Brink H M, Moons W M, Slegers J F
Pflugers Arch. 1983 Apr;397(1):48-53. doi: 10.1007/BF00585167.
Glomerular hemodynamics were studied of isolated perfused kidneys of 12-wk-old normotensive (NR) and spontaneously hypertensive (SHR) rats, using Pluronic F108 (BASF, Wyandotte, MI, USA) as a plasma expander. Glomerular filtration rate (GFR), proximal tubular hydrostatic pressure (PT) and glomerular capillary hydrostatic pressure (PGC) were approximately linearly related with renal perfusion pressure. PGC measured directly by micropuncture was comparable to PGC calculated from other parameters of glomerular dynamics using pore theory. We conclude that GFR in isolated kidneys perfused with Pluronic F108 is lower than in vivo, mainly as a result of an increase in PT. This rise in tubular pressure is due to an increased urine flow rate and an elevated tubular fluid viscosity. The difference in glomerular dynamics between NR and SHR kidneys is the result of an increased preglomerular vascular resistance in SHR, possibly due to an adaptive hypertrophic reaction to a sustained hypertension.
使用普朗尼克F108(美国密歇根州怀恩多特市巴斯夫公司)作为血浆扩容剂,对12周龄正常血压(NR)和自发性高血压(SHR)大鼠的离体灌注肾脏的肾小球血流动力学进行了研究。肾小球滤过率(GFR)、近端肾小管静水压(PT)和肾小球毛细血管静水压(PGC)与肾灌注压大致呈线性关系。通过微穿刺直接测量的PGC与使用孔隙理论从肾小球动力学的其他参数计算得出的PGC相当。我们得出结论,用普朗尼克F108灌注的离体肾脏中的GFR低于体内,主要是由于PT升高所致。肾小管压力的这种升高是由于尿流率增加和肾小管液粘度升高。NR和SHR肾脏之间肾小球动力学的差异是由于SHR中肾小球前血管阻力增加所致,这可能是对持续性高血压的适应性肥厚反应。