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渗透压对链脲佐菌素诱导糖尿病大鼠血管加压素分泌的影响。

Osmolal effects on vasopressin secretion in the streptozotocin-diabetic rat.

作者信息

Van Itallie C M, Fernstrom J D

出版信息

Am J Physiol. 1982 Jun;242(6):E411-7. doi: 10.1152/ajpendo.1982.242.6.E411.

Abstract

To determine the relationships between serum levels of arginine vasopressin (AVP) and serum osmolality and sodium in diabetic rats, we measured these variables in streptozotocin-diabetic and normal animals treated with water, isotonic saline, or hypertonic saline. Serum osmolality was higher and sodium lower in untreated diabetics than in controls; these variables increased in both groups after hypertonic saline. Serum AVP levels (measured by radioimmunoassay in Amberlite-extracted serum) were 2.3 +/- 0.5 and 9.8 +/- 1.7 pg/ml in control and diabetic rats, respectively, injected with isotonic saline. AFter injection of hypertonic saline, serum AVP levels rose to 14.5 +/- 2.3 pg/ml in controls and 18.7 +/- 1.7 pg/ml in diabetics. Water injection decreased serum AVP in diabetics (as in normals), but only to 5.8 +/- 1.0 pg/ml. To assess indirectly whether the chronically high levels of AVP in serum had an impact on kidney function, diabetic rats were studied after passive immunization with an anti-AVP serum. This treatment increased urine flow and decreased urine osmolality in dehydrated diabetic rats. Taken together, these data affirm in diabetic rats, as in humans, the occurrence of 1) elevated steady-state levels of AVP in serum; 2) abnormal sensitivity of AVP secretion to changes in serum sodium and osmolality; and 3) an apparently intact end-organ responsiveness to AVP.

摘要

为了确定糖尿病大鼠血清中精氨酸加压素(AVP)水平与血清渗透压及钠之间的关系,我们在链脲佐菌素诱导的糖尿病大鼠和正常动物中测量了这些变量,这些动物分别接受水、等渗盐水或高渗盐水处理。未经治疗的糖尿病大鼠血清渗透压高于对照组,而血清钠低于对照组;高渗盐水处理后两组的这些变量均升高。注射等渗盐水后,对照组和糖尿病大鼠血清AVP水平(通过在Amberlite提取的血清中进行放射免疫测定)分别为2.3±0.5和9.8±1.7 pg/ml。注射高渗盐水后,对照组血清AVP水平升至14.5±2.3 pg/ml,糖尿病大鼠升至18.7±1.7 pg/ml。注射水可降低糖尿病大鼠(与正常大鼠一样)的血清AVP水平,但仅降至5.8±1.0 pg/ml。为了间接评估血清中持续高水平的AVP是否对肾功能有影响,在用抗AVP血清进行被动免疫后对糖尿病大鼠进行了研究。这种处理增加了脱水糖尿病大鼠的尿流量并降低了尿渗透压。综上所述,这些数据证实,在糖尿病大鼠中,与人类一样,存在以下情况:1)血清中AVP稳态水平升高;2)AVP分泌对血清钠和渗透压变化的异常敏感性;3)终末器官对AVP的反应性显然完整。

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