Haack D, Möhring J, Möhring B, Petri M, Hackenthal E
Am J Physiol. 1977 Nov;233(5):F403-11. doi: 10.1152/ajprenal.1977.233.5.F403.
The administration of corticosterone for 5 consecutive days to normal rats on a standard sodium intake induced negative sodium and water balance. These effects were opposite those observed under DOCA treatment. However, not only under DOCA but also under corticosterone treatment extracellular fluid volume (ECFV) and plasma volume (PV) increased, and blood pressure (BP) rose in parallel. Plasma renin and angiotensin II concentrations declined under the influence of both steroids. Plasma arginine vasopressin concentrations increased under DOCA, whereas they transiently decreased under corticosterone administration. These data suggest that the common mediator for BP elevation due to steroid excess would be an increase in ECFV and PV. The pathways by which this increase is achieved seem to be different. Under DOCA treatment ECFV and PV increased subsequent to renal sodium and water retention. Under corticosterone, however, sodium and water were shifted from intra- to extracellular compartments, and a fraction of this shifted sodium and water was conserved in extracellular space, most likely because corticosterone also affected renal sodium handling.
对正常大鼠连续5天给予皮质酮,同时维持标准钠摄入量,会导致钠和水平衡呈负向变化。这些效应与去氧皮质酮(DOCA)处理下观察到的效应相反。然而,不仅在DOCA处理下,而且在皮质酮处理下,细胞外液量(ECFV)和血浆量(PV)都会增加,并且血压(BP)会同时升高。在两种类固醇的影响下,血浆肾素和血管紧张素II浓度均下降。DOCA处理下血浆精氨酸加压素浓度升高,而在给予皮质酮时则短暂下降。这些数据表明,类固醇过量导致血压升高的共同介质是ECFV和PV的增加。实现这种增加的途径似乎有所不同。在DOCA处理下,ECFV和PV在肾脏钠和水潴留后增加。然而,在皮质酮作用下,钠和水从细胞内转移到细胞外间隙,并且转移的钠和水中的一部分在细胞外空间中被保留,这很可能是因为皮质酮也影响肾脏对钠的处理。