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足月妊娠大鼠的肾功能:一项微穿刺研究。

Renal function in the term pregnant rat: a micropuncture study.

作者信息

Churchill S E, Bengele H H, Alexander E A

出版信息

Ren Physiol. 1982;5(1):1-9. doi: 10.1159/000172833.

Abstract

The purpose of this study was to define individual nephron function and salt and fluid reabsorption in the term pregnant rat utilizing standard micropuncture techniques. The studies were performed at the time of maximal sodium retention and when extracellular fluid volume was significantly increased. During micropuncture in 7 pregnant and 9 non-pregnant rats, we found no difference, respectively, in GFR 1.04 +/- 0.06 vs. 1.13 +/- 0.06 ml/min/kidney or nephron GFR 35 +/- 0.9 vs. 33 +/- 1 ml/min. Fractional and absolute Na reabsorption was also not significantly different in the proximal tubule or the loop of Henle. Along the distal tubule, fractional reabsorption was higher in pregnancy, 71 +/- 3 vs. 62 +/- 4 but not statistically different, 0.05 less than p less than 0.10. Beyond the late distal tubule absolute delivery and reabsorption were greater in the nonpregnant rats. Distal nephron potassium secretion was similar in both groups. In anesthetized rats during clearance studies but without surgery for micropuncture, GFR in the pregnant group was significantly higher than the nonpregnant rats, 1.65 +/- 0.06 vs. 1.28 +/- 1.10 ml/min/kidneys as was tubular reabsorption of sodium. We conclude that pregnant rats exhibit glomerular tubular balance and that potassium handling along the superficial nephron is unaffected by pregnancy. The sodium retention of pregnancy appears to occur because of the failure of inhibition of tubular sodium reabsorption, a response which is normally expected when extracellular volume is expanded.

摘要

本研究的目的是利用标准微穿刺技术确定足月妊娠大鼠的单个肾单位功能以及盐和液体的重吸收情况。研究在钠潴留达到最大值且细胞外液量显著增加时进行。在对7只妊娠大鼠和9只非妊娠大鼠进行微穿刺过程中,我们分别发现,肾小球滤过率(GFR)在妊娠大鼠中为1.04±0.06ml/(min·肾),在非妊娠大鼠中为1.13±0.06ml/(min·肾);单个肾单位肾小球滤过率(nephron GFR)在妊娠大鼠中为35±0.9ml/(min·肾),在非妊娠大鼠中为33±1ml/(min·肾),二者均无差异。近端小管或髓袢中的钠重吸收分数及绝对重吸收量也无显著差异。在远曲小管,妊娠时的重吸收分数较高,为71±3,而非妊娠时为62±4,但无统计学差异(0.05<P<0.10)。在远曲小管晚期之后,非妊娠大鼠的绝对输送量和重吸收量更大。两组远曲小管钾分泌情况相似。在清除率研究期间,对麻醉大鼠但不进行微穿刺手术时,妊娠组的GFR显著高于非妊娠大鼠,分别为1.65±0.06ml/(min·肾)和1.28±1.10ml/(min·肾),钠的肾小管重吸收情况也是如此。我们得出结论,妊娠大鼠表现出肾小球肾小管平衡,且浅表肾单位对钾的处理不受妊娠影响。妊娠时的钠潴留似乎是由于肾小管钠重吸收抑制作用失效所致,而细胞外液量增加时正常情况下会出现这种抑制反应。

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