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反射性激活的儿茶酚胺流经肾上腺肾静脉网时的肾功能。

Renal function during reflexly activated catecholamine flow through an adrenorenal rete.

作者信息

Katholi R E, Bishop S P, Oparil S, James T N

出版信息

Am J Physiol. 1981 Jan;240(1):F30-7. doi: 10.1152/ajprenal.1981.240.1.F30.

Abstract

Reflex vasoconstriction that occurs in the kidney of the dog can be the result of either of two mechanisms. The first is by activation of the renal sympathetic nerves and the second by reflex activation of catecholamine flow through an adrenorenal rete. Both reflex mechanisms can be activated by transient hypotension caused by experimentally induced atrial fibrillation in the sodium-replete pentobarbital-anesthetized dog. This study was undertaken to measure and compare the magnitude of changes in renal function that occur when these reflex mechanisms are activated and to evaluate the possible role of intrarenal angiotensin II in these two reflex effects. Reflex activation of catecholamine flow through an adrenorenal rete in intact or denervated kidneys produced a 26 +/- 3% decrease in renal plasma flow, a 23 +/- 4% decrease in glomerular filtration rate, a 58 +/- 7% decrease in urinary sodium excretion, and a 4 +/- 1% increase in filtration fraction, but no change in the fractional distribution of intrarenal blood flow. Changes of a similar direction and magnitude were seen in the same animals during reflex activation of the renal sympathetic nerves in the kidneys with intact or ligated adrenorenal rete. The same studies were performed after the intrarenal action of angiotensin II was blocked with [Sar1,Ala8]angiotensin II and similar responses were seen. Both of these reflexes appear to be important mechanisms by which the kidney can maintain vascular volume, and neither depends on intrarenal angiotensin II activity.

摘要

犬肾中发生的反射性血管收缩可能由两种机制中的任何一种引起。第一种是通过肾交感神经的激活,第二种是通过肾上腺髓质网中儿茶酚胺流的反射性激活。在钠充足的戊巴比妥麻醉犬中,实验性诱导心房颤动引起的短暂性低血压可激活这两种反射机制。本研究旨在测量和比较这些反射机制激活时肾功能变化的幅度,并评估肾内血管紧张素II在这两种反射效应中的可能作用。在完整或去神经支配的肾脏中,通过肾上腺髓质网反射性激活儿茶酚胺流,导致肾血浆流量减少26±3%,肾小球滤过率减少23±4%,尿钠排泄减少58±7%,滤过分数增加4±1%,但肾内血流的分数分布没有变化。在完整或结扎肾上腺髓质网的肾脏中,肾交感神经反射性激活期间,同一动物出现了类似方向和幅度的变化。在用[Sar1,Ala8]血管紧张素II阻断肾内血管紧张素II的作用后,进行了相同的研究,观察到了类似的反应。这两种反射似乎都是肾脏维持血管容量的重要机制,且均不依赖于肾内血管紧张素II的活性。

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