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肾单位间滤过分数的异质性以及蛋白质衍生值与血细胞比容衍生值之间的差异。

Internephron heterogeneity of filtration fraction and disparity between protein- and hematocrit-derived values.

作者信息

Jackson B, Oken D E

出版信息

Kidney Int. 1982 Feb;21(2):309-15. doi: 10.1038/ki.1982.23.

Abstract

The variability of single nephron filtration fraction (SNFF) and the relationship between filtration fractions determined simultaneously from 125I albumin (SNFFALB) and hematocrit (SNFFHCT) values were assessed by multiple samplings, 5 to 8 per kidney, in normal, hydropenic, Munich-Wistar rats. Single nephron filtration rate (SNGFR) measurements served as an independent marker of internephron heterogeneity. Whether derived as SNFFALB or SNFFHCT, a wide degree of internephron variability in SNFF, comparable to that found for SNGFR (P greater than 0.2) was observed in all kidneys. Hematocrit-derived SNFF values, however, were some 80% higher than those obtained with 125I albumin (SNFFHCT 0.447 +/- SEM 0.016 versus SNFFALB 0.258 +/- 0.009, P less than 0.001). The disparity in results obtained by the two methods disappears if the efferent arteriolar hematocrit (Hctg) is assigned a value 17 +/- SEM 1.4% higher than the corresponding femoral arterial hematocrit and might well be a reflection of the perfusion of superficial glomeruli with erythrocyte rich blood produced by the "plasma-skimming" phenomenon. The data suggest that multiple estimates of SNGFR and SNFF in a given rat kidney are needed to provide representative mean values for glomerular dynamic studies.

摘要

通过对正常、禁水的慕尼黑 - 威斯塔大鼠每个肾脏进行5至8次多次采样,评估单肾单位滤过分数(SNFF)的变异性,以及同时根据125I白蛋白(SNFFALB)和血细胞比容(SNFFHCT)值确定的滤过分数之间的关系。单肾单位滤过率(SNGFR)测量用作肾单位间异质性的独立标志物。无论作为SNFFALB还是SNFFHCT得出,在所有肾脏中均观察到SNFF存在广泛的肾单位间变异性,与SNGFR的变异性相当(P大于0.2)。然而,由血细胞比容得出的SNFF值比用125I白蛋白获得的值高约80%(SNFFHCT为0.447±标准误0.016,而SNFFALB为0.258±0.009,P小于0.001)。如果将出球小动脉血细胞比容(Hctg)的值设定为比相应股动脉血细胞比容高17±标准误1.4%,则两种方法所得结果的差异消失,这很可能反映了“血浆撇除”现象导致富含红细胞的血液对浅表肾小球的灌注。数据表明,为了为肾小球动力学研究提供代表性的平均值,需要对给定大鼠肾脏中的SNGFR和SNFF进行多次估计。

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