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血管紧张素II对犬动脉血压、肾小球滤过及肾钠重吸收的长期调节作用

Long-term regulation of arterial pressure, glomerular filtration and renal sodium reabsorption by angiotensin II in dogs.

作者信息

Hall J E, Guyton A C, Smith M J, Coleman T G

出版信息

Clin Sci (Lond). 1980 Dec;59 Suppl 6:87s-90s. doi: 10.1042/cs059087s.

Abstract
  1. This study was designed to quantify the role of angiotensin II in determining the chronic relationships between arterial pressure, renal haemodynamics and sodium excretion. 2. In six control dogs sodium balance was achieved during chronic increases in sodium intake from 5 to 495 mmol/day with small increases in arterial pressure (7mmHg), moderate increases in glomerular filtration rate (19%) and decreases in filtration fraction. Similar increases in sodium intake in dogs whose circulating levels of angiotensin II were fixed, due to a constant intravenous infusion of 4.85 pmol of angiotensin II min-1 kg-1, caused large increases in arterial pressure (42%), glomerular filtration rate (31%), filtration fraction and calculated renal sodium reabsorption above control. In six dogs whose angiotensin II formation was blocked by SQ 14 225, sodium balance at intakes of 5-80 mmol/day occurred at reduced arterial pressure, glomerular filtration rate, filtration fraction and sodium reabsorption although plasma aldosterone concentration was not substantially different from that in control dogs. At sodium intakes above 240 mmoL/day arterial pressure was not altered by SQ 14 225. 3. These data indicate that during chronic variations in sodium intake angiotensin II plays a major role, independently of changes in plasma aldosterone concentration, in allowing sodium balance without large fluctuations in glomerular filtration rate or arterial pressure. The mechanism whereby angiotensin II conserves sodium chronically is through increased sodium reabsorption, since steady-state sodium reabsorption was increased by angiotensin II and decreased by SQ 14 225.
摘要
  1. 本研究旨在量化血管紧张素II在确定动脉血压、肾血流动力学和钠排泄之间的慢性关系中的作用。2. 在6只对照犬中,随着钠摄入量从5 mmol/天慢性增加到495 mmol/天,实现了钠平衡,同时动脉血压有小幅升高(7 mmHg),肾小球滤过率有中度升高(19%),滤过分数降低。由于持续静脉输注4.85 pmol·min⁻¹·kg⁻¹的血管紧张素II,使血管紧张素II循环水平固定的犬,钠摄入量有类似增加时,动脉血压大幅升高(42%),肾小球滤过率升高(31%),滤过分数和计算得出的肾钠重吸收高于对照。在6只血管紧张素II生成被SQ 14 225阻断的犬中,尽管血浆醛固酮浓度与对照犬相比无显著差异,但在钠摄入量为5 - 80 mmol/天的情况下,钠平衡是在降低的动脉血压、肾小球滤过率、滤过分数和钠重吸收状态下实现的。当钠摄入量高于240 mmol/天时,SQ 14 225对动脉血压无影响。3. 这些数据表明,在钠摄入量的慢性变化过程中,血管紧张素II在不依赖血浆醛固酮浓度变化的情况下,在实现钠平衡且肾小球滤过率或动脉血压无大幅波动方面起主要作用。血管紧张素II长期保钠的机制是通过增加钠重吸收,因为血管紧张素II可使稳态钠重吸收增加,而SQ 14 225可使其降低。

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