Yip K P, Holstein-Rathlou N H
Department of Physiology, Brown University, Providence, RI 02912, USA.
Cardiovasc Res. 1996 Mar;31(3):359-70.
Renal autoregulation of blood flow depends on the functions of the tubuloglomerular feedback (TGF) system and the myogenic response of the afferent arteriole. Studies of the dynamic aspects of these control mechanisms at the level of both the single nephron and the whole kidney have revealed a variety of non-linear phenomena. In halothane-anesthetized, normotensive rats the TGF system oscillates regularly at 2-3 cycles/min because of the non-linearities and the time delays within the feedback system. Oscillations are present in single nephron blood flow, tubular pressure and flow, and in the tubular solute concentrations. Nephrons deriving their afferent arteriole from the same cortical radial artery are entrained, and consequently oscillate at the same frequency. Experimental studies have shown that the synchronization is due to an interaction of the TGF between nephrons. A necessary condition for the interaction is that the nephrons derive their blood supply from the same cortical radial artery. Development of hypertension is associated with a shift from periodic oscillations of tubular pressure to random-like fluctuations. Numerical analyses indicate that these fluctuations are an example of deterministic chaos. Experimental studies show that the development of hypertension is associated with an increase in strength of the interaction between nephrons. Mathematical models suggest that an increased nephron-nephron interaction could cause a bifurcation in the dynamics of TGF from periodic oscillations to deterministic chaos. In addition to the TGF mediated oscillation, experimental studies have also demonstrated the presence of a faster oscillation, this having a frequency of 120-160 mHz. This is caused by a mechanism intrinsic to the vascular wall, and presumably represents the well-known phenomenon of vasomotion. Using newly developed non-linear analytical methods non-linear interactions between vasomotion and the TGF mediated oscillation were detected both in single nephron and in whole kidney blood flow. The physiological significance of these non-linear phenomena in renal vascular control is discussed.
肾脏血流的自身调节取决于肾小管-肾小球反馈(TGF)系统的功能以及入球小动脉的肌源性反应。对这些控制机制在单个肾单位和整个肾脏水平的动态方面的研究揭示了多种非线性现象。在氟烷麻醉的正常血压大鼠中,由于反馈系统中的非线性和时间延迟,TGF系统以2 - 3次/分钟的频率有规律地振荡。单个肾单位的血流、肾小管压力和流量以及肾小管溶质浓度中都存在振荡。源自同一皮质放射状动脉的肾单位会被同步,因此以相同频率振荡。实验研究表明,这种同步是由于肾单位之间TGF的相互作用。这种相互作用的一个必要条件是肾单位从同一皮质放射状动脉获得血液供应。高血压的发展与肾小管压力从周期性振荡向类似随机波动的转变有关。数值分析表明,这些波动是确定性混沌的一个例子。实验研究表明,高血压的发展与肾单位之间相互作用强度的增加有关。数学模型表明,肾单位-肾单位相互作用的增加可能导致TGF动力学从周期性振荡到确定性混沌的分岔。除了TGF介导的振荡外,实验研究还证明存在更快的振荡,其频率为120 - 160 mHz。这是由血管壁固有的一种机制引起的,大概代表了众所周知的血管运动现象。使用新开发的非线性分析方法,在单个肾单位和整个肾脏血流中都检测到了血管运动与TGF介导的振荡之间的非线性相互作用。本文讨论了这些非线性现象在肾血管控制中的生理意义。