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抗利尿激素对大鼠肾脏电解质肾小管重吸收的刺激作用。

Stimulation by antidiuretic hormone of electrolyte tubular reabsorption in rat kidney.

作者信息

de Rouffignac C, Corman B, Roinel N

出版信息

Am J Physiol. 1983 Feb;244(2):F156-64. doi: 10.1152/ajprenal.1983.244.2.F156.

Abstract

The effects of 1-desamino-8-D-arginine vasopressin (dDAVP) on renal excretion and tubular transport of water and electrolytes were investigated in homozygous DI Brattleboro rats. To ascertain these effects on the loop of Henle, circulating glucagon, parathyroid hormone, and thyrocalcitonin were reduced before the experiments, as these hormones are believed to stimulate the same cells of the thick ascending limb as ADH. dDAVP did not alter either glomerular or proximal tubular functions. In the loop, it consistently raised reabsorption of Mg, Ca, K, and, to a lesser extent, Na and Cl, but phosphate transport was not affected. dDAVP lowered the urinary excretion rates for Mg, Ca, K, Cl, and total solutes. For Mg, this reduction was independent of the drop in the urinary flow rate following dDAVP administration but was significantly correlated to this drop in the case of Ca, K, Cl, and total solutes. Na and P excretions were not altered by dDAVP. It is concluded that, in vivo, administration of ADH 1) stimulates reabsorption of Na, Cl, Mg, Ca, and K by the thick ascending limb, 2) consistently enhances Mg reabsorption by the whole kidney by enhancing reabsorption in the loop of Henle, and 3) at maximal antidiuresis, raises Ca, K, Cl, and total solute reabsorption, probably because of the drop in tubular flow rates in the distal parts of the nephron consequent to the hormone administration.

摘要

在纯合子尿崩症布拉德福德大鼠中研究了1-去氨基-8-D-精氨酸血管加压素(dDAVP)对肾脏水和电解质排泄及肾小管转运的影响。为确定其对髓袢的这些影响,在实验前降低了循环中的胰高血糖素、甲状旁腺激素和甲状腺降钙素,因为这些激素被认为与抗利尿激素刺激相同的髓袢升支粗段细胞。dDAVP既未改变肾小球功能,也未改变近端肾小管功能。在髓袢中,它持续增加镁、钙、钾的重吸收,钠和氯的重吸收也有一定程度增加,但磷酸盐转运未受影响。dDAVP降低了镁、钙、钾、氯和总溶质的尿排泄率。对于镁,这种降低与dDAVP给药后尿流率的下降无关,但对于钙、钾、氯和总溶质,这种降低与尿流率的下降显著相关。dDAVP未改变钠和磷的排泄。得出的结论是,在体内,抗利尿激素的给药1)刺激髓袢升支粗段对钠、氯、镁、钙和钾的重吸收,2)通过增强髓袢中镁的重吸收持续增强全肾对镁的重吸收,3)在最大抗利尿作用时,增加钙、钾、氯和总溶质的重吸收,这可能是由于激素给药后肾单位远端肾小管流速下降所致。

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