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前列腺素合成抑制剂对大鼠肾小球超滤中外源性血管紧张素II作用的调节

Modulation by prostaglandin synthesis inhibitors of the action of exogenous angiotensin II on glomerular ultrafiltration in the rat.

作者信息

Baylis C, Brenner B M

出版信息

Circ Res. 1978 Dec;43(6):889-98. doi: 10.1161/01.res.43.6.889.

Abstract

We studied the effects of angiotensin II (A II) infusion, with and without inhibition of prostaglandin (PG) synthesis, on the determinants of glomerular ultrafiltration in 27 plasma volume-expanded Munich-Wistar rats. The effects of PG inhibition alone and infusion of vehicle alone also were investigated. With a pressor dose of A II single nephron (SN) GFR and total GFR did not change significantly, despite declines in both glomerular plasma flow rate (QA) and the ultrafiltration coefficient (Kf), due to an offsetting rise in the transcapillary hydraulic pressure difference (deltaP). Afferent and efferent arteriolar resistances (RA and RE) increased by approximately 100% above control during A II infusion. Inhibition of PG synthesis alone and infusion of vehicle alone similarly failed to affect SNGFR and total GFR, and only slight changes occurred in the determinants of glomerular ultrafiltration in these rats. When A II infusion was accompanied by inhibition of PG synthesis, however, profound declines in SNGFR and total GFR were seen, due to further reductions in QA and 2-fold greater increases in RA and RE than occurred with the same dose of A II alone. The A II-induced fall in Kf was not affected by simultaneous PG inhibition. Thus, endogenous PGs attenuate the vasoconstrictor actions of A II on the superficial renal microvasculature and minimize changes in QA, SNGFR, and total GFR. It is likely that an interaction between A II and PG may be important in pathophysiological conditions in which endogenous A II levels are elevated.

摘要

我们研究了在27只血浆容量扩充的慕尼黑-威斯塔大鼠中,输注血管紧张素II(A II)以及在有无抑制前列腺素(PG)合成的情况下,对肾小球超滤决定因素的影响。还研究了单独抑制PG以及单独输注溶媒的作用。给予升压剂量的A II时,尽管肾小球血浆流速(QA)和超滤系数(Kf)均下降,但由于跨毛细血管液压差(deltaP)的相应升高,单肾单位(SN)肾小球滤过率(GFR)和总GFR并未显著改变。在输注A II期间,入球和出球小动脉阻力(RA和RE)比对照升高约100%。单独抑制PG合成和单独输注溶媒同样未能影响SNGFR和总GFR,且这些大鼠肾小球超滤决定因素仅有轻微变化。然而,当A II输注伴有PG合成抑制时,可见SNGFR和总GFR显著下降,这是由于QA进一步降低,且RA和RE的升高幅度比单独给予相同剂量A II时大2倍。A II诱导的Kf下降不受同时抑制PG的影响。因此,内源性PG可减弱A II对浅表肾微血管的血管收缩作用,并使QA、SNGFR和总GFR的变化最小化。在体内A II水平升高的病理生理状况下,A II与PG之间的相互作用可能很重要。

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