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输尿管梗阻和肾静脉缩窄对犬肾激肽释放酶-激肽及前列腺素系统的影响。

The effects of ureteral occlusion and renal venous constriction on kidney kallikrein-kinin and prostaglandin systems in dogs.

作者信息

Olsen U B

出版信息

Acta Physiol Scand. 1978 Dec;104(4):443-52. doi: 10.1111/j.1748-1716.1978.tb06299.x.

Abstract

The intrarenal pressure was raised to 40--50 mmHg by ureteral occlusion or by renal venous constriction in anesthetized dogs loaded with 10% mannitol in saline and with a urine flow of approximately 1 ml/min/kidney. Both manoeuvres produced vasodilation and decreased urine creatinine excretion (GFR). Ureteral occlusion was associated with a marked antinatriuresis, which contrasted the variable decrements in sodium excretion during renal venous constriction. Ureteral occlusion did not affect urine excretion of kallikrein or kinins, whilst renal venous constriction decreased urinary kallikrein excretion, yet markedly increased urinary kinin excretion. Ureteral occlusion and renal venous constriction comparably increased urine prostaglandin (E-like) excretion by a presumably pressure dependent mechanism. Inhibition of prostaglandin synthesis by indomethacin abolished the vasodilation during renal venous constriction and this was accompanied by marked reductions of urinary creatinine (GFR) and kallikrein excretions, whilst the kinin excretion was enhanced as observed before the administration of indomethacin.

摘要

在麻醉状态下的犬中,通过输尿管阻塞或肾静脉收缩将肾内压升高至40 - 50 mmHg,这些犬静脉输注含10%甘露醇的生理盐水,尿流率约为1 ml/(min·肾)。两种操作均导致血管舒张并降低尿肌酐排泄(肾小球滤过率)。输尿管阻塞伴有显著的尿钠排泄减少,这与肾静脉收缩期间钠排泄的可变减少形成对比。输尿管阻塞不影响尿激肽释放酶或激肽的排泄,而肾静脉收缩则减少尿激肽释放酶排泄,但显著增加尿激肽排泄。输尿管阻塞和肾静脉收缩通过可能的压力依赖性机制同等程度地增加尿前列腺素(E样)排泄。吲哚美辛抑制前列腺素合成消除了肾静脉收缩期间的血管舒张,同时伴有尿肌酐(肾小球滤过率)和激肽释放酶排泄的显著降低,而激肽排泄如在给予吲哚美辛之前观察到的那样增加。

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