Nishikawa K, Morrison A, Needleman P
J Clin Invest. 1977 Jun;59(6):1143-50. doi: 10.1172/JCI108738.
Basal and hormone-stimulated prostaglandin biosynthesis was compared in isolated perfused rabbit kidneys with and without ureteral obstruction. At 72 h there was enhanced responsiveness to bradykinin in the ureter-obstructed hydronephrotic kidney. The amount of prostaglandin-like substance released from the perfused kidneys by 25 ng of bradykinin was 533+/-163 ng from the ureter-obstructed, 28+/-4 ng from the contralateral, and 26+/-3 ng from the normal kidney. The enhanced response was also noted with angiotensin II and with norepinephrine. This exaggerated responsiveness by the ureter-obstructed kidney could not be explained by decreased prostaglandin (PG) destruction or by decreased renal peptide inactivation (bradykinin or angiotensin). There was no enhanced PG biosynthesis with exogenous arachidonate, suggesting there was no increase in cyclo-oxygenase activity in the ureter-obstructed kidney. Renal tubular transport of PG from medulla to cortex was apparently not essential for the enhanced PG biosynthesis to hormone stimulation since the same exaggerated responses were noted during perfusion with the ureter ligated. The cyclo-oxygenase inhibitor, indomethacin, increased basal perfusion pressure in the obstructed kidney and enhanced the magnitude and duration of the renal vasoconstriction produced by angiotensin II in the hydronephrotic kidney. These results suggest that the local exaggerated biosynthesis of PG may be occurring in the cortical resistance vessels and may be important to the alteration in blood flow and excretory function that occur in ureteral obstruction.
对有或无输尿管梗阻的离体灌注兔肾中基础状态和激素刺激下的前列腺素生物合成进行了比较。在72小时时,输尿管梗阻性肾积水的肾脏对缓激肽的反应性增强。25纳克缓激肽从灌注肾中释放出的前列腺素样物质的量,在输尿管梗阻侧肾脏为533±163纳克,对侧肾脏为28±4纳克,正常肾脏为26±3纳克。血管紧张素II和去甲肾上腺素也出现了增强反应。输尿管梗阻肾脏的这种过度反应性不能用前列腺素(PG)破坏减少或肾肽失活(缓激肽或血管紧张素)减少来解释。外源性花生四烯酸并未增强PG生物合成,提示输尿管梗阻肾脏中环氧合酶活性没有增加。由于在输尿管结扎灌注期间也观察到了同样的过度反应,因此从髓质到皮质的PG肾小管转运显然不是激素刺激下PG生物合成增强所必需的。环氧合酶抑制剂吲哚美辛增加了梗阻肾脏的基础灌注压,并增强了血管紧张素II在肾积水肾脏中产生的肾血管收缩的幅度和持续时间。这些结果表明,PG的局部过度生物合成可能发生在皮质阻力血管中,并且可能对输尿管梗阻时发生的血流和排泄功能改变很重要。