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双肾一夹 Goldblatt 高血压大鼠肾功能的压力感受器和躯体感觉调节

Baroreceptor and somatic sensory regulation of kidney function in two-kidney, one-clip Goldblatt hypertensive rats.

作者信息

Davis G, Johns E J

机构信息

Department of Physiology, Medical School, Birmingham.

出版信息

J Physiol. 1994 Apr 1;476(1):167-76.

Abstract

The aim of this investigation was to characterize the renal haemodynamic and tubular responses to somatic afferent nerve stimulation following the removal of afferent nerve input from the atria or the carotid sinuses in chloralose-urethane-anaesthetized Sprague-Dawley rats and two-kidney, one-clip Goldblatt hypertensive rats. Bilateral stimulation of the brachial nerve plexi at 15 V, 1.3 Hz for 0.2 ms resulted in an increase in systemic blood pressure in each group of 10-40%, while renal perfusion pressure was maintained at a constant level. There were significantly larger falls in left renal blood flow and combined left and right glomerular filtration rate in all groups following selective denervation of either the cardiopulmonary or the carotid sinus baroreceptors, respectively. Brachial nerve stimulation decreased urine flow rate and absolute and fractional sodium excretion from both kidneys in Sprague-Dawley intact animals by 53, 65 and 59%; in vagotomized animals by 68, 77 and 63%; and in carotid sinus denervated animals by 86, 90 and 48%, respectively. The renal response in the Goldblatt group were similar to the normotensive group, but the main contribution of the total response was from the untouched left kidney. The inhibitory influence of the vagus and carotid sinuses on the renal sympathetic nerve-mediated sodium and water resorption appeared to be enhanced in the Goldblatt hypertensive rats when compared with the normotensive rats. The renal functional responses to somatic afferent nerve stimulation appeared to be well preserved in the renovascular hypertensive rats, although there were important differences in the contributions to the responses from the left and right kidneys. Furthermore, the baroreceptors exerted a greater influence on basal renal function in the hypertensive rats.

摘要

本研究旨在描述在水合氯醛-乌拉坦麻醉的Sprague-Dawley大鼠以及二肾一夹型Goldblatt高血压大鼠中,去除心房或颈动脉窦的传入神经输入后,躯体传入神经刺激对肾脏血流动力学和肾小管反应的影响。在每组大鼠中,以15 V、1.3 Hz、0.2 ms的频率双侧刺激臂丛神经,导致全身血压升高10%-40%,而肾灌注压维持在恒定水平。在分别对心肺或颈动脉窦压力感受器进行选择性去神经支配后,所有组的左肾血流量以及左右肾小球滤过率总和均有显著更大幅度的下降。在未处理的Sprague-Dawley大鼠中,臂丛神经刺激使双侧肾脏的尿流率以及钠排泄绝对值和分数分别降低了53%、65%和59%;在迷走神经切断的大鼠中分别降低了68%、77%和63%;在颈动脉窦去神经支配的大鼠中分别降低了86%、90%和48%。Goldblatt组的肾脏反应与正常血压组相似,但总反应的主要贡献来自未受影响的左肾。与正常血压大鼠相比,Goldblatt高血压大鼠中迷走神经和颈动脉窦对肾交感神经介导的钠和水重吸收的抑制作用似乎增强。尽管左右肾对反应的贡献存在重要差异,但肾血管性高血压大鼠对躯体传入神经刺激的肾功能反应似乎保存良好。此外,压力感受器对高血压大鼠的基础肾功能影响更大。

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