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一种用于肾小球滤过率反馈控制的简单稳态模型。

A simple steady-state model for feedback control of glomerular filtration rate.

作者信息

Briggs J

出版信息

Kidney Int Suppl. 1982 Aug;12:S143-50.

PMID:6957670
Abstract

Repeat measurements of SNGFR during different rates of microperfusion of the loop of Henle have demonstrated that the alterations of SNGFR were greatest between perfusion rates of 10 and 20 nl/min, but that changes also occurred below 10 nl/min and above 20 nl/min. By a simple curve-fitting procedure, yielding parameter estimates for single nephrons, we determined that the half-maximum response was achieved at a perfusion rate of 16.3 nl/min and that at that flow the slope of the relationship between VLP and SNGFR was 1.84. From the curve describing the perfusion response and from measurements of the proximal transport rate, we estimated that, at the operating point of the feedback loop, VLP and SNGFR should be approximately 18 and 35 nl/min, respectively. Measurements made without interruption of the feedback pathway confirmed this prediction, suggesting that perfusion adequately mimics the free-flow state. We conclude, that under the experimental conditions studied, the operating point of the feedback mechanism is located within the flow range in which the mechanism is most sensitive, so that both increases and decreases in tubular flow from the normal values should produce changes in filtration rate.

摘要

在不同的髓袢微灌注速率下重复测量单个肾单位肾小球滤过率(SNGFR),结果表明,在10至20 nl/min的灌注速率之间,SNGFR的变化最大,但在低于10 nl/min和高于20 nl/min时也会发生变化。通过一个简单的曲线拟合程序,得出单个肾单位的参数估计值,我们确定在16.3 nl/min的灌注速率下达到最大反应的一半,并且在该流量下,血管内压(VLP)与SNGFR之间关系的斜率为1.84。根据描述灌注反应的曲线以及近端转运速率的测量结果,我们估计,在反馈环的工作点,VLP和SNGFR应分别约为18和35 nl/min。在不中断反馈途径的情况下进行的测量证实了这一预测,表明灌注充分模拟了自由流动状态。我们得出结论,在所研究的实验条件下,反馈机制的工作点位于该机制最敏感的流量范围内,因此,与正常值相比,肾小管流量的增加和减少均应导致滤过率的变化。

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