Bergamaschi C T, Boim M A, Moura L A, Piçarro I C, Schor N
Nephrology Division, Escola Paulista de Medicina-Universidade Federal de São Paulo, Brazil.
Med Sci Sports Exerc. 1997 Feb;29(2):169-74. doi: 10.1097/00005768-199702000-00001.
To evaluate the effects of long-term exercise on the progression of chronic renal failure (CRF), adult Munich-Wistar rats with 5/6 renal mass ablation were submitted to treadmill exercise for 30 min 5 times/wk for 60 d. Whole kidney function and glomerular hemodynamics, proteinuria, and glomerular sclerosis were evaluated in 4 groups: Control, Sham trained (Sham + Ex), rats submitted to 5/6 nephrectomy (CRF) and maintained sedentary, and rats with 5/6 nephrectomy and trained (CRF + Ex). The groups with chronic renal failure (sedentary and trained) presented a reduction in total glomerular filtration rate (GFR) and in renal plasma flow (RPF), accompanied by an increase in single nephron GFR (SNGFR) and glomerular plasma flow (QA). However, the CRF + EX group did not show the glomerular hypertension observed in the CRF group. Despite the normalization of glomerular hypertension, proteinuria and sclerosis index were not different from the CRF sedentary group. Physical training provoked a vasodilatation of efferent arterioles, which induced the normalization of glomerular hypertension. These results suggest that the reduction alone of glomerular hypertension induced by exercise does not prevent the progression of renal disease, indicating the participation of other associated factors in this experimental model.
为评估长期运动对慢性肾衰竭(CRF)进展的影响,将行5/6肾切除的成年慕尼黑-威斯塔大鼠进行每周5次、每次30分钟、共60天的跑步机运动。对4组大鼠的全肾功能、肾小球血流动力学、蛋白尿和肾小球硬化进行评估:对照组、假训练组(假手术+运动)、行5/6肾切除术并保持 sedentary 的大鼠(CRF)以及行5/6肾切除术并进行训练的大鼠(CRF+运动)。慢性肾衰竭组(sedentary 和训练组)的总肾小球滤过率(GFR)和肾血浆流量(RPF)降低,同时单个肾单位 GFR(SNGFR)和肾小球血浆流量(QA)增加。然而,CRF+运动组未出现CRF组中观察到的肾小球高血压。尽管肾小球高血压恢复正常,但蛋白尿和硬化指数与CRF sedentary组无差异。体育锻炼引起出球小动脉血管舒张,从而使肾小球高血压恢复正常。这些结果表明,仅通过运动降低肾小球高血压并不能阻止肾脏疾病的进展,这表明在该实验模型中其他相关因素也发挥了作用。