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环氧化酶抑制对钠充足和缺钠犬肾脏的不同影响。

Differential renal effects of cyclooxygenase inhibition in sodium-replete and sodium-deprived dog.

作者信息

Blasingham M C, Nasjletti A

出版信息

Am J Physiol. 1980 Oct;239(4):F360-F365. doi: 10.1152/ajprenal.1980.239.4.F360.

DOI:10.1152/ajprenal.1980.239.4.F360
PMID:6999917
Abstract

We studied the renal effects of the cyclooxygenase inhibitor sodium meclofenamate (M) (5 mg/kg, iv) in the pentobarbital-anesthetized dog that had been maintained on an elevated (100 meq/day) or on a reduced (< meq/day) sodium intake, and during the administration of antiotensin II in the sodium-replete dog, or the angiotensin receptor blocker [Sar1-Ala8]angiotensin II in the sodium-deprived dog. In the sodium-replete dog, M did not affect mean arterial blood pressure (MABP), renal blood flow (RBF), glomerular filtration rate, (GFR), or urine volume (V), but reduced the urinary excretion of sodium (UNaV) by 47%, and of immunoreactive PGE2 (iPGE2) by 90%. However, in the sodium-replete dog during angiotensin II infusion (3 ng . kg-1 . min-1, iv), M reduced RBF by 35%, GFR by 24%, V by 72%, and iPGE2 by 94%. Similarly, in the sodium-deprived dog M reduced RBF by 34%, GFR by 28%, and iPGE2 excretion by 89%. However, M did not affect RBF or GFR in the sodium-deprived dog during infusion of [Sar1-Ala8]angiotensin II (6 microgram . kg-1 . min-1, iv), although iPGE2 excretion was reduced by 84%. This study demonstrates that the effects of M on renal hemodynamics in the dog vary with the state of sodium balance and suggests that a prostaglandin(s) contributes to maintenance of renal blood flow during activation of the renin-angiotensin system.

摘要

我们研究了环氧化酶抑制剂甲氯芬那酸钠(M)(5毫克/千克,静脉注射)对戊巴比妥麻醉犬的肾脏影响。这些犬分别维持高钠摄入(100毫当量/天)或低钠摄入(<毫当量/天),并且在钠充足的犬给予血管紧张素II期间,或在钠缺乏的犬给予血管紧张素受体阻滞剂[Sar1-Ala8]血管紧张素II期间进行研究。在钠充足的犬中,M不影响平均动脉血压(MABP)、肾血流量(RBF)、肾小球滤过率(GFR)或尿量(V),但钠尿排泄量(UNaV)降低了47%,免疫反应性前列腺素E2(iPGE2)降低了90%。然而,在钠充足的犬静脉输注血管紧张素II(3纳克·千克-1·分钟-1)期间,M使RBF降低了35%,GFR降低了24%,V降低了72%,iPGE2降低了94%。同样,在钠缺乏的犬中,M使RBF降低了34%,GFR降低了28%,iPGE2排泄降低了89%。然而,在钠缺乏的犬静脉输注[Sar1-Ala8]血管紧张素II(6微克·千克-1·分钟-1)期间,M不影响RBF或GFR,尽管iPGE2排泄降低了84%。本研究表明,M对犬肾血流动力学的影响随钠平衡状态而异,并提示一种或多种前列腺素在肾素-血管紧张素系统激活期间有助于维持肾血流量。

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Renal prostaglandins.肾前列腺素
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J Clin Invest. 1983 Aug;72(2):466-77. doi: 10.1172/jci110994.
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