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血管紧张素II的肾血流动力学作用:与肾小管-肾小球反馈的相互作用。

Renal hemodynamic actions of angiotensin II: interaction with tubuloglomerular feedback.

作者信息

Hall J E, Granger J P

出版信息

Am J Physiol. 1983 Aug;245(2):R166-73. doi: 10.1152/ajpregu.1983.245.2.R166.

Abstract

The present study was designed to investigate the importance of interactions between angiotensin II (ANG II) and other intrinsic control mechanisms, including tubuloglomerular feedback (TGF), in controlling renal hemodynamics. When endogenous ANG II formation was blocked by SQ 14225 infusion and changes in myogenic activity were minimized by servo controlling renal arterial pressure, ANG II infusion (20 ng . kg-1 . min-1 iv) did not change glomerular filtration rate but decreased renal blood flow (RBF) from 286 +/- 36 to 179 +/- 31 ml/min due to increases in calculated preglomerular (54%) and efferent (100%) arteriolar resistances. After inhibition of TGF by occluding the ureter during mannitol diuresis, ANG II infusion (20 ng . kg-1 . min-1) decreased RBF from 229 +/- 25 to 151 +/- 19 ml/min while increasing glomerular hydrostatic pressure (calculated from ureteral stop-flow pressure and plasma colloid osmotic pressure) from 56.7 +/- 2.5 to 62.3 +/- 2.2 mmHg. Postglomerular resistance increased to 173 +/- 17% of control, but preglomerular resistance did not change significantly during ANG II infusion after inhibition of TGF. These data suggest that the direct renal vasoconstrictor action of ANG II is confined mainly to postglomerular vessels and that changes in preglomerular resistance that occur when ANG II levels are inappropriately elevated in normal animals are caused by other intrinsic control mechanisms, such as TGF.

摘要

本研究旨在探讨血管紧张素II(ANG II)与其他内在控制机制(包括球管反馈,TGF)之间的相互作用在控制肾血流动力学中的重要性。当通过输注SQ 14225阻断内源性ANG II的形成,并通过伺服控制肾动脉压将肌源性活动的变化降至最低时,输注ANG II(20 ng·kg-1·min-1静脉注射)并未改变肾小球滤过率,但由于计算得出的入球前(54%)和出球(100%)小动脉阻力增加,肾血流量(RBF)从286±36降至179±31 ml/min。在甘露醇利尿期间通过阻断输尿管抑制TGF后,输注ANG II(20 ng·kg-1·min-1)使RBF从229±25降至151±19 ml/min,同时使肾小球静水压(根据输尿管停流压和血浆胶体渗透压计算)从56.7±2.5升至62.3±2.2 mmHg。抑制TGF后,输注ANG II期间,球后阻力增加至对照的173±17%,但入球前阻力无明显变化。这些数据表明,ANG II的直接肾血管收缩作用主要局限于球后血管,正常动物中ANG II水平不适当升高时出现的入球前阻力变化是由其他内在控制机制(如TGF)引起的。

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