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大鼠孕期的肾脏血流动力学与容量稳态

Renal hemodynamics and volume homeostasis during pregnancy in the rat.

作者信息

Alexander E A, Churchill S, Bengele H H

出版信息

Kidney Int. 1980 Aug;18(2):173-8. doi: 10.1038/ki.1980.126.

DOI:10.1038/ki.1980.126
PMID:7003198
Abstract

We believe that in pregnant rats, GFR is elevated at term, whereas renal plasma flow appears not to be increased. The mechanism for this increment is unclear, as is the specific time during gestation when renal hemodynamics increase. Rats increase their salt appetite and significantly positive sodium balance occurs, which is most pronounced during the last week of gestation. The retained sodium is distributed in part to the products of conception and in part to the mother, particularly in increasing her extracellular fluid volume. Although chronic volume expansion is present, absolute tubular sodium reabsorption remains elevated. The mechanism for this elevated tubular reabsorption appears no to be related to aldosterone because reduction or inhibition of this mineralocorticoid does not affect sodium balance significantly.

摘要

我们认为,妊娠大鼠足月时肾小球滤过率(GFR)升高,而肾血浆流量似乎并未增加。这种增加的机制尚不清楚,妊娠期肾血流动力学增加的具体时间也不清楚。大鼠的盐食欲增加,钠平衡显著呈正,这在妊娠最后一周最为明显。潴留的钠部分分配给妊娠产物,部分分配给母体,特别是增加其细胞外液量。尽管存在慢性容量扩张,但肾小管钠重吸收绝对值仍升高。这种肾小管重吸收升高的机制似乎与醛固酮无关,因为这种盐皮质激素的减少或抑制对钠平衡没有显著影响。

相似文献

1
Renal hemodynamics and volume homeostasis during pregnancy in the rat.大鼠孕期的肾脏血流动力学与容量稳态
Kidney Int. 1980 Aug;18(2):173-8. doi: 10.1038/ki.1980.126.
2
Pregnancy: an overfill or underfill state.怀孕:一种充盈过度或充盈不足的状态。
Am J Kidney Dis. 1987 Apr;9(4):284-9. doi: 10.1016/s0272-6386(87)80123-3.
3
Control of blood and extracellular volume.血液及细胞外液量的调节
Baillieres Clin Endocrinol Metab. 1989 Aug;3(2):331-69. doi: 10.1016/s0950-351x(89)80007-2.
4
Body fluid homeostasis in man. A contemporary overview.人体体液平衡。当代综述。
Am J Med. 1981 Jan;70(1):77-88. doi: 10.1016/0002-9343(81)90414-9.
5
Sodium metabolism.钠代谢
N Engl J Med. 1969 Jul 10;281(2):72-86. doi: 10.1056/NEJM196907102810205.
6
Volume homeostasis during pregnancy in the rat.
Am J Kidney Dis. 1987 Apr;9(4):296-302. doi: 10.1016/s0272-6386(87)80125-7.
7
Tubular reabsorption of sodium ion: influence of factors other than aldosterone and glomerular filtration rate. 1.
N Engl J Med. 1971 Nov 25;285(22):1231-43. doi: 10.1056/NEJM197111252852205.
8
Regulation of glomerular filtration and proximal tubule reabsorption.肾小球滤过和近端小管重吸收的调节。
Circ Res. 1975 Jun;36(6 Suppl 1):107-18. doi: 10.1161/01.res.36.6.107.
9
Cyclosporine nephrotoxicity: blood volume, sodium conservation, and renal hemodynamics.环孢素肾毒性:血容量、钠潴留及肾血流动力学
Am J Physiol. 1989 Jan;256(1 Pt 2):F71-8. doi: 10.1152/ajprenal.1989.256.1.F71.
10
[Renal function in changes in the volume and composition of the extracellular fluid].[细胞外液容量与成分变化时的肾功能]
Usp Fiziol Nauk. 1986 Jan-Mar;17(1):77-91.

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The enigma of continual plasma volume expansion in pregnancy: critical role of the renin-angiotensin-aldosterone system.孕期血浆容量持续扩张之谜:肾素-血管紧张素-醛固酮系统的关键作用。
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The chloride-bicarbonate exchanger pendrin is increased in the kidney of the pregnant rat.氯离子-碳酸氢根离子交换体pendrin在妊娠大鼠肾脏中表达增加。
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6
Renal NCC is unchanged in the midpregnant rat and decreased in the late pregnant rat despite avid renal Na+ retention.在妊娠中期大鼠中,肾钠氯协同转运蛋白(NCC)没有变化,而在妊娠晚期大鼠中,尽管肾脏强烈潴留钠离子,但NCC却减少了。
Am J Physiol Renal Physiol. 2015 Jul 1;309(1):F63-70. doi: 10.1152/ajprenal.00147.2015. Epub 2015 Apr 29.
7
Increased renal alpha-epithelial sodium channel (ENAC) protein and increased ENAC activity in normal pregnancy.正常妊娠中肾脏α上皮钠通道(ENAC)蛋白增加和 ENAC 活性增加。
Am J Physiol Regul Integr Comp Physiol. 2010 Nov;299(5):R1326-32. doi: 10.1152/ajpregu.00082.2010. Epub 2010 Aug 4.
8
Role of volume in the regulation of vasopressin secretion during pregnancy in the rat.容量在大鼠孕期抗利尿激素分泌调节中的作用
J Clin Invest. 1984 Apr;73(4):923-32. doi: 10.1172/JCI111316.