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血管紧张素II与未麻醉犬的钠钾肾排泄

Angiotensin II and renal excretion of sodium and potassium in unanaesthetized dogs.

作者信息

Børresen H C, Rørvik S, Guldvog I, Aakvaag A

出版信息

Scand J Clin Lab Invest. 1982 Feb;42(1):87-92.

PMID:7134792
Abstract

Aldosterone is a kaliuretic hormone. It is also widely believed to be instrumental for physiological renal sodium sparing. How, then, can mammals respond to incipient dehydration or low sodium intake without inappropriate potassium loss? To study this problem angiotensin II (A II) was infused intravenously in six dogs. The dose rate was 10 ng per kg per min, probably maintaining plasma A II in the upper physiological range. The A II infusions lasted 3 h, i.e. long enough for the effects of increased aldosterone release to be observable. Mean arterial blood pressure increased by 8% while effective renal plasma flow and glomerular filtration rate fell by 28% and 7%, respectively. Renal sodium excretion fell to near 8% of the preinfusion control values. Plasma aldosterone increased three-fold. Yet no kaliuresis occurred. Potassium and chloride excretion declined by 50% and 80%, respectively. In five of the six dogs urine flow decreased 50% or more with concomitant increase of urine osmolality. Our data indicate that physiological increments of A II can bring about sustained renal sodium sparing without inducing potassium wasting.

摘要

醛固酮是一种排钾利尿激素。人们还普遍认为它对生理性肾保钠起着重要作用。那么,哺乳动物如何在不发生不适当钾流失的情况下对初期脱水或低钠摄入做出反应呢?为了研究这个问题,对6只狗静脉注射血管紧张素II(A II)。剂量率为每分钟每千克10纳克,这可能使血浆A II维持在生理范围上限。A II输注持续3小时,即足以观察到醛固酮释放增加的效果。平均动脉血压升高了8%,而有效肾血浆流量和肾小球滤过率分别下降了28%和7%。肾钠排泄降至输注前对照值的近8%。血浆醛固酮增加了三倍。然而并没有发生排钾利尿。钾和氯的排泄分别下降了50%和80%。在6只狗中的5只中,尿流量减少了50%或更多,同时尿渗透压增加。我们的数据表明,A II的生理性增加可实现持续的肾保钠而不引起钾流失。

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