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肾动脉血压降低时大鼠的总肾血流量、局部肾血流量及滤过情况

Total and local renal blood flow and filtration in the rat during reduced renal arterial blood pressure.

作者信息

Hope A, Clausen G, Rosivall L

出版信息

Acta Physiol Scand. 1981 Dec;113(4):455-63. doi: 10.1111/j.1748-1716.1981.tb06922.x.

DOI:10.1111/j.1748-1716.1981.tb06922.x
PMID:7348030
Abstract

Discrepancies concerning the lower pressure limit of renal blood flow (RBF) autoregulation, different autoregulatory adjustments in deep and superficial renal zones and dissociation of RBF and filtrate production stimulated the present study. Autoregulation of renal blood flow was investigated at reduced renal arterial blood pressure (RAP) in Sprague-Dawley rats using 4 different flow methods: uptake of 125I-iodoantipyrine (I-Ap) and 86Rb, local detection of hydrogen gas washout rate (H2) and, in the autoperfused kidney, electromagnetic flowmetry (FM). With I-Ap and 86Rb, RBF was maintained at a RAP as low as 80 mmHg, compared to contralateral RBF. However, with the other two methods where each kidney serves as its own control, a 15% RBF reduction was obtained at this RAP. This discrepancy (p less than 0.001) infers a contralateral renal vasoconstriction during ipsilateral renal hypotension and vasodilation. Arterial blood pressure increased during unilateral renal hypotension, suggesting that contralateral renal constriction was part of a general increase in total body vascular resistance. Following abrupt RAP reduction RBF was immediately readjusted (2-3 s) and maintained for up to 40 min. No significant change in intrarenal blood flow distribution was observed with I-Ap. Superficial and deep cortical single nephron glomerular filtration rates were equally reduced at lowered RAP as determined by the ferrocyanide technique. However, a dissociation between the autoregulation of RBF and glomerular filtration rate (GFR) in the direction of less well maintained GFR was observed. Renal arterial acetylcholine infusion increased RBF by about 40% and effectively abolished RBF autoregulation.

摘要

关于肾血流(RBF)自身调节的下限压力存在差异、肾深部和浅部区域不同的自身调节调整以及RBF与滤液生成的分离引发了本研究。在Sprague-Dawley大鼠中,通过4种不同的血流方法在降低肾动脉血压(RAP)的情况下研究肾血流的自身调节:125I-碘安替比林(I-Ap)和86Rb的摄取、氢气洗脱率(H2)的局部检测以及在自体灌注肾中使用电磁血流仪(FM)。使用I-Ap和86Rb时,与对侧RBF相比,在低至80 mmHg的RAP下RBF仍能维持。然而,在另外两种以每个肾脏自身作为对照的方法中,在此RAP下RBF降低了15%。这种差异(p小于0.001)表明在同侧肾低血压和血管舒张期间对侧肾血管收缩。单侧肾低血压期间动脉血压升高,提示对侧肾收缩是全身血管阻力普遍增加的一部分。在RAP突然降低后,RBF立即重新调整(2 - 3秒)并维持长达40分钟。使用I-Ap未观察到肾内血流分布有显著变化。通过亚铁氰化物技术测定,在降低的RAP下,浅表和深部皮质单肾单位肾小球滤过率同样降低。然而,观察到RBF和肾小球滤过率(GFR)的自身调节在维持GFR较差的方向上存在分离。肾动脉注入乙酰胆碱使RBF增加约40%并有效消除了RBF自身调节。

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