Sonnenberg H, Veress A T, Pearce J W
Circ Res. 1977 Aug;41(2):238-42. doi: 10.1161/01.res.41.2.238.
The microsphere technique was used to measure renal blood flow and intrarenal flow distribution in cross-circulated pairs of rats. One rat of each pair was made hypervolemic by infusion of blood (2.3% of body weight), followed by intravenous reinfusion to urine to maintain intravascular expansion. The other rat of each pair, which also was urine-reinfused, was kept isvolemic throughout the experiment. As shown previously, blood infusion resulted in a large diuretic and natriuretic response in the hypervolemic partner, while a smaller but statistically significant response occurred in the isovolemic partner. Total renal blood flow did not change in the expanded rats and fell slightly but not significantly in the nonexpanded ones. Blood volume expansion was associated with a significant shift in microsphere concentration from outer to inner cortex. This shift was not, however, correlated with the magnitude of the renal response. The transferred natriuresis in isovolemic partners was not associated with any change in microsphere distribution. We conclude therefore, that redistribution of blood flow to the inner cortex, although a feature of intravascular expansion, is not the primary determinant of volume natriuresis. In addition, the natriuretic activity which develops in the blood of hypervolemic rats can reduce sodium reabsorption in isovolemic rats without intrarenal hemodynamic changes.
采用微球技术测定交叉循环大鼠对的肾血流量和肾内血流分布。每对大鼠中的一只通过输注血液(占体重的2.3%)使其血容量增多,随后静脉回输尿液以维持血管内扩张。每对中的另一只大鼠也进行尿液回输,在整个实验过程中保持血容量正常。如先前所示,输注血液导致血容量增多的大鼠出现大量利尿和利钠反应,而血容量正常的大鼠出现较小但具有统计学意义的反应。血容量增多的大鼠总肾血流量未改变,血容量未增多的大鼠总肾血流量略有下降但不显著。血容量扩张与微球浓度从肾皮质外层向内层的显著转移有关。然而,这种转移与肾脏反应的程度无关。血容量正常的大鼠的转移性利钠作用与微球分布的任何变化均无关。因此,我们得出结论,尽管血流重新分布至肾皮质内层是血管内扩张的一个特征,但它不是容量性利钠的主要决定因素。此外,血容量增多的大鼠血液中产生的利钠活性可在无肾内血流动力学变化的情况下降低血容量正常的大鼠的钠重吸收。