Morsing P, Stenberg A, Wåhlin N, Persson A E
Department of Physiology and Biophysics, University of Lund, Sweden.
Ren Physiol Biochem. 1995 Jan-Feb;18(1):27-34. doi: 10.1159/000173896.
Rats with chronic partial unilateral ureteral obstruction (UUO) have a paradoxical resetting of the tubuloglomerular feedback (TGF) mechanism. During extracellular fluid volume expansion (VE) in control animals, a decrease in TGF sensitivity is normally noted. In rats with partial UUO, however, TGF sensitivity in the obstructed kidney was increased, associated with a relative reduction in single nephron glomerular filtration rate. In the present study, we examined the tubular and interstitial pressures, whole kidney function and the TGF system in rats with chronic partial bilateral ureteral obstruction. The rats were divided into preferentially ipsilaterally and preferentially contralaterally obstructed, as judged by pelvic volume. Measurements were performed both during hydropenia and during VE. During hydropenia TGF characteristics were the same in the 2 groups. During VE, however, TGF sensitivity was unchanged in the most obstructed kidneys (ipsilateral), while if the obstruction was preferentially contralateral, TGF-sensitivity decreased. This opposite change in TGF sensitivity resulted in higher electrolyte and water excretion from the least obstructed kidney. The change in TGF sensitivity was not correlated to renal interstitial pressure.
rats with moderate chronic partial bilateral ureteral obstruction have an almost preserved function with regard to renal hemodynamics and excretion during hydropenia. During volume expansion, however, different responses were found in the least and most obstructed kidneys, with a decreased sensitivity of TGF in the least obstructed kidney, while TGF sensitivity was unchanged in the most obstructed kidney.
慢性部分单侧输尿管梗阻(UUO)的大鼠存在肾小管-肾小球反馈(TGF)机制的反常重置。在对照动物细胞外液量扩张(VE)期间,通常会观察到TGF敏感性降低。然而,在部分UUO的大鼠中,梗阻侧肾脏的TGF敏感性增加,同时单个肾单位肾小球滤过率相对降低。在本研究中,我们检测了慢性部分双侧输尿管梗阻大鼠的肾小管和间质压力、全肾功能及TGF系统。根据肾盂容量判断,将大鼠分为优先同侧梗阻组和优先对侧梗阻组。在缺水和VE期间均进行测量。缺水期间,两组的TGF特征相同。然而,在VE期间,梗阻最严重的肾脏(同侧)的TGF敏感性未改变,而如果梗阻优先在对侧,则TGF敏感性降低。TGF敏感性的这种相反变化导致梗阻最轻的肾脏排出更多的电解质和水分。TGF敏感性的变化与肾间质压力无关。
中度慢性部分双侧输尿管梗阻的大鼠在缺水期间肾脏血流动力学和排泄功能几乎得以保留。然而,在容量扩张期间,梗阻最轻和最严重的肾脏出现了不同反应,梗阻最轻的肾脏TGF敏感性降低,而梗阻最严重的肾脏TGF敏感性未改变。