DiBona G F, Rios L L
Am J Physiol. 1978 Nov;235(5):409-16. doi: 10.1152/ajprenal.1978.235.5.F409.
The mechanism of exaggerated diuresis and natriuresis was studied in spontaneously hypertensive rats (SHR) by renal clearance and micropuncture techniques. Control normotensive rats of the same age and sex [Wistar-Kyoto rats (WKY)] were also studied. During the hydropenic control and the volume-expansion experimental periods absolute and fractional water and sodium excretion were greater in SHR than in WKY. Although fractional and absolute water and sodium reabsorption were similar along the proximal convolution in SHR and WKY, fractional and absolute water reabsorption in Henle's loop was less in SHR than in WKY. Hydrostatic and colloid osmotic pressures in the cortical peritubular microvasculature were similar in WKY and SHR. Acute normalization of renal perfusion pressure by aortic constriction reversed the exaggerated diuresis and natriuresis in SHR by halving the filtered load of water and sodium; whole kidney and single nephron glomerular filtration rates and blood flows decreased by 50%. It is concluded that the exaggerated diuresis and natriuresis of the spontaneously hypertensive rat is caused by a decreased reabsorption in the loop of Henle. The mechanism of this decreased reabsorption in the loop of Henle cannot be explained by alterations in the measured physical forces in the renal cortical microvasculature.
采用肾脏清除率和微穿刺技术,对自发性高血压大鼠(SHR)中利尿和利钠作用增强的机制进行了研究。同时也对相同年龄和性别的对照正常血压大鼠[Wistar-Kyoto大鼠(WKY)]进行了研究。在禁水对照期和容量扩张实验期,SHR的绝对和分数水及钠排泄量均高于WKY。尽管SHR和WKY近端曲管的分数和绝对水及钠重吸收相似,但SHR髓袢的分数和绝对水重吸收低于WKY。WKY和SHR皮质肾小管周围微血管的静水压和胶体渗透压相似。通过主动脉缩窄使肾灌注压急性恢复正常,可使SHR中增强的利尿和利钠作用逆转,方法是将水和钠的滤过负荷减半;全肾和单肾单位肾小球滤过率及血流量降低50%。得出结论,自发性高血压大鼠利尿和利钠作用增强是由髓袢重吸收减少所致。髓袢重吸收减少的机制无法用肾皮质微血管中所测物理力的改变来解释。