Jørgensen P E, Poulsen S S, Nexø E, Christensen S
Department of Clinical Chemistry, KH University Hospital of Aarhus, Denmark.
Regul Pept. 1993 Mar 5;44(1):17-24. doi: 10.1016/0167-0115(93)90126-s.
Epidermal growth factor (EGF) is synthesized in the kidneys and excreted in urine. Administration of exogenous EGF modulates the reabsorption of Na+ and the vasopressin stimulated reabsorption of water in the collecting tubules. In order to clarify whether this reflects a physiological role for urinary EGF we examined the effects of changes in the oral loads of water, Na+ and NH4+ as well as the effect of infusion of the vasopressin analogue, desmopressin (DDAVP) on the endogenous urinary EGF excretion in the rat. Water deprivation for 48 h reduced the urinary excretion of EGF by 25% and the urinary EGF/creatinine ratio by 8%. Also, urinary volume, Na+ excretion, and urinary pH were reduced by water deprivation. Infusion of DDAVP, low plasma vasopressin induced by polydipsia, and changes in the renal excretion of Na+ and H+ did not affect the urinary excretion of EGF.
it seems unlikely that nephrogenous EGF excreted in the urine plays a physiological role in the regulation of the renal excretion of Na+ and H+ and in the vasopressin stimulated reabsorption of water in the rat. However, since water deprivation reduced the urinary excretion of EGF it remains possible that urinary EGF plays a role in the complex physiological response to dehydration.
表皮生长因子(EGF)在肾脏中合成并随尿液排出。给予外源性EGF可调节集合管中Na⁺的重吸收以及血管加压素刺激的水重吸收。为了阐明这是否反映了尿EGF的生理作用,我们研究了口服水、Na⁺和NH₄⁺负荷变化以及血管加压素类似物去氨加压素(DDAVP)输注对大鼠内源性尿EGF排泄的影响。48小时禁水使EGF的尿排泄量减少25%,尿EGF/肌酐比值降低8%。此外,禁水还使尿量、Na⁺排泄量和尿pH值降低。输注DDAVP、因多饮导致的低血浆血管加压素以及肾Na⁺和H⁺排泄的变化均不影响EGF的尿排泄量。
尿中排泄的肾源性EGF似乎不太可能在大鼠肾Na⁺和H⁺排泄调节以及血管加压素刺激的水重吸收中发挥生理作用。然而,由于禁水减少了EGF的尿排泄量,尿EGF仍有可能在对脱水的复杂生理反应中发挥作用。