴留中起作用,所以我们使用蟾蜍膀胱比较了这些类固醇与醛固酮的盐皮质激素活性。以短路电流作为钠转运的指标,我们发现19 - OH - DOC(10⁻⁸ M)对钠转运没有显著影响。然而,19 - nor - DOC(10⁻⁸ M)使钠转运增加的程度与醛固酮(10⁻⁸ M)无异。此外,19 - nor - DOC的起效时间、活性持续时间以及螺内酯对其作用的抑制与醛固酮并无不同。我们得出结论,19 - nor - DOC对钠转运有显著影响,因此有可能在肾上腺摘除术后的钠潴留中发挥作用。在这些研究条件下,19 - OH - DOC对钠转运没有影响。