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致密斑在肾素分泌的肾神经调节中的作用。

Role of macula densa in renal nerve modulation of renin secretion.

作者信息

Osborn J L, Thames M D, DiBona G F

出版信息

Am J Physiol. 1982 Mar;242(3):R367-71. doi: 10.1152/ajpregu.1982.242.3.R367.

Abstract

Low-frequency renal nerve stimulation (0.25 Hz) augments the renin secretion response to reduction of renal perfusion pressure to 50 mmHg by aortic constriction. The present experiments determined whether this modulating influence could be demonstrated when the macula densa receptor was inoperative. In 10 anesthetized dogs with a nonfiltering kidney and sectioned renal nerves, aortic constriction to 52 mmHg decreased renal blood flow and increased renin secretion from 126 +/- 94 to 192 +/- 55 ng/min. During low-frequency renal nerve stimulation and aortic constriction to 50 mmHg, renin secretion was not augmented (37 +/- 13 to 81 +/- 42 ng/min). In four anesthetized dogs with nonfiltering kidneys, aortic constriction to 52 mmHg increased renin secretion similarly before (16 +/- 8 to 68 +/- 17 ng/min) and after renal denervation (14 +/- 14 to 78 +/- 18 ng/min). Therefore, the augmentation of the renin secretion response to aortic constriction to 50 mmHg by low-frequency renal nerve stimulation in filtering kidneys does not result from an interaction with the renal vascular baroreceptor or the juxtaglomerular granular cells. Since neural augmentation of renin secretion during aortic constriction was not observed in the nonfiltering kidney where the macula densa is inoperative, we conclude that the macula densa is the probable site for the neural modulation of renin secretion.

摘要

低频肾神经刺激(0.25Hz)可增强肾素分泌对通过主动脉缩窄使肾灌注压降至50mmHg的反应。本实验确定当致密斑感受器不起作用时,这种调节作用是否仍能表现出来。在10只麻醉的狗身上,将一侧肾制成无滤过功能且切断肾神经,将主动脉缩窄至52mmHg可使肾血流量减少,肾素分泌从126±94ng/min增加至192±55ng/min。在低频肾神经刺激并将主动脉缩窄至50mmHg时,肾素分泌未增加(从37±13ng/min增至81±42ng/min)。在4只麻醉的无滤过功能肾的狗身上,将主动脉缩窄至52mmHg时,肾素分泌在肾去神经支配前(从16±8ng/min增至68±17ng/min)和去神经支配后(从14±14ng/min增至78±18ng/min)同样增加。因此,在有滤过功能的肾脏中,低频肾神经刺激增强肾素分泌对主动脉缩窄至50mmHg的反应并非源于与肾血管压力感受器或球旁颗粒细胞的相互作用。由于在致密斑不起作用的无滤过功能肾脏中未观察到主动脉缩窄期间肾素分泌的神经增强作用,我们得出结论,致密斑可能是肾素分泌神经调节的部位。

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