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静脉输注沙拉新对二肾一夹型 Goldblatt 高血压大鼠双侧肾功能的影响。

Effects of saralasin infusion on bilateral renal function in two-kidney, one-clip Goldblatt hypertensive rats.

作者信息

Huang W C, Ploth D W, Navar L G

出版信息

Clin Sci (Lond). 1982 Jun;62(6):573-9. doi: 10.1042/cs0620573.

Abstract
  1. Previous studies have shown that administration of converting enzyme inhibitor (CEI, SQ 20 881) to two-kidney, one-clip Goldblatt hypertensive (GH) rats clipped for 3-4 weeks resulted in marked increases in glomerular filtration rate (GFR), water and sodium excretion by the non-clipped kidneys. The clipped kidneys exhibited reduced function that was due, in part, to the reductions in arterial pressure. To evaluate further the hypothesis that the renal responses to CEI were due primarily to the inhibition of angiotensin II rather than other factors, we infused the angiotensin II competitive blocker, saralasin, into GH rats under sodium pentobarbital anaesthesia and examined renal haemodynamics and excretory function of each kidney before and during saralasin infusion and after cessation of saralasin infusion. 2. Saralasin reduced mean arterial blood pressure from 164 +/- 4 to 124 +/- 4 mmHg. Despite the profound fall of arterial pressure, significant increases in renal blood flow from 5.82 +/- 0.22 to 9.15 +/- 0.76 ml/min and glomerular filtration rate from 1.46 +/- 0.10 to 2.18 +/- 0.14 ml/min were observed in the non-clipped kidneys. Renal vascular resistance decreased from 2.34 (+/- 0.14) x 10(5) to 1.17 (+/- 0.19) x 10(5) kPa 1(-1) s [2.34 (+/- 0.14) x 10(6) to 1.17 (+/- 0.19) x 10(6) dyn s cm-5]. Also, concomitant diuresis and kaliuresis and a delayed natriuresis occurred. 3. The clipped kidneys exhibited reductions in renal blood flow, GFR and excretory function during saralasin infusion. 4. Normal rats receiving the identical dose of saralasin responded with a slight but significant decrease in arterial pressure. The increase in renal blood flow and GFR were less than those observed in the non-clipped kidneys of hypertensive rats. 5. These data provide further support to the hypothesis that an angiotensin II-mediated elevation in renal vascular resistance and impairment of renal function exist in the non-clipped kidneys of GH rats.
摘要
  1. 先前的研究表明,给两肾一夹的Goldblatt高血压(GH)大鼠(夹闭3 - 4周)给予转换酶抑制剂(CEI,SQ 20 881),未夹闭的肾脏的肾小球滤过率(GFR)、水和钠排泄显著增加。夹闭的肾脏功能降低,部分原因是动脉压降低。为了进一步评估肾脏对CEI的反应主要是由于血管紧张素II的抑制而非其他因素这一假说,我们在戊巴比妥钠麻醉下给GH大鼠输注血管紧张素II竞争性阻滞剂沙拉新,并在输注沙拉新前、输注期间和停止输注后检查每个肾脏的肾血流动力学和排泄功能。2. 沙拉新使平均动脉血压从164±4 mmHg降至124±4 mmHg。尽管动脉压大幅下降,但在未夹闭的肾脏中观察到肾血流量从5.82±0.22 ml/min显著增加至9.15±0.76 ml/min,肾小球滤过率从1.46±0.10 ml/min增加至2.18±0.14 ml/min。肾血管阻力从2.34(±0.14)×10⁵降至1.17(±0.19)×10⁵ kPa⁻¹ s [2.34(±0.14)×10⁶至1.17(±0.19)×10⁶ dyn s cm⁻⁵]。此外,同时出现利尿、尿钾增多和延迟性利钠。3. 在输注沙拉新期间,夹闭的肾脏肾血流量、GFR和排泄功能降低。4. 接受相同剂量沙拉新的正常大鼠动脉压有轻微但显著的下降。肾血流量和GFR的增加小于高血压大鼠未夹闭肾脏中的增加。5. 这些数据进一步支持了以下假说:在GH大鼠未夹闭的肾脏中存在血管紧张素II介导的肾血管阻力升高和肾功能损害。

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