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豚鼠胎儿及幼体的肾脏清除率研究:盐负荷的影响。

Renal clearance studies in fetal and young guinea pigs: effect of salt loading.

作者信息

Merlet-Benichou C, de Rouffignac C

出版信息

Am J Physiol. 1977 Feb;232(2):F178-85. doi: 10.1152/ajprenal.1977.232.2.F178.

Abstract

The maturation of renal function was investigated by clearance studies in 11 fetal, 9 young, and 4 adult guinea pigs undergoing salt loading (NaCl 1.5%, 75 mul min-1 100 g-1) and in 10 young and 4 adult animals under nondiuretic conditions. The fetal preparation described makes it possible to obtain two to four steady clearance periods for each animal. In the fetus, GFR increased significantly with age, but less than in the newborn. Fractional water and sodium reabsorption was generally low, and net renal secretion of potassium was observed in some cases. Fetal urine was sometimes slightly hypertonic. The effectiveness of the diuretic and natriuretic response following saline expansion was smaller in young than adult animals. The fractional excretion rate of solutes and water increased as a function of age in the young animal and the urinary Na/K concentration ratio showed a marked drop around birth. This latter observation suggests that during the first days of life the effect of saline expansion on the proximal tubule is partially blunted by enhanced sodium reabsorption from the distal nephron due to the high concentration of circulating aldosterone.

摘要

通过对11只处于盐负荷状态(1.5%氯化钠,75微升·分钟⁻¹·100克⁻¹)的胎儿豚鼠、9只幼年豚鼠和4只成年豚鼠,以及10只幼年动物和4只成年动物在非利尿条件下进行清除率研究,来探究肾功能的成熟情况。所描述的胎儿实验准备使得每只动物能够获得两到四个稳定的清除率阶段。在胎儿中,肾小球滤过率(GFR)随年龄显著增加,但增幅小于新生儿。水和钠的分数重吸收通常较低,并且在某些情况下观察到肾脏有钾的净分泌。胎儿尿液有时略呈高渗性。幼年动物在盐水扩容后利尿和排钠反应的效果比成年动物小。幼年动物中溶质和水的分数排泄率随年龄增加,并且尿钠/钾浓度比在出生前后显著下降。后一观察结果表明,在生命的最初几天,由于循环中醛固酮浓度高,远端肾单位钠重吸收增强,从而部分减弱了盐水扩容对近端小管的影响。

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