Takenaka T, Mitchell K D, Navar L G
Department of Physiology, Tulane University School of Medicine, New Orleans, LA.
J Am Soc Nephrol. 1993 Oct;4(4):1046-53. doi: 10.1681/ASN.V441046.
This study was performed to evaluate the contribution of angiotensin II to the effects of nitric oxide (NO) synthesis inhibition on renal hemodynamics and excretory function in rats. Intravenous infusion of N omega-nitro-L-arginine (NLA; 20 micrograms/100 g.min) increased renal arterial pressure (RAP) from 128 +/- 2 to 143 +/- 3 mm Hg (P < 0.05; N = 6) and decreased RBF by 64 +/- 3% (P < 0.01) and GFR by 41 +/- 5% (P < 0.05). In response to reduction of RAP to control levels (127 +/- 2 mm Hg) by means of an adjustable clamp (CL) placed on the suprarenal aorta, RBF and GFR exhibited efficient autoregulation and were not altered. In rats (N = 6) pretreated with the AT1 angiotensin II receptor antagonist losartan (10 mg/kg iv), the infusion of NLA increased RAP (from 114 +/- 1 to 135 +/- 2 mm Hg; P < 0.05) and decreased RBF by 42 +/- 3% (P < 0.05). However, NLA did not decrease GFR in the losartan-treated rats. As in the control rats, the reduction of RAP to 113 +/- 1 mm Hg elicited autoregulatory responses that maintained RBF and GFR. In the untreated rats, at similar RAP (128 +/- 2 (control) versus 127 +/- 2 mm Hg (NLA+CL)). NO synthesis inhibition decreased urine flow and sodium excretion (P < 0.05, in both cases). However, during blockade of AT1 receptors, NLA infusion failed to decrease urine flow and sodium excretion, even when RAP was controlled (114 +/- 1 (control) versus 113 +/- 1 mm Hg (NLA+CL)).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究旨在评估血管紧张素II对一氧化氮(NO)合成抑制作用于大鼠肾血流动力学和排泄功能的影响。静脉输注Nω-硝基-L-精氨酸(NLA;20微克/100克·分钟)使肾动脉压(RAP)从128±2毫米汞柱升高至143±3毫米汞柱(P<0.05;N = 6),肾血流量(RBF)降低64±3%(P<0.01),肾小球滤过率(GFR)降低41±5%(P<0.05)。通过置于肾上腺主动脉上的可调夹(CL)将RAP降至对照水平(127±2毫米汞柱)时,RBF和GFR表现出有效的自身调节,未发生改变。在用AT1血管紧张素II受体拮抗剂氯沙坦(10毫克/千克静脉注射)预处理的大鼠(N = 6)中,输注NLA使RAP升高(从114±1毫米汞柱升至135±2毫米汞柱;P<0.05),RBF降低42±3%(P<0.05)。然而,在氯沙坦治疗的大鼠中,NLA并未降低GFR。与对照大鼠一样,将RAP降至113±1毫米汞柱引发了维持RBF和GFR的自身调节反应。在未治疗的大鼠中,在相似的RAP水平下(128±2(对照)对127±2毫米汞柱(NLA + CL)),NO合成抑制降低了尿流量和钠排泄(两种情况均P<0.05)。然而,在AT1受体阻断期间,即使RAP得到控制(114±1(对照)对113±1毫米汞柱(NLA + CL)),输注NLA也未能降低尿流量和钠排泄。(摘要截断于250字)