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内源性内皮素和一氧化氮在肾小管-肾小球反馈中的作用。

Role of endogenous endothelin and nitric oxide in tubuloglomerular feedback.

作者信息

Kawabata M, Han W H, Ise T, Kobayashi K, Takabatake T

机构信息

Fourth Department of Internal Medicine, Shimane Medical University, Japan.

出版信息

Kidney Int Suppl. 1996 Jun;55:S135-7.

PMID:8743535
Abstract

To elucidate the roles of endogenous endothelin (ET) and nitric oxide (NO) in tubuloglomerular feedback (TGF), the effects of FR139317, a specific ET-A receptor antagonist, and NG-nitro-L-arginine (L-NNA), a NO synthase inhibitor on TGF were studied in Sprague-Dawley rats. FR139317 (1.5 mg/kg/hr i.v.) reversed the systemic pressor and renal vasoconstrictor responses induced by ET-1 (2 nmol/kg/hr i.v.), but did not alter the early proximal flow rate (EPFR) reduction in response to a loop perfusion with an artificial tubular fluid at 40 nl/min (47 +/- 3 vs. 47 +/- 3% in controls). L-NNA (0.2 mg/kg + 2 micrograms/kg/min i.v.) had no effect on systemic blood pressure (BP), renal hemodynamics or EPFR measured at zero perfusion (31 +/- 2 vs. 31 +/- 2 nl/min in controls), but enhanced the EPFR reduction during loop perfusion to 77 +/- 3%. Loop perfusion with 10(-3) M L-NNA in perfusate also increased the EPFR reduction to 70 +/- 7%. In conclusion, inhibition of NO synthesis enhances the TGF-mediated reduction of nephron GFR. This indicates an active participation of endogenous NO in the control of afferent arteriolar tone. endogenous ET does not influence TGF via the ET-A receptor.

摘要

为阐明内源性内皮素(ET)和一氧化氮(NO)在肾小管-肾小球反馈(TGF)中的作用,我们在Sprague-Dawley大鼠中研究了特异性ET-A受体拮抗剂FR139317和NO合酶抑制剂NG-硝基-L-精氨酸(L-NNA)对TGF的影响。FR139317(1.5毫克/千克/小时,静脉注射)可逆转ET-1(2纳摩尔/千克/小时,静脉注射)诱导的全身升压和肾血管收缩反应,但不改变以40纳升/分钟的人工肾小管液进行襻灌注时早期近端流速(EPFR)的降低(对照组为47±3%,用药组为47±3%)。L-NNA(0.2毫克/千克+2微克/千克/分钟,静脉注射)对零灌注时测量的全身血压(BP)、肾血流动力学或EPFR无影响(对照组为31±2纳升/分钟,用药组为31±2纳升/分钟),但在襻灌注期间将EPFR降低增强至77±3%。在灌注液中用10⁻³M L-NNA进行襻灌注也将EPFR降低增加至70±7%。总之,抑制NO合成可增强TGF介导的肾单位肾小球滤过率降低。这表明内源性NO积极参与传入小动脉张力的控制。内源性ET不通过ET-A受体影响TGF。

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