Uriu K, Kaizu K, Ito Y, Komine N, Ikeda M, Hashimoto O, Eto S
Kidney center, Kitakyushu, Japan.
Nihon Jinzo Gakkai Shi. 1993 Mar;35(3):217-21.
The decreases of glomerular filtration rate (GFR) and renal blood flow (RBF) after acute administration of cadmium have been reported. The recent studies about renal failure induced by heavy metals revealed that the decrease of glomerular ultrafiltration coefficient is an important contributing factor in the onset of acute renal failure and that the changes of renal hemodynamics are less prominent factors. To clarify whether the changes of renal hemodynamics contribute to the decrease of GFR caused by cadmium, we evaluated the changes of renal hemodynamics and inulin clearance after acute intravenous infusion of cadmium chloride in rats. Cadmium chloride was continuously infused at the rate of 3.0 mumol/kg/min into SD rats. Mean arterial pressure was significantly increased immediately after the infusion of cadmium and unchanged during the experiment. 20 minutes after the infusion of cadmium, inulin clearance was decreased by 70% of the control value but RBF and renal vascular resistance (RVR) were unchanged. Filtration fraction was significantly decreased. 30 minutes after the infusion of cadmium, inulin clearance was further decreased by 51% of the control value. At the period, significant decrease of RBF (72% of control value) and increase of RVR (156% of control value) were observed. Urinary excretion of sodium and the ratio of urinary sodium to urinary inulin excretion were unchanged until 20 minute and were significantly decreased 30 minutes after the infusion of cadmium. Urinary volume was not changed throughout the experiment.(ABSTRACT TRUNCATED AT 250 WORDS)
急性给予镉后肾小球滤过率(GFR)和肾血流量(RBF)降低的情况已有报道。近期关于重金属诱导肾衰竭的研究表明,肾小球超滤系数降低是急性肾衰竭发病的一个重要因素,而肾血流动力学变化则是较次要的因素。为阐明肾血流动力学变化是否导致镉引起的GFR降低,我们评估了大鼠急性静脉输注氯化镉后肾血流动力学和菊粉清除率的变化。以3.0 μmol/kg/min的速率持续向SD大鼠输注氯化镉。输注镉后平均动脉压立即显著升高,且在实验过程中保持不变。输注镉20分钟后,菊粉清除率降至对照值的70%,但RBF和肾血管阻力(RVR)未变。滤过分数显著降低。输注镉30分钟后,菊粉清除率进一步降至对照值的51%。此时,观察到RBF显著降低(为对照值的72%),RVR升高(为对照值的156%)。直至20分钟,尿钠排泄及尿钠与尿菊粉排泄的比值均未改变,输注镉30分钟后显著降低。整个实验过程中尿量未变。(摘要截选至250字)