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剩余肾脏早期功能代偿性适应的可能机制研究。

Studies on possible mechanisms of early functional compensatory adaptation in the remaining kidney.

作者信息

Diezi J, Michoud-Hausel P, Nicolas-Buxcel N

出版信息

Yale J Biol Med. 1978 May-Jun;51(3):265-70.

Abstract

Two to 4 hours after unilateral renal exclusion in rats, urine flow rate from the remaining kidney had increased to twice the control level, whereas the filtration rate remained unchanged. After contralateral nephrectomy, NGFR was similar to that of controls, but fractional water reabsorption along proximal tubules decreased. Protein concentration in efferent arteriolar plasma, and hydrostatic pressure gradient between proximal tubules and peritubular capillaries were similar in experimental and control kidneys. Unilateral renal exclusion was followed by a rapid increase of blood pressure. Prevention of this rise depressed but did not abolish functional compensatory adaptation. The occurrence of compensatory adaptation was not affected by decreased renal perfusion pressure.

摘要

在大鼠单侧肾切除术后2至4小时,剩余肾脏的尿流率增加至对照水平的两倍,而滤过率保持不变。对侧肾切除术后,肾小球滤过率(NGFR)与对照组相似,但近端小管的水重吸收分数降低。实验肾脏和对照肾脏中,出球小动脉血浆中的蛋白质浓度以及近端小管与肾小管周围毛细血管之间的静水压梯度相似。单侧肾切除术后血压迅速升高。预防这种血压升高可抑制但不能消除功能性代偿适应。代偿适应的发生不受肾灌注压降低的影响。

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2
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本文引用的文献

1
Compensatory adaptation of renal functions in the unanesthetized rat.
Am J Physiol. 1963 Nov;205(5):1042-8. doi: 10.1152/ajplegacy.1963.205.5.1042.
3
Redistribution of renal blood flow in acute and chronic reduction of renal mass.
Kidney Int. 1973 Jun;3(6):364-71. doi: 10.1038/ki.1973.58.
4
Compensatory adaptation of sodium and bicarbonate excretion: effect of diuretics.
Am J Physiol. 1976 May;230(5):1225-30. doi: 10.1152/ajplegacy.1976.230.5.1225.
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Effect of alterations in extracellular fluid volume on segmental sodium transport.
Physiol Rev. 1975 Jan;55(1):127-41. doi: 10.1152/physrev.1975.55.1.127.
6
Effects of nephrectomy on renal salt and water transport in the remaining kidney.
Kidney Int. 1976 Dec;10(6):450-62. doi: 10.1038/ki.1976.132.

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