Endlich K, Kühn R, Steinhausen M
I. Institute of Physiology, University of Heidelberg, Germany.
Kidney Int. 1993 Feb;43(2):314-23. doi: 10.1038/ki.1993.49.
We studied the effects of serotonin (5-hydroxytryptamine, 5-HT) on glomerular blood flow (GBF) and on renal vessel diameters in the hydronephrotic kidney and in vascular casts of normal kidneys of rats. 5-HT (60 min after local application of 10(-8) mol.liter-1) constricted the arcuate arteries (-10 +/- 2% to -14 +/- 2%, mean +/- SEM), dilated the interlobular arteries (+13 +/- 2%) and afferent arterioles (+17 +/- 3%), and decreased GBF (-44 +/- 5%). In contrast to normal autoregulation, reduction of renal perfusion pressure after local application of 5-HT from 118 +/- 3 mm Hg by 10 and 20 mm Hg reduced GBF by 12 +/- 2% and 23 +/- 3%, respectively. The 5-HT2 antagonist, ritanserin (60 min after local application of 10(-6) mol.liter-1), dilated all preglomerular vessels and increased GBF. In the presence of ritanserin, 5-HT lost nearly all vascular effects. During infusion of 5-HT (5 micrograms.min-1 i.v. for 20 min) vascular reactions were similar to those under local application. After cyclooxygenase inhibition with indomethacin, infusion of 5-HT failed to constrict the arcuate arteries whereas vasodilation of the small preglomerular vessels remained unaffected. Analyzing vascular casts of normal kidneys we observed considerable vascular spasms and an average vasoconstriction of the interlobar arteries of 19 +/- 9% after i.v. infusion of 5-HT. We believe that 5-HT decreases GBF by 5-HT2 receptor-mediated constriction of the large renal vessels which are modulated by the prostaglandin system, whereas 5-HT dilates the small preglomerular vessels, most likely via 5-HT1-like receptors. Furthermore, our data indicate that 5-HT impairs the myogenic component of renal autoregulation in the low pressure range.
我们研究了血清素(5-羟色胺,5-HT)对肾积水肾脏以及大鼠正常肾脏血管铸型中肾小球血流(GBF)和肾血管直径的影响。5-HT(局部应用10⁻⁸mol·L⁻¹后60分钟)使弓形动脉收缩(-10±2%至-14±2%,平均值±标准误),使小叶间动脉扩张(+13±2%)和入球小动脉扩张(+17±3%),并使GBF降低(-44±5%)。与正常的自身调节相反,局部应用5-HT后,肾灌注压从118±3mmHg分别降低10和20mmHg时,GBF分别降低12±2%和23±3%。5-HT₂拮抗剂利坦色林(局部应用10⁻⁶mol·L⁻¹后60分钟)使所有肾小球前血管扩张并增加GBF。在有利坦色林存在的情况下,5-HT几乎失去了所有血管效应。在静脉输注5-HT(5μg·min⁻¹,持续20分钟)期间,血管反应与局部应用时相似。在用吲哚美辛抑制环氧化酶后,输注5-HT未能使弓形动脉收缩,而肾小球前小血管的血管舒张仍未受影响。分析正常肾脏的血管铸型时,我们观察到静脉输注5-HT后出现相当程度的血管痉挛,叶间动脉平均血管收缩19±9%。我们认为,5-HT通过5-HT₂受体介导的大肾血管收缩降低GBF,而大肾血管受前列腺素系统调节,而5-HT扩张肾小球前小血管,最可能是通过5-HT₁样受体。此外,我们的数据表明,5-HT在低压范围内损害肾自身调节的肌源性成分。