Munger K A, Takahashi K, Awazu M, Frazer M, Falk S A, Conger J D, Badr K F
Department of Medicine, Emory University, Atlanta, Georgia.
Am J Physiol. 1993 Apr;264(4 Pt 2):F637-44. doi: 10.1152/ajprenal.1993.264.4.F637.
Influence of arachidonate cyclooxygenase (COX) products on endothelin (ET)-evoked renal vasoconstriction was assessed. In microperfused rat afferent (AA) and efferent arterioles (EA), indomethacin had no effects on the maximal contraction of both AA and EA by ET, but reduced the duration of ET-induced constriction in both arterioles. ET infusion to rats in vivo resulted in a selective increase in efferent but not afferent arteriolar resistance, leading to a dramatic increase in transcapillary hydraulic pressure difference. Glomerular filtration rate (GFR), which fell progressively during infusion of ET alone, was markedly preserved by COX inhibition, but not during selective thromboxane A2 antagonism. In isolated glomeruli, release of prostaglandin (PG) F2 alpha in response to 10(-6) mol/l ET exceeded that the PGE2 by a ratio of 3.2. Collectively, these data provide strong evidence that locally released COX products, possibly PGF2 alpha, play a key role in sustaining ET-induced renal arteriolar constriction. COX inhibition leads to acute vasorelaxation of AA despite continued ET administration, without affecting EA constriction in vivo, thereby resulting in a dramatic reversal of the effects of ET on GFR.
评估了花生四烯酸环氧化酶(COX)产物对内皮素(ET)诱发的肾血管收缩的影响。在微灌注的大鼠入球小动脉(AA)和出球小动脉(EA)中,吲哚美辛对ET引起的AA和EA的最大收缩没有影响,但缩短了两种小动脉中ET诱导的收缩持续时间。在体内给大鼠输注ET导致出球小动脉阻力选择性增加,而不是入球小动脉阻力增加,导致跨毛细血管液压差显著增加。单独输注ET期间逐渐下降的肾小球滤过率(GFR),通过COX抑制得到显著保留,但在选择性血栓素A2拮抗期间则没有。在分离的肾小球中,对10(-6)mol/l ET的反应中,前列腺素(PG)F2α的释放超过PGE2的释放,比例为3.2。总体而言,这些数据提供了有力证据,表明局部释放的COX产物,可能是PGF2α,在维持ET诱导的肾小动脉收缩中起关键作用。尽管持续给予ET,COX抑制仍导致AA急性血管舒张,而不影响体内EA收缩,从而导致ET对GFR的影响发生显著逆转。