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膳食蛋白质不会改变啮齿动物肾微循环对血管紧张素II的内在反应性。

Dietary protein does not alter intrinsic reactivity of renal microcirculation to angiotensin II in rodents.

作者信息

Inman S R, Stowe N T, Nally J V, Brouhard B H, Vidt D G

机构信息

Cleveland Clinic Foundation, Ohio 44195.

出版信息

Am J Physiol. 1995 Feb;268(2 Pt 2):F302-8. doi: 10.1152/ajprenal.1995.268.2.F302.

Abstract

The effect of dietary protein on renal function and on renal microvascular reactivity to angiotensin II was determined in rats fed a high-protein diet (40% protein), a low-protein diet (6% protein), or a normal diet (23% protein). Inulin clearance was higher in high-protein-fed rats (n = 7) than in rats fed a low-protein diet (n = 7), 0.88 +/- 0.14 (means +/- SE) vs. 0.54 +/- 0.07 ml.min-1.g kidney wt-1 (P < 0.05). We also used videomicroscopy to assess the effect of angiotensin II on the renal microcirculation in a hydronephrotic kidney preparation. The afferent and efferent arterioles constricted to angiotensin II and norepinephrine in both high- and low-protein-fed rats; this constriction was diminished to angiotensin II but not to norepinephrine, in rats fed a high-protein diet (-24.3 +/- 4.5, -20.2 +/- 4.2%) compared with rats fed a low-protein diet (-39 +/- 5.1, -39.1 +/- 5.7%). The vasoconstrictor responses to angiotensin II in rats fed a high-protein diet and a normal diet were significantly greater following inhibition of angiotensin II formation with captopril but not in low-protein-fed rats. The apparent high-endogenous level of angiotensin II among rats fed a high-protein diet may account for the diminished reactivity to exogenous angiotensin II. Thus alterations in intrinsic vascular reactivity to angiotensin II are not responsible for the altered hemodynamics associated with dietary protein.

摘要

研究人员测定了高蛋白饮食(蛋白质含量40%)、低蛋白饮食(蛋白质含量6%)或正常饮食(蛋白质含量23%)喂养的大鼠中,膳食蛋白质对肾功能以及肾微血管对血管紧张素II反应性的影响。高蛋白饮食喂养的大鼠(n = 7)的菊粉清除率高于低蛋白饮食喂养的大鼠(n = 7),分别为0.88±0.14(均值±标准误)与0.54±0.07 ml·min-1·g肾重-1(P<0.05)。我们还使用视频显微镜评估了血管紧张素II对肾积水肾脏标本肾微循环的影响。在高蛋白和低蛋白饮食喂养的大鼠中,入球小动脉和出球小动脉对血管紧张素II和去甲肾上腺素均有收缩反应;与低蛋白饮食喂养的大鼠(-39±5.1,-39.1±5.7%)相比,高蛋白饮食喂养的大鼠对血管紧张素II的这种收缩反应减弱,但对去甲肾上腺素的收缩反应未减弱(-24.3±4.5,-20.2±4.2%)。用卡托普利抑制血管紧张素II生成后,高蛋白饮食和正常饮食喂养的大鼠对血管紧张素II的血管收缩反应显著增强,而低蛋白饮食喂养的大鼠则无此现象。高蛋白饮食喂养的大鼠中血管紧张素II的内源性水平明显较高,这可能是其对外源性血管紧张素II反应性降低的原因。因此,肾血管对血管紧张素II的内在反应性改变并非膳食蛋白质相关血流动力学改变的原因。

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