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肾间质液中的血管紧张素。麻醉、肾上腺素、钠耗竭及肾素抑制的调节作用。

Renal interstitial fluid angiotensin. Modulation by anesthesia, epinephrine, sodium depletion, and renin inhibition.

作者信息

Siragy H M, Howell N L, Ragsdale N V, Carey R M

机构信息

Department of Internal Medicine, University of Virginia, Charlottesville, USA.

出版信息

Hypertension. 1995 May;25(5):1021-4. doi: 10.1161/01.hyp.25.5.1021.

Abstract

Using a microdialysis technique, we monitored changes in right and left renal interstitial fluid angiotensins in anesthetized and conscious dogs (both n = 5) in response to right renal interstitial epinephrine (0.2 mg/kg per minute) administration. Renal interstitial and plasma angiotensin levels also were monitored in conscious dogs (n = 4) in response to dietary sodium deprivation (10 mmol/d) for 5 consecutive days. Changes in renal interstitial and plasma angiotensins in response to interstitial administration of a specific renin inhibitor, ACRIP (0.5 micrograms/kg per minute for 20 minutes), were monitored on day 5 of sodium depletion. At basal levels, there were no significant differences between the right and left renal interstitial immunoreactive angiotensin levels in anesthetized dogs. Renal interstitial epinephrine administration caused a significant increase in renal interstitial immunoreactive angiotensin concentrations in both anesthetized and conscious dogs (P < .01). However, anesthetized dogs had significantly higher renal interstitial immunoreactive angiotensin levels basally and in response to epinephrine than conscious dogs (P < .05). Renal interstitial immunoreactive angiotensin concentrations increased significantly and progressively during exposure to a low sodium diet from 3.9 +/- 1 nmol on day 1 to 740 +/- 332 nmol on day 5 (P < .01). Renal interstitial immunoreactive angiotensin decreased significantly to 124 +/- 37 nmol (P < .01) in response to intrarenal renin inhibition at the end of day 5 of sodium depletion. Plasma immunoreactive angiotensin increased significantly (P < .01) in response to sodium depletion, and no change occurred during intrarenal renin inhibition.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们采用微透析技术,监测了麻醉和清醒犬(每组n = 5)在右肾间质注射肾上腺素(0.2 mg/kg每分钟)后左右肾间质液中血管紧张素的变化。还监测了清醒犬(n = 4)连续5天饮食限钠(10 mmol/d)后肾间质和血浆中血管紧张素水平的变化。在限钠第5天,监测了肾间质注射特异性肾素抑制剂ACRIP(0.5微克/千克每分钟,持续20分钟)后肾间质和血浆血管紧张素的变化。在基础水平时,麻醉犬左右肾间质免疫反应性血管紧张素水平无显著差异。肾间质注射肾上腺素使麻醉和清醒犬的肾间质免疫反应性血管紧张素浓度均显著升高(P <.01)。然而,麻醉犬基础状态下以及对肾上腺素反应时的肾间质免疫反应性血管紧张素水平显著高于清醒犬(P <.05)。在低钠饮食期间,肾间质免疫反应性血管紧张素浓度显著且逐渐升高,从第1天的3.9±1 nmol升至第5天的740±332 nmol(P <.01)。在限钠第5天结束时,肾内肾素抑制后,肾间质免疫反应性血管紧张素显著降至124±37 nmol(P <.01)。血浆免疫反应性血管紧张素在限钠后显著升高(P <.01),肾内肾素抑制期间无变化。(摘要截短至250字)

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