Colindres R E, Spielman W S, Moss N G, Harrington W W, Gottschalk C W
Am J Physiol. 1980 Sep;239(3):F265-70. doi: 10.1152/ajprenal.1980.239.3.F265.
Acute left renal denervation in anesthetized volume-expanded rats produced an ipsilateral diuresis and natriuresis in 19 animals. A simultaneous decrease of glomerular filtration rate, p-aminohippurate clearance, urinary volume (P < 0.002), and percentage of filtered sodium excreted (4.0 +/- 0.6 (SE) vs. 1.9 +/- 0.4%, P < 0.003) occurred in the right innervated kidney in 10 rats. Prior denervation of the right kidney in the other nine rats prevented the renal hemodynamic changes and the fall of urinary volume and of sodium excretion (3.9 +/- 0.6 vs. 4.3 +/- 0.5%) by the right kidney after left renal denervation. Nerve traffic to the right kidney was measured in six other animals after left renal denervation and was found to increase to a mean value 33.8 +/- 6.3% above control levels (P < 0.007) 0-30 min after denervation, with a further significant increase to 66.2 +/- 16.1% above control levels (P < 0.025) 30-60 min after denervation. These results indicate that the functional changes in the right kidney after contralateral renal denervation in volume-expanded rats are caused by a reflex increase in nerve traffic to the right kidney, possibly as a consequence of an interruption of afferent nerve activity originating in the left kidney.
在麻醉状态下血容量扩充的大鼠中,对19只动物进行急性左肾去神经支配后出现同侧利尿和利钠作用。10只大鼠的右侧有神经支配的肾脏同时出现肾小球滤过率、对氨基马尿酸清除率、尿量(P<0.002)以及滤过钠排泄百分比(4.0±0.6(标准误)对1.9±0.4%,P<0.003)下降。在另外9只大鼠中,预先对右侧肾脏进行去神经支配可防止左肾去神经支配后右侧肾脏出现的肾血流动力学变化以及尿量和钠排泄量的下降(3.9±0.6对4.3±0.5%)。在另外6只动物中,在左肾去神经支配后测量右侧肾脏的神经冲动,发现去神经支配后0至30分钟神经冲动增加至比对照水平高33.8±6.3%的平均值(P<0.007),去神经支配后30至60分钟进一步显著增加至比对照水平高66.2±16.1%(P<0.025)。这些结果表明,血容量扩充的大鼠对侧肾去神经支配后右侧肾脏的功能变化是由右侧肾脏神经冲动反射性增加引起的,这可能是左肾传入神经活动中断的结果。