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清醒犬对静脉注射和肾动脉注射去甲肾上腺素的肾脏反应所涉及的机制。

Mechanisms involved in the renal responses to intravenous and renal artery infusions of noradrenaline in conscious dogs.

作者信息

Anderson W P, Korner P I, Selig S E

出版信息

J Physiol. 1981 Dec;321:21-30. doi: 10.1113/jphysiol.1981.sp013969.

Abstract
  1. The renal haemodynamic and glomerular filtration rate (G.F.R.) responses to intravenous and intrarenal infusions of noradrenaline were studied in conscious dogs, either with or without prior blockade of angiotensin II formation with teprotide. 2. Infusion noradrenaline by either route resulted in dose-related rises in plasma renin activity. 3. Pretreatment with teprotide reduced the rise in mean arterial pressure and abolished the rise in G.F.R. seen during intravenous infusions of noradrenaline (0.1, 0.2 and 0.4 microgram/kg . min). Noradrenaline also reduced filtration fraction more after teprotide pretreatment. 4. Renal blood flow rose and renal vascular resistance fell in response to I.V. noradrenaline infusions. This renal vasodilatation was unaffected by pretreatment of the dogs with teprotide, indomethacin or DL-propranolol. However after pentolinium pretreatment, I.V. noradrenaline infusion caused a dose-related renal vasoconstriction. 5. Infusion of noradrenaline into the renal artery (0.02, 0.05 and 0.1 microgram/kg . min) resulted in rises in mean arterial pressure and G.F.R. which were abolished by teprotide pretreatment. Filtration fraction rose when noradrenaline was administered alone but fell when it was infused after teprotide treatment. 6. Thus angiotensin II formed as the result of increased renin release acted to maintain G.F.R. and filtration fraction during noradrenaline infusion. In addition, I.V. noradrenaline infusions in conscious dogs caused reflex vasodilatation of the renal vasculature.
摘要
  1. 在清醒犬中研究了静脉内和肾内输注去甲肾上腺素对肾血流动力学和肾小球滤过率(G.F.R.)的反应,这些犬事先用替普罗肽阻断血管紧张素II形成或未阻断。2. 通过任何一种途径输注去甲肾上腺素均导致血浆肾素活性呈剂量依赖性升高。3. 用替普罗肽预处理可降低平均动脉压的升高,并消除静脉输注去甲肾上腺素(0.1、0.2和0.4微克/千克·分钟)期间出现的G.F.R.升高。替普罗肽预处理后,去甲肾上腺素对滤过分数的降低作用更强。4. 静脉输注去甲肾上腺素时,肾血流量增加,肾血管阻力降低。这种肾血管舒张不受用替普罗肽、吲哚美辛或DL-普萘洛尔对犬进行预处理的影响。然而,在潘托铵预处理后,静脉输注去甲肾上腺素会引起剂量依赖性肾血管收缩。5. 向肾动脉内输注去甲肾上腺素(0.02、0.05和0.1微克/千克·分钟)导致平均动脉压和G.F.R.升高,而替普罗肽预处理可消除这种升高。单独给予去甲肾上腺素时滤过分数升高,但在替普罗肽治疗后输注时滤过分数降低。6. 因此,肾素释放增加导致形成的血管紧张素II在输注去甲肾上腺素期间起到维持G.F.R.和滤过分数的作用。此外,清醒犬静脉输注去甲肾上腺素会引起肾血管的反射性血管舒张。

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