Roman R J, Lechene C
Am J Physiol. 1981 Jul;241(1):F53-60. doi: 10.1152/ajprenal.1981.241.1.F53.
The present study examines the possibility that prostaglandins affect the renal tubular handling of urea. Meclofenamate (1 mg.kg-1.h-1), an inhibitor of prostaglandin synthesis, decreased fractional urea clearance from 86 to 67%, increased urine osmolality, and decreased the fractional excretion of water in rats undergoing a hypertonic sodium chloride diuresis. The percentage of [14C]urea microinjected into distal convoluted tubules that was recovered in urine fell from 75 to 64% (P less than 0.01) after meclofenamate. The fraction of injected urea excreted like inulin (direct recovery) was reduced from 20 to 8% (P less than 0.0001) by meclofenamate. Addition of PGE2 (1.2 or 89 pmol) or PGF2 alpha (1.4 pmol) to the microinjectate returned the urinary recovery of the microinjected [14C]urea to the control level, but PGA2 (3 pmol) did not. Direct urea recovery was doubled by PGE2 or PGF2 alpha. These results indicate that prostaglandin E2 and F2 alpha inhibit the reabsorption of urea in the collecting duct. Prostaglandins may participate in the renal concentrating mechanism by altering the inner medullary influx of urea.
本研究探讨了前列腺素影响肾小管对尿素处理的可能性。消炎痛(1毫克·千克⁻¹·小时⁻¹),一种前列腺素合成抑制剂,使高渗氯化钠利尿大鼠的尿素清除分数从86%降至67%,增加了尿渗透压,并降低了水的排泄分数。消炎痛处理后,注入远曲小管的[¹⁴C]尿素在尿中的回收率从75%降至64%(P<0.01)。消炎痛使注入尿素像菊粉一样排泄(直接回收率)的比例从20%降至8%(P<0.0001)。向微量注射液中添加PGE₂(1.2或89皮摩尔)或PGF₂α(1.4皮摩尔)可使微量注射的[¹⁴C]尿素的尿回收率恢复到对照水平,但PGA₂(3皮摩尔)则不能。PGE₂或PGF₂α使直接尿素回收率加倍。这些结果表明,前列腺素E₂和F₂α抑制集合管中尿素的重吸收。前列腺素可能通过改变尿素在内髓质的流入而参与肾脏浓缩机制。