Uzuner K, Banks R O
Department of Physiology and Biophysics, University of Cincinnati College of Medicine, Ohio 45267-0576.
Am J Physiol. 1993 Jul;265(1 Pt 2):R90-6. doi: 10.1152/ajpregu.1993.265.1.R90.
The goal of the current study was to determine the mechanism by which doses of endothelin (ET) that do not markedly affect the glomerular filtration rate (GFR) cause a natriuresis and diuresis. ET was infused into pentobarbital-anesthetized female rats at 50 ng.kg-1.min-1 iv for 30 min. In controls (n = 6 rats; n = 5 in all other groups), ET increased mean arterial blood pressure (MAP) from 95 +/- 2 to 131 +/- 2 (SE) mmHg, Na excretion (UNa V) from 0.34 +/- 0.07 to 1.83 +/- 0.2 meq/min, and urine flow rate (V) from 13 +/- 1 to 24 +/- 3 ml/min (all P < 0.01 vs. baseline). At 15 min during infusion of ET, the GFR was not affected (2.1 +/- 0.1 to 2.2 +/- 0.1 ml/min) but modestly decreased to 1.8 +/- 0.1 ml/min at 30 min (P < 0.05 vs. baseline). Either removing the capsule from both kidneys during surgery or maintaining renal arterial pressure at baseline values with an adjustable clamp on the aorta above the right renal artery abolished the ET-induced increase in UNa V and V. Meclofenamate also did not alter the ET-induced increase in MAP, V, or UNa V. To determine the intrarenal site of action of ET, experiments were conducted with ET plus amiloride or with a combination of amiloride plus furosemide; there was a larger ET-induced diuresis and natriuresis in amiloride-treated rats and an even larger response with amiloride plus furosemide compared with controls.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是确定内皮素(ET)剂量在不显著影响肾小球滤过率(GFR)的情况下引起利钠和利尿的机制。以50 ng·kg⁻¹·min⁻¹的静脉注射速率将ET注入戊巴比妥麻醉的雌性大鼠体内,持续30分钟。在对照组(n = 6只大鼠;其他所有组n = 5只)中,ET使平均动脉血压(MAP)从95±2升高至131±2(SE)mmHg,钠排泄量(UNa V)从0.34±0.07升高至1.83±0.2 meq/min,尿流率(V)从13±1升高至24±3 ml/min(与基线相比,所有P<0.01)。在ET输注的15分钟时,GFR未受影响(从2.1±0.1升高至2.2±0.1 ml/min),但在30分钟时适度降至1.8±0.1 ml/min(与基线相比,P<0.05)。手术过程中摘除双侧肾脏的包膜,或用右肾动脉上方主动脉上的可调节夹将肾动脉血压维持在基线值,均可消除ET诱导的UNa V和V的增加。甲氯芬那酸也未改变ET诱导的MAP、V或UNa V的增加。为了确定ET在肾内的作用部位,进行了ET加阿米洛利或阿米洛利加呋塞米联合应用的实验;与对照组相比,阿米洛利治疗的大鼠中ET诱导的利尿和利钠作用更大,而阿米洛利加呋塞米联合应用时反应更大。(摘要截短于250字)