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甲状腺功能亢进和甲状腺功能减退大鼠的压力-利尿-利钠反应。

Pressure-diuresis-natriuresis response in hyperthyroid and hypothyroid rats.

作者信息

Vargas F, Atucha N M, Sabio J M, Quesada T, García-Estañ J

机构信息

Departamento de Bioquímica, Facultad de Medicina, Granada, Spain.

出版信息

Clin Sci (Lond). 1994 Sep;87(3):323-8. doi: 10.1042/cs0870323.

DOI:10.1042/cs0870323
PMID:7955909
Abstract
  1. Renal responses to changes in renal perfusion pressure were studied in anaesthetized hyperthyroid (thyroxine, 300 micrograms day-1 kg-1) and hypothyroid (methimazole, 0.03% via drinking water) rats to determine whether an abnormality in the pressure-diuresis-natriuresis phenomenon is involved in the resetting of kidney function in these disorders. 2. There were no significant differences between control and hypothyroid rats with respect to the relationships between renal perfusion pressure and absolute or fractional water and sodium excretion. However, in hyperthyroid rats the pressure-diuresis-natriuresis mechanism was impaired. 3. Renal blood flow and glomerular filtration rate were well autoregulated and there were no differences between control and hypothyroid rats at every level of renal perfusion pressure. A significantly lower glomerular filtration rate was observed in hyperthyroid rats when data were expressed per gram kidney weight, but glomerular filtration rate was similar to that of control rats when normalized by body weight. 4. The shift in the pressure-diuresis-natriuresis response of hyperthyroid rats is mainly due to an increase in tubular reabsorption. Blunting of the renal pressure-diuresis-natriuresis mechanism in hyperthyroid rats may represent the functional resetting of the kidney necessary for sustained hypertension. However, a normal pressure-natriuresis response was observed in hypothyroid rats, in which blood pressure was markedly reduced.
摘要
  1. 研究了麻醉状态下甲状腺功能亢进(甲状腺素,300微克/天·千克体重)和甲状腺功能减退(通过饮用水给予0.03%甲巯咪唑)大鼠对肾灌注压变化的肾脏反应,以确定在这些疾病中肾功能重置是否涉及压力-利尿-利钠现象异常。2. 在肾灌注压与绝对或分数水及钠排泄之间的关系方面,对照大鼠和甲状腺功能减退大鼠之间无显著差异。然而,甲状腺功能亢进大鼠的压力-利尿-利钠机制受损。3. 肾血流量和肾小球滤过率得到良好的自身调节,在每个肾灌注压水平,对照大鼠和甲状腺功能减退大鼠之间无差异。当按每克肾脏重量表示数据时,甲状腺功能亢进大鼠的肾小球滤过率显著降低,但按体重归一化后,肾小球滤过率与对照大鼠相似。4. 甲状腺功能亢进大鼠压力-利尿-利钠反应的改变主要是由于肾小管重吸收增加。甲状腺功能亢进大鼠肾压力-利尿-利钠机制的减弱可能代表了维持高血压所需的肾脏功能重置。然而,在血压明显降低的甲状腺功能减退大鼠中观察到正常的压力-利钠反应。

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Pressure-diuresis-natriuresis response in hyperthyroid and hypothyroid rats.甲状腺功能亢进和甲状腺功能减退大鼠的压力-利尿-利钠反应。
Clin Sci (Lond). 1994 Sep;87(3):323-8. doi: 10.1042/cs0870323.
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