Durr J A, Stamoutsos B, Lindheimer M D
J Clin Invest. 1981 Aug;68(2):337-46. doi: 10.1172/jci110261.
Osmoregulation was studied in near term and age-matched Sprague-Dawley rats. Basal plasma osmolality (P(osm)) and plasma sodium (P(Na)) were 281+/-3 mosmol/kg and 134+/-3 meq/liter, respectively, on the 20th gestational day compared with 292+/-3 mosmol/kg and 140+/-1 meq/liter in virgin animals (P < 0.001), whereas P(urea) and plasma water content were similar in pregnant and control rats. These differences could not be reproduced in animals receiving progesterone, estrone, or a combination of progesterone and estradiol for 2 wk. Pregnant and control rats were deprived of water for periods ranging from 0 to 48 h. P(osm), always lower in gravidity, was 290+/-3 mosmol/kg after 2 d of water deprivation in pregnant animals compared with 300+/-2 mosmol/kg in controls (P < 0.001). Thus 48 h of dehydration were required before P(osm) in gravid rats was similar to basal values in the age-matched virgins. Despite strikingly lower P(osm), plasma arginine vasopressin (P(AVP)) and urinary osmolality (U(osm)) were similar in the basal state averaging 2.16+/-0.78 pg/ml and 1,652+/-406 mosmol/kg, respectively, during pregnancy compared with 2.08+/-2.17 pg/ml and 1,483+/-203 mosmol/kg in controls (NS). Water deprivation increased P(AVP) and U(osm) similarly in pregnant and virgin rats: these values reached 22.7+/-3.3 pg/ml and 3,300+/-123 mosmol/kg at 48 h in gravid compared with 26.0+/-6.4 pg/ml and 3,342+/-141 mosmol/kg in the controls (NS). Regression equations for P(AVP)vs. P(osm) which were highly significant (P < 0.001) in both groups demonstrated an apparent threshold for AVP secretion approximately 11 mosmol lower in gravid animals. Intravascular volume decreased, and plasma aldosterone increased during water deprivation, and both changes (Delta%) were significantly greater in the gravid animals (P <0.01). Therefore, P(osm) was increased without concomitant volume depletion by intraperitoneal hypertonic saline. Again P(AVP)vs. P(osm) correlated significantly (r > 0.9; P < 0.001) in each group, and the apparent threshold was 14 mosmol lower in pregnant animals. Diluting ability, tested by oral water loading, was not impaired in the pregnant animals which excreted a 30 ml/kg load as well as controls. Also, chronically hydrated virgin animals whose fluid intake was more than twice that of pregnant rats (for 19 d) did not lower their P(osm). In separate studies homozygous Brattleboro rats, which produce no endogenous vasopressin, were also shown to have a decreased P(osm) (pregnant 292+/-4 mosmol/kg; virgin 310+/-6 mosmol/kg P < 0.001), but unchanged U(osm) during pregnancy. Data demonstrate a resetting of the osmostat in gravid Sprague-Dawley rats as P(osm) and the threshold for AVP secretion both decrease significantly during gestation in this species. Studies in homozygous Brattleboro animals with hereditary diabetes insipidus suggest that the osmotic threshold for thirst is reset as well.
对接近足月且年龄匹配的斯普拉格 - 道利大鼠的渗透调节进行了研究。在妊娠第20天,基础血浆渗透压(P(osm))和血浆钠(P(Na))分别为281±3 mOsmol/kg和134±3 mEq/升,而未孕动物分别为292±3 mOsmol/kg和140±1 mEq/升(P < 0.001),而妊娠大鼠和对照大鼠的P(尿素)和血浆含水量相似。在接受孕酮、雌酮或孕酮与雌二醇组合处理2周的动物中,这些差异无法再现。妊娠大鼠和对照大鼠被剥夺水分0至48小时。妊娠大鼠的P(osm)始终较低,在剥夺水分2天后,妊娠动物的P(osm)为290±3 mOsmol/kg,而对照动物为300±2 mOsmol/kg(P < 0.001)。因此,妊娠大鼠的P(osm)需要脱水48小时后才与年龄匹配的未孕大鼠的基础值相似。尽管妊娠大鼠的P(osm)显著较低,但基础状态下血浆精氨酸加压素(P(AVP))和尿渗透压(U(osm))相似,妊娠期间平均分别为2.16±0.78 pg/ml和1652±406 mOsmol/kg,而对照大鼠分别为2.08±2.17 pg/ml和1483±203 mOsmol/kg(无显著差异)。妊娠大鼠和未孕大鼠在剥夺水分后P(AVP)和U(osm)的增加相似:妊娠大鼠在48小时时这些值达到22.7±3.3 pg/ml和3300±123 mOsmol/kg,而对照大鼠为26.0±6.4 pg/ml和3342±141 mOsmol/kg(无显著差异)。两组中P(AVP)与P(osm)的回归方程均具有高度显著性(P < 0.001),表明妊娠动物中AVP分泌的明显阈值大约低11 mOsmol。在剥夺水分期间,血管内容量减少,血浆醛固酮增加,并且妊娠动物中的这两种变化(Δ%)显著更大(P < 0.01)。因此,通过腹腔注射高渗盐水增加P(osm)而不伴有容量耗竭。同样,每组中P(AVP)与P(osm)显著相关(r > 0.9;P < 0.001),并且妊娠动物中的明显阈值低14 mOsmol。通过口服水负荷测试的稀释能力在妊娠动物中未受损,妊娠动物排泄30 ml/kg负荷的情况与对照动物相同。此外,长期水合的未孕动物,其液体摄入量是妊娠大鼠的两倍以上(持续19天),其P(osm)并未降低。在单独的研究中,纯合布拉特洛维大鼠不产生内源性加压素,其P(osm)也降低(妊娠时为292±4 mOsmol/kg;未孕时为310±6 mOsmol/kg,P < 0.001),但妊娠期间U(osm)不变。数据表明,在妊娠的斯普拉格 - 道利大鼠中,渗透压感受器被重置,因为在该物种的妊娠期间P(osm)和AVP分泌阈值均显著降低。对患有遗传性尿崩症的纯合布拉特洛维动物的研究表明,口渴的渗透阈值也被重置。