Khraibi A A
Department of Physiology and Biophysics, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA.
Am J Physiol. 1995 Jul;269(1 Pt 2):F17-21. doi: 10.1152/ajprenal.1995.269.1.F17.
The purpose of this study was to determine the role of the renal nerves in the natriuresis and diuresis that is observed with the systemic infusion of a high dose of NG-monomethyl-L-arginine (L-NMMA) to inhibit nitric oxide synthesis in the Okamoto spontaneously hypertensive rat (SHR) and the Wistar-Kyoto (WKY) rat. All rats in this study underwent a unilateral nephrectomy approximately 2 wk prior to the acute experiment. On the day of the acute experiment, renal denervation of the remaining left kidney was performed in one group of SHR (n = 6) and one group of WKY rats (n = 9). Another group of SHR (n = 6) and WKY rats (n = 10) had an innervated kidney. A control clearance period was taken, and then an L-NMMA (15 mg/kg bolus followed by 500 micrograms.kg-1.min-1 continuous infusion) infusion period followed in all four groups of rats. In the innervated SHR and WKY rats, the increases in fractional excretion of sodium (FENa) were 5.11 +/- 0.70 and 3.58 +/- 0.38%, respectively, with the infusion of L-NMMA and were associated with significant increases in fractional excretions of phosphate (FEPi; 18.18 +/- 5.33 and 6.34 +/- 2.29%, respectively), suggesting a reduction in proximal tubule reabsorption. In the SHRs with acute renal denervation, FENa was significantly increased by L-NMMA; however, FENa was significantly reduced (2.03 +/- 0.70%; P < 0.05) in comparison with innervated SHRs and was associated with no increase in FEPi (FEPi = -0.72 +/- 1.23%).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是确定肾神经在钠利尿和利尿中的作用,这一作用是在向冈本自发性高血压大鼠(SHR)和Wistar-Kyoto(WKY)大鼠全身输注高剂量的NG-单甲基-L-精氨酸(L-NMMA)以抑制一氧化氮合成时观察到的。本研究中的所有大鼠在急性实验前约2周接受了单侧肾切除术。在急性实验当天,一组SHR(n = 6)和一组WKY大鼠(n = 9)对剩余的左肾进行了去神经支配。另一组SHR(n = 6)和WKY大鼠(n = 10)保留了有神经支配的肾脏。所有四组大鼠均先进行了对照清除期,然后进入L-NMMA(15 mg/kg推注,随后以500微克·千克-1·分钟-1持续输注)输注期。在有神经支配的SHR和WKY大鼠中,输注L-NMMA时钠排泄分数(FENa)分别增加了5.11±0.70%和3.58±0.38%,并且与磷酸盐排泄分数(FEPi)的显著增加相关(分别为18.18±5.33%和6.34±2.29%),提示近端小管重吸收减少。在急性去神经支配的SHR中,L-NMMA使FENa显著增加;然而,与有神经支配的SHR相比,FENa显著降低(2.03±0.70%;P < 0.05),且与FEPi无增加相关(FEPi = -0.72±1.23%)。(摘要截断于250字)