Chevalier R L, Kaiser D L
Am J Physiol. 1983 May;244(5):F483-7. doi: 10.1152/ajprenal.1983.244.5.F483.
As a result of normal maturation or after reduction in renal mass, renal blood flow (RBF) progressively increases. However, the effects of renal growth on the relationship of RBF to renal perfusion pressure (RPP) have not been systematically investigated. We examined RBF as a function of RPP in anesthetized young and adult rats that had been subjected to uninephrectomy or sham operation 3-4 wk previously. As a result of normal growth, mean arterial blood pressure increased from 94.1 +/- 2.7 (SE) to 118.9 +/- 4.2 mmHg. The calculated autoregulation factor, in which a value less than 1 indicates the presence of autoregulation, was 0.44 +/- 0.10 over RPP 70-100 mmHg and 1.74 +/- 0.25 over RPP 40-70 mmHg in sham-operated young animals. In adult sham-operated rats, the factor was 0.38 +/- 0.07 over RPP 100-130 mmHg and 1.03 +/- 0.07 over RPP 70-100 mmHg. Uninephrectomy in adults resulted in a 30% rise in RBF over RPP 100-130 mmHg, and there was no change in the autoregulation factor. Uninephrectomy in young rats, however, resulted in a 35% rise in RBF at RPP = 100 mmHg with only a 17% rise at RPP = 70 mmHg, and the autoregulation factor increased to 0.91 +/- 0.10 over this range of RPP. We conclude that the autoregulatory range shifts with increasing blood pressure during normal growth and that autoregulation is "reset" to higher RBF in the uninephrectomized adult rat. Although autoregulation takes place in the young animal, uninephrectomy alters the relationship of RBF to RPP such that autoregulation is impaired.
由于正常成熟或肾质量减少后,肾血流量(RBF)会逐渐增加。然而,肾脏生长对RBF与肾灌注压(RPP)关系的影响尚未得到系统研究。我们检测了3 - 4周前接受过单侧肾切除术或假手术的麻醉幼鼠和成年大鼠中RBF随RPP的变化情况。由于正常生长,平均动脉血压从94.1±2.7(标准误)mmHg升高至118.9±4.2 mmHg。在假手术的幼鼠中,计算得出的自动调节因子(该值小于1表明存在自动调节)在RPP为70 - 100 mmHg时为0.44±0.10,在RPP为40 - 70 mmHg时为1.74±0.25。在成年假手术大鼠中,该因子在RPP为100 - 130 mmHg时为0.38±0.07,在RPP为70 - 100 mmHg时为1.03±0.07。成年大鼠单侧肾切除导致RBF在RPP为100 - 130 mmHg时升高30%,自动调节因子无变化。然而,幼鼠单侧肾切除导致RPP = 100 mmHg时RBF升高35%,而RPP = 70 mmHg时仅升高17%,并且在该RPP范围内自动调节因子增加至0.91±0.10。我们得出结论,在正常生长过程中,自动调节范围随血压升高而移动,并且在单侧肾切除的成年大鼠中自动调节被“重置”为更高的RBF。尽管幼鼠存在自动调节,但单侧肾切除改变了RBF与RPP的关系,从而损害了自动调节。