Nowicki S, Levin G, Enero M A
Cátedra de Farmacología, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Argentina.
J Pharmacol Exp Ther. 1993 Mar;264(3):1377-80.
The present study was designed to investigate whether the modification of dopamine synthesis affects furosemide responses. Experiments were performed on pentobarbital-anesthetized rats. Basal urine flow was approximately 3 microliters/min-1/g-1 of kidney weight (k.w.); furosemide (0.2 mg/kg-1 i.v.) induced a rapid diuretic effect (19.3 +/- 1.4 microliters/min-1/g-1 of k.w.). The dopadecarboxilase inhibitor, benserazide (25 mg/kg-1 i.v.), reduced furosemide-induced diuresis to 8.3 +/- 2.1 microliters/min-1/g-1 of k.w., whereas levo-dihydroxyphenylalanine (L-dopa; 1 micrograms/kg-1/min-1 infused for 60 min) increased it to 41.4 +/- 6.1 microliters/min-1/g-1 of k.w. Natriuretic response and fractional Na+ excretion induced by furosemide were significantly lower in benserazide-treated and higher in L-dopa-treated animals. Urine dopamine (DA) excretion was enhanced by furosemide from 0.44 +/- 0.05 to 0.98 +/- 0.22 ng/min-1/g-1 of k.w. and was markedly reduced in benserazide-pretreated animals, whereas both basal DA excretion and that induced by furosemide were increased significantly during L-dopa infusion. However, in benserazide- or L-dopa-treated animals, basal urine flow was not different from the control group. Urine furosemide excretion was reduced by 60% by benserazide treatment and increased by 62% during L-dopa infusion. The results are consistent with the suggestion that although endogenous DA is apparently unimportant in the maintenance of basal urine output, it is involved in furosemide-induced diuresis. The diuretic response can be altered by acute administration of substances that affect dopamine synthesis.
本研究旨在调查多巴胺合成的改变是否会影响呋塞米的反应。实验在戊巴比妥麻醉的大鼠身上进行。基础尿流量约为3微升/分钟 -1 /克 -1 肾重(k.w.);呋塞米(0.2毫克/千克 -1 静脉注射)诱导出快速利尿作用(19.3±1.4微升/分钟 -1 /克 -1 k.w.)。多巴脱羧酶抑制剂苄丝肼(25毫克/千克 -1 静脉注射)将呋塞米诱导的利尿作用降低至8.3±2.1微升/分钟 -1 /克 -1 k.w.,而左旋多巴(L -多巴;1微克/千克 -1 /分钟 -1 输注60分钟)将其增加至41.4±6.1微升/分钟 -1 /克 -1 k.w.。在苄丝肼处理的动物中,呋塞米诱导的利钠反应和钠分数排泄显著降低,而在L -多巴处理的动物中则较高。呋塞米使尿多巴胺(DA)排泄从0.44±0.05增加至0.98±0.22纳克/分钟 -1 /克 -1 k.w.,在苄丝肼预处理的动物中显著降低,而在L -多巴输注期间,基础DA排泄和呋塞米诱导的DA排泄均显著增加。然而,在苄丝肼或L -多巴处理的动物中,基础尿流量与对照组无差异。苄丝肼处理使尿呋塞米排泄减少60%,L -多巴输注期间增加62%。结果与以下观点一致:尽管内源性DA在维持基础尿量输出方面显然不重要,但它参与了呋塞米诱导的利尿作用。通过急性给予影响多巴胺合成的物质,利尿反应可以改变。