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急性和慢性替代期间长期肾上腺切除术后醛固酮对大鼠远端结肠钠转运的影响。

Aldosterone on sodium transport of rat distal colon in long-term adrenalectomy during acute and chronic substitution.

作者信息

Horster M, Lückhoff A

出版信息

J Physiol. 1983 Jul;340:503-11. doi: 10.1113/jphysiol.1983.sp014776.

Abstract
  1. The influence of aldosterone upon water and sodium transport properties of the distal colon was studied in long-term adrenalectomy (11-29 days).2. Six groups of rats were used: I, normal (control); II, adrenalectomized; III, adrenalectomized, acutely substituted with aldosterone (200 mug/kg 4 h); IV, adrenalectomized rats receiving aldosterone simultaneously with the specific inhibitor spironolactone (40 mg/kg within 4 h); V, adrenalectomized, substituted chronically with aldosterone (2 x 75 mug/kg day); VI, adrenalectomized, substituted chronically with dexamethasone (120 mug/kg day).3. Distal colon segments were perfused in vivo with isotonic Ringer solution. In addition, a hypotonic electrolyte solution (Na(+) 111 mM) was used in groups I and II.4. In adrenalectomy (group II), net water absorption (J(v)) was significantly decreased from (normal) 54.4 mul/h cm(2)+/-10.5 (n = 9) to 41.2 mul/h cm(2)+/-7.3 (n = 4), and net Na(+) absorption (J(Na)) was decreased from 13.6 mumol/h cm(2)+3.5 to 8.5 mumol/h cm(2)+/-0.9 (isotonic perfusate). Similarly, J(v) was decreased from 54.0 mul/h cm(2)+/-8.3 (n = 4) to 37.3 mul/h cm(2)+/-4.2 (n = 7), and J(Na) from 8.6 mumol/h cm(2)+/-2.1 to 4.2 mumol/h cm(2)+/-2.1 (hypotonic perfusate).5. Acute aldosterone substitution in adrenalectomy (III) had no effect upon J(v) (37.1 mul/h cm(2)+/-10.3; n = 5) but increased J(Na) to 10.3 mumol/h cm(2)+/-0.3.6. The luminal Na(+) steady-state concentration was higher in group II (11.2 mmol l(-1)+/-3.6; n = 6) than in group I (3.3 mmol l(-1)+/-1.4; n = 29). Acute aldosterone substitution restored this value to normal (3.0 mmol l(-1)+/-1.2; n = 4). The aldosterone effect was partly blocked by spironolactone: the Na(+) steady-state concentration was 6.4 mmol/l+/-0.6 (n = 3) in group IV.7. At the steady-state luminal Na(+) concentration, the osmotically driven net water fluxes were not different in groups I and II, indicating that the hydraulic permeability coefficient is not altered in adrenalectomy.8. In group V, J(v) (54.9 mul/h cm(2)+/-10.9; n = 7) and J(Na) (11.9 mumol/h cm(2)+/-1.7; n = 6) were not significantly different from normal.9. In group VI, J(v) (37.3 mul/h cm(2)+/-6.0; n = 5) and J(Na) (8.0 mumol/h cm(2)+/-1.4) were not significantly different from group II.10. The mineralocorticoid effects of aldosterone in long-term adrenalectomy appear to represent the principal determining factors of colonic J(v) and J(Na).
摘要
  1. 研究了醛固酮对长期肾上腺切除(11 - 29天)大鼠远端结肠水和钠转运特性的影响。

  2. 使用了六组大鼠:I组,正常(对照);II组,肾上腺切除;III组,肾上腺切除后急性给予醛固酮替代(200μg/kg,4小时);IV组,肾上腺切除大鼠在给予醛固酮的同时给予特异性抑制剂螺内酯(40mg/kg,4小时内);V组,肾上腺切除后长期给予醛固酮替代(2×75μg/kg/天);VI组,肾上腺切除后长期给予地塞米松替代(120μg/kg/天)。

  3. 用等渗林格溶液对体内远端结肠段进行灌注。此外,I组和II组使用低渗电解质溶液(Na⁺ 111mM)。

  4. 在肾上腺切除组(II组)中,净水吸收(J(v))从(正常)54.4μl/h·cm²±10.5(n = 9)显著降至41.2μl/h·cm²±7.3(n = 4),净Na⁺吸收(J(Na))从13.6μmol/h·cm² + 3.5降至8.5μmol/h·cm²±0.9(等渗灌注液)。同样,J(v)从54.0μl/h·cm²±8.3(n = 4)降至37.3μl/h·cm²±4.2(n = 7),J(Na)从8.6μmol/h·cm²±2.1降至4.2μmol/h·cm²±2.1(低渗灌注液)。

  5. 肾上腺切除后急性给予醛固酮替代(III组)对J(v)无影响(37.1μl/h·cm²±10.3;n = 5),但J(Na)增加至10.3μmol/h·cm²±0.3。

  6. II组管腔内Na⁺稳态浓度(11.2mmol/L±3.6;n = 6)高于I组(3.3mmol/L±1.4;n = 29)。急性给予醛固酮替代可使该值恢复正常(3.0mmol/L±1.2;n = 4)。醛固酮的作用被螺内酯部分阻断:IV组Na⁺稳态浓度为6.4mmol/L±0.6(n = 3)。

  7. 在管腔内Na⁺稳态浓度时,I组和II组渗透压驱动的净水通量无差异,表明肾上腺切除后水力渗透系数未改变。

  8. V组中,J(v)(54.9μl/h·cm²±10.9;n = 7)和J(Na)(11.9μmol/h·cm²±1.7;n = 6)与正常无显著差异。

  9. VI组中,J(v)(37.3μl/h·cm²±6.0;n = 5)和J(Na)(8.0μmol/h·cm²±1.4)与II组无显著差异。

  10. 醛固酮在长期肾上腺切除中的盐皮质激素作用似乎是结肠J(v)和J(Na)的主要决定因素。

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