Kato T, Kassab S, Wilkins F C, Kirchner K A, Granger J P
Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson 39216-4505.
Hypertension. 1994 Jun;23(6 Pt 2):1082-6. doi: 10.1161/01.hyp.23.6.1082.
The ability of Dahl salt-sensitive (DS) rats to excrete a sodium load is significantly lower than Dahl salt-resistant (DR) rats. Because renal interstitial hydrostatic pressure (RIHP) is a major mediator of natriuresis in response to a sodium load, we proposed that the renal tubules of DS rats are less responsive to increases in RIHP than those of DR rats. To test this hypothesis, we determined the effect of direct increases in RIHP on renal excretory function in prehypertensive DS and DR rats. RIHP was directly increased by renal interstitial volume expansion via injection of 50 microL of a 2% albumin and saline solution into the renal interstitium through a chronically implanted renal interstitial catheter. RIHP, mean arterial pressure, glomerular filtration rate, urine flow rate, urinary sodium excretion, and fractional excretions of sodium, potassium, and lithium (an indicator of proximal tubule sodium handling) were measured before and after direct increases in RIHP in DS (n = 8) and DR (n = 8) rats. Baseline urine flow rate; urinary sodium excretion; fractional excretions of sodium, potassium, and lithium; RIHP; mean arterial pressure; and glomerular filtration rate were not different between DS and DR rats. Renal interstitial volume expansion in DS rats significantly increased RIHP (delta 4.7 +/- 0.8 mm Hg), urine flow rate (delta 14.5 +/- 3.4 microL/min), urinary sodium excretion (delta 2.62 +/- 0.62 mumol/min), and fractional excretions of sodium (delta 1.54 +/- 0.37%), potassium (delta 17.84 +/- 2.90%), and lithium (delta 19.68 +/- 3.52%).(ABSTRACT TRUNCATED AT 250 WORDS)
达尔盐敏感(DS)大鼠排泄钠负荷的能力明显低于达尔盐抵抗(DR)大鼠。由于肾间质静水压(RIHP)是钠负荷后利钠作用的主要介质,我们推测DS大鼠的肾小管对RIHP升高的反应性低于DR大鼠。为验证这一假设,我们测定了直接升高RIHP对高血压前期DS和DR大鼠肾脏排泄功能的影响。通过经长期植入的肾间质导管向肾间质注射50微升2%白蛋白和盐溶液,使肾间质容量扩张,从而直接升高RIHP。在DS(n = 8)和DR(n = 8)大鼠中,在直接升高RIHP前后,测量RIHP、平均动脉压、肾小球滤过率、尿流率、尿钠排泄以及钠、钾和锂的排泄分数(近端小管钠处理的指标)。DS和DR大鼠的基线尿流率、尿钠排泄、钠、钾和锂的排泄分数、RIHP、平均动脉压和肾小球滤过率无差异。DS大鼠的肾间质容量扩张显著增加了RIHP(Δ4.7±0.8毫米汞柱)、尿流率(Δ14.5±3.4微升/分钟)、尿钠排泄(Δ2.62±0.62微摩尔/分钟)以及钠(Δ1.54±0.37%)、钾(Δ17.84±2.90%)和锂(Δ19.68±3.52%)的排泄分数。(摘要截短于250字)