Takagi H, Takahara A, Tomura Y, Yamagata T, Hisa H, Satoh S
Department of Pharmacology, Tohoku University, Sendai, Japan.
J Pharmacol Exp Ther. 1993 Oct;267(1):456-61.
Nifedipine, 8-(N,N-diethylamino)octyl-3,4,5-trimethoxybenzoate hydrochloride (TMB-8) or atrial natriuretic peptide (ANP) was infused into the renal artery before and during intrarenal arterial infusion of endothelin-1 (ET) in anesthetized dogs. Before ET infusion, nifedipine (0.1 micrograms kg-1 min-1), TMB-8 (75 micrograms kg-1 min-1) or ANP (10 ng kg-1 min-1) increased the urine flow rate, urinary sodium excretion and fractional sodium excretion with little change in renal blood flow or glomerular filtration rate. ET (2 ng kg-1 min-1) reduced the basal renal blood flow, glomerular filtration rate, urine flow rate, urinary sodium excretion and fractional sodium excretion. Both nifedipine and TMB-8 induced natriuresis during ET infusion; but only TMB-8 completely reversed the ET-induced reduction in fractional sodium excretion and partially antagonized the reductions in urine flow rate and urinary sodium excretion. ANP did not induce substantial urinary responses during ET infusion. Neither nifedipine, TMB-8 nor ANP reversed the ET-induced decreases in renal blood flow and glomerular filtration rate. The present study suggests that in the dog kidney 1) the ET-induced antinatriuresis is caused in part by enhancement of tubular sodium reabsorption, 2) the tubular action of ET depends on TMB-8-sensitive calcium movements but not calcium influx through dihydropyridine-sensitive channels and 3) ANP cannot counteract the ET-induced antinatriuresis.
在麻醉犬肾动脉内注入内皮素 -1(ET)之前及期间,将硝苯地平、8 -(N,N - 二乙氨基)辛基 - 3,4,5 - 三甲氧基苯甲酸盐酸盐(TMB - 8)或心房利钠肽(ANP)注入肾动脉。在注入ET之前,硝苯地平(0.1微克/千克·分钟)、TMB - 8(75微克/千克·分钟)或ANP(10纳克/千克·分钟)可增加尿流率、尿钠排泄及钠排泄分数,而肾血流量或肾小球滤过率变化不大。ET(2纳克/千克·分钟)可降低基础肾血流量、肾小球滤过率、尿流率、尿钠排泄及钠排泄分数。在注入ET期间,硝苯地平和TMB - 8均可诱导利钠作用;但只有TMB - 8能完全逆转ET诱导的钠排泄分数降低,并部分拮抗尿流率和尿钠排泄的降低。在注入ET期间,ANP未引起显著的尿反应。硝苯地平、TMB - 8和ANP均未逆转ET诱导的肾血流量和肾小球滤过率降低。本研究提示,在犬肾中:1)ET诱导的利钠作用减弱部分是由肾小管钠重吸收增强所致;2)ET的肾小管作用依赖于TMB - 8敏感的钙转运,而非通过二氢吡啶敏感通道的钙内流;3)ANP不能抵消ET诱导的利钠作用减弱。