Eide I, Loyning E, Langård O, Kiil F
Circ Res. 1977 Mar;40(3):293-9. doi: 10.1161/01.res.40.3.293.
The relationship between renal arterial pressure and renin release was examined in anesthetized dogs during complete or partial ureteral constriction. During complete ureteral occlusion ureteral pressure rose to 95+/-4 mm Hg and renin release increased from 1.7+/-0.7 to 22.3+/-3.1 mug/min; renal blood flow (RBF) was not significantly changed. Renin release was not further increased during subsequent renal arterial constriction; RBF fell in proportion to perfusion pressure, indicating maximum autoregulated arteriolar dilation. During partial ureteral constriction to a ureteral pressure of 65+/-6 mm Hg, renin release was moderately raised but release mechanisms became fully stimulated when renal arterial pressure was reduced to 104+/-3 mm Hg. By further constricted of the renal artery, RBF fell in proportion to perfusion pressure and renin release remained high and constant. In control experiments without ureteral constriction, renal arterial pressure had to be reduced to below 65+/-8 mm Hg to fully stimulate renin release (22.0+/-3.8 mug/ml which is not different from 22.3+/-3.1 mug/min during ureteral occlusion). During partial ureteral constriction, saline infusion (0.9% NaCl at 40 ml/min) raised urine flow, sodium excretion, renal pelvic pressure, and renin release. Thus, the stimulatory effect on renin release of a rise in ureteral pressure exceeded the inhibitory effect of increased sodium excretion. This observation, together with maximum renin release coinciding with complete arteriolar dilation during various combinations of renal arterial and ureteral constriction, is compatible with the conclusion that arteriolar dilation is predominating stimulus to renin release during ureteral constriction.
在麻醉犬身上,研究了完全或部分输尿管结扎期间肾动脉压与肾素释放之间的关系。在完全输尿管阻塞期间,输尿管压力升至95±4 mmHg,肾素释放从1.7±0.7增加至22.3±3.1 μg/min;肾血流量(RBF)无显著变化。随后肾动脉收缩期间,肾素释放未进一步增加;RBF与灌注压成比例下降,表明存在最大程度的自动调节小动脉扩张。在部分输尿管结扎至输尿管压力为65±6 mmHg时,肾素释放适度升高,但当肾动脉压降至104±3 mmHg时,释放机制被充分激活。通过进一步收缩肾动脉,RBF与灌注压成比例下降,肾素释放保持在高水平且恒定。在无输尿管结扎的对照实验中,肾动脉压必须降至65±8 mmHg以下才能充分刺激肾素释放(22.0±3.8 μg/ml,与输尿管阻塞期间的22.3±3.1 μg/min无差异)。在部分输尿管结扎期间,输注生理盐水(0.9% NaCl,40 ml/min)可增加尿流量、钠排泄、肾盂压力和肾素释放。因此,输尿管压力升高对肾素释放的刺激作用超过了钠排泄增加的抑制作用。这一观察结果,以及在肾动脉和输尿管收缩的各种组合中,最大肾素释放与小动脉完全扩张同时出现,与以下结论相符:在输尿管收缩期间,小动脉扩张是肾素释放的主要刺激因素。