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肾小管-肾小球反馈系统效应机制的直接分析。

Direct analysis of the effector mechanism of the tubuloglomerular feedback system.

作者信息

Ichikawa I

出版信息

Am J Physiol. 1982 Nov;243(5):F447-55. doi: 10.1152/ajprenal.1982.243.5.F447.

Abstract

The determinants of single nephron glomerular filtration rate (SNGFR) were examined in Munich-Wistar rats by direct glomerular micropuncture during orthograde perfusion of the same nephron's loop of Henle with isotonic Ringer solution at O and 40 nl/min. At the higher loop flow rate, SNGFR decreased significantly by approximately 35% relative to the nonperfused condition. Whereas indirect stop-flow estimates of mean glomerular capillary hydraulic pressure (PGC) also decreased significantly by approximately 8 mmHg, directly measured PGC values were found to be unaffected by the change in loop flow rate. Instead, both glomerular plasma flow rate (QA) and the ultrafiltration coefficient were found to decrease significantly at the higher loop flow rate, thereby accounting for the measured reduction in SNGFR. Given the observed near constancy of directly measured PGC and significant reduction in QA, both afferent and effect arteriolar resistances were calculated to increase in response to the higher loop perfusion rate. In a separate set of experiments, it was demonstrated that cessation of glomerular filtration increased directly measured PGC in the condition of zero loop perfusion but not when the loop was perfused at a high flow rate. These results indicate 1) that tubuloglomerular feedback-induced changes in SNGFR are not accompanied by changes in PGC; and 2) that tubuloglomerular feedback regulation of GFR is mediated by alterations in vasomotor tone of preglomerular, glomerular, and postglomerular microvessels. 3) Based on the close anatomical contact between mesangial cells and these vessels, a single effector mechanism channeled through mesangial contractility is suggested.

摘要

通过对慕尼黑-威斯塔大鼠的单个肾单位进行直接肾小球微穿刺,在以0和40 nl/min的等渗林格溶液对同一肾单位的亨利袢进行顺行灌注期间,研究了单个肾单位肾小球滤过率(SNGFR)的决定因素。在较高的袢流速下,相对于未灌注状态,SNGFR显著降低了约35%。虽然平均肾小球毛细血管液压(PGC)的间接停流估计值也显著降低了约8 mmHg,但发现直接测量的PGC值不受袢流速变化的影响。相反,在较高的袢流速下,肾小球血浆流速(QA)和超滤系数均显著降低,从而解释了所测得的SNGFR降低。鉴于观察到直接测量的PGC近乎恒定且QA显著降低,计算得出入球小动脉和出球小动脉阻力均因较高的袢灌注速率而增加。在另一组实验中,证明在零袢灌注条件下肾小球滤过停止会增加直接测量的PGC,但在高流速灌注袢时则不会。这些结果表明:1)肾小管-肾小球反馈引起的SNGFR变化并不伴有PGC的变化;2)肾小球滤过率的肾小管-肾小球反馈调节是由肾小球前、肾小球和肾小球后微血管的血管舒缩张力改变介导的。3)基于系膜细胞与这些血管之间紧密的解剖学联系,提出了一种通过系膜收缩性介导的单一效应机制。

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