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肾质量减少的犬类的肾自动调节能力受损。

Impaired renal autoregulatory ability in dogs with reduced renal mass.

作者信息

Brown S A, Finco D R, Navar L G

机构信息

Department of Physiology and Pharmacology, College of Veterinary Medicine, University of Georgia, Athens 20602, USA.

出版信息

J Am Soc Nephrol. 1995 Apr;5(10):1768-74. doi: 10.1681/ASN.V5101768.

DOI:10.1681/ASN.V5101768
PMID:7787144
Abstract

In normal dogs, the renal autoregulatory mechanism limits the effect of changes in renal arterial pressure (RAP) on RBF, renal outer cortical blood flow (OCBF), and GFR by adjusting the vascular tone of the preglomerular arterioles. To determine the extent to which autoregulatory ability was impaired in remnant renal tissue in dogs, the effects of variations in RAP on RBF, OCBF, and GFR were studied after sham-operation (Group 1; N = 5), 3/4 nephrectomy (Group 2; N = 5), or 7/8 nephrectomy (Group 3; N = 5). In Group 1, the RBF, OCBF, and GFR were not significantly affected by variations in RAP between 75 and 125 mm Hg, indicating intact renal autoregulatory ability. In contrast, both groups of partially nephrectomized dogs exhibited a loss of renal autoregulatory ability below 100 mm Hg (P < 0.05). As RAP rose above 100 mm Hg, dogs with 7/8 nephrectomy exhibited a greater increase than control dogs in RBF (0.586 +/- 0.211 versus -0.080 +/- 0.030 percent change in RBF/mm Hg change in RAP; P < 0.05), OCBF (0.408 +/- 0.157 versus -0.059 +/- 0.054 percent change in RBF/mm Hg change in RAP; P < 0.05), and GFR (0.784 +/- 0.230 versus 0.134 +/- 0.049 percent change in RBF/mm Hg change in RAP; P < 0.05). The ability of the renal vasculature to maintain renal function stable above 100 mm Hg was intermediate in Group 2 and not significantly different from corresponding values for Group 1.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在正常犬中,肾自动调节机制通过调节肾小球前小动脉的血管张力,限制肾动脉压(RAP)变化对肾血流量(RBF)、肾外皮质血流量(OCBF)和肾小球滤过率(GFR)的影响。为了确定犬残余肾组织中自动调节能力受损的程度,在假手术(第1组;N = 5)、3/4肾切除术(第2组;N = 5)或7/8肾切除术(第3组;N = 5)后,研究了RAP变化对RBF、OCBF和GFR的影响。在第1组中,75至125 mmHg之间的RAP变化对RBF、OCBF和GFR无显著影响,表明肾自动调节能力完好。相反,两组部分肾切除的犬在低于100 mmHg时均表现出肾自动调节能力丧失(P < 0.05)。当RAP升至100 mmHg以上时,7/8肾切除的犬RBF(RBF每mmHg变化的百分比变化为0.586±0.211,而对照组为-0.080±0.030;P < 0.05)、OCBF(RBF每mmHg变化的百分比变化为0.408±0.157,而对照组为-0.059±0.054;P < 0.05)和GFR(RBF每mmHg变化的百分比变化为0.784±0.230,而对照组为0.134±0.049;P < 0.05)的增加幅度均大于对照犬。第2组肾血管在100 mmHg以上维持肾功能稳定的能力处于中间水平,与第1组相应值无显著差异。(摘要截断于250字)

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