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降钙素对兔子的利尿作用。

Calcitonin diuretic effect in the rabbit.

作者信息

Simonnet G, Moura A M, Bagdiantz A, Blanquet P

出版信息

Horm Metab Res. 1978 Jul;10(4):347-52. doi: 10.1055/s-0028-1093429.

Abstract

In an attempt to study the renal effects of Calcitonin (porcine CT) in the rabbit, the excreted fractions of filtered water, osmolality, sodium, potassium and chloride, and the calcium and phosphorus urinary excretions were studied during isotonic (ISD) and hypertonic (HSD) saline diuresis. Four doses (0.1, 0.8, 4 and 20 IU MRC/kg were perfused during one hour in I.S.D.; 4 and 20 IU MRC/kg in HSD. During ISD, Calcitonin at doses of 4 and 20 IU MRC/kg/hr significantly increased the diuresis and the Na+, Cl-, K+, PO4 3-, Ca2+ excreted fractions. This effect was also observed, to a lesser extent, at a dose of 0.8 IU MRC/kg/hr, whereas 0.1 IU MRC/kg/hr produced no significant effect. During ISD, a log dose related effect of CT appeared to exist with all studied parameters. Moreover, a biphasic pattern of free-water clearance was observed during ISD: this parameter increased during the first half hour of CT perfusion, and then decreased dramatically. During HSD, CT perfusion induced a decrease of free-water reabsorption and urinary osmolality/plasma osmolality ratio. These results suggest that the diuretic effect and saliuretic effect of CT (in the rabbit) are mainly the consequence of the decrease of the proximal reabsorption of sodium. The possibility of a second site of action is discussed. The diuretic effects of CT are compared to data observed with the well-known diuretic drugs.

摘要

为了研究降钙素(猪降钙素)对兔肾脏的影响,在等渗(ISD)和高渗(HSD)盐水利尿期间,对滤过水、渗透压、钠、钾和氯的排泄分数以及钙和磷的尿排泄进行了研究。在等渗利尿期间,四剂(0.1、0.8、4和20 IU MRC/kg)在一小时内灌注;在高渗利尿期间为4和20 IU MRC/kg。在等渗利尿期间,剂量为4和20 IU MRC/kg/hr的降钙素显著增加了利尿以及钠、氯、钾、磷酸根、钙离子的排泄分数。在0.8 IU MRC/kg/hr剂量时也观察到了这种效应,但程度较轻,而0.1 IU MRC/kg/hr则未产生显著影响。在等渗利尿期间,降钙素与所有研究参数似乎都存在对数剂量相关效应。此外,在等渗利尿期间观察到了自由水清除的双相模式:该参数在降钙素灌注的前半小时增加,然后急剧下降。在高渗利尿期间,降钙素灌注导致自由水重吸收以及尿渗透压/血浆渗透压比值降低。这些结果表明,降钙素(对兔)的利尿作用和利盐作用主要是近端钠重吸收减少的结果。还讨论了第二个作用位点的可能性。将降钙素的利尿作用与用知名利尿药观察到的数据进行了比较。

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