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门静脉输注高渗盐水期间肾交感神经活动的抑制

Suppression of renal sympathetic nerve activity during portal vein infusion of hypertonic saline.

作者信息

Nishida Y, Sugimoto I, Morita H, Murakami H, Hosomi H, Bishop V S

机构信息

Department of Physiology, Kagawa Medical School, Japan.

出版信息

Am J Physiol. 1998 Jan;274(1):R97-103. doi: 10.1152/ajpregu.1998.274.1.R97.

DOI:10.1152/ajpregu.1998.274.1.R97
PMID:9458904
Abstract

Sodium ions absorbed from the intestine are postulated to act on the liver to reflexly suppress renal sympathetic nerve activity (RSNA), resulting in inhibition of sodium reabsorption in the kidney. To test the hypothesis that the renal sympathoinhibitory response to portal venous NaCl infusion involves an action of arginine vasopressin (AVP) at the area postrema, we examined the effects of portal venous infusion of hypertonic NaCl on RSNA before and after lesioning of the area postrema (APL) or after pretreatment with an AVP V1 receptor antagonist (AVPX). Rabbits were chronically instrumented with portal and femoral venous catheters, femoral arterial catheters, and renal nerve electrodes. Portal venous infusion of 9.0% NaCl (0.02, 0.05, 0.10, and 0.15 ml.kg-1.min-1 of 9.0% NaCl for 10 min) produced a dose-dependent suppression of RSNA (-12 +/- 3, -34 +/- 3, -62 +/- 5, and 80 +/- 2%, respectively) that was greater than that produced by femoral vein infusion of 9.0% NaCl (2 +/- 3, -3 +/- 2, -12 +/- 4, and -33 +/- 3%, respectively). The suppression of RSNA produced by portal vein infusion of 9.0% NaCl was partially reversed by pretreatment with AVPX (-9 +/- 3, -20 +/- 3, -41 +/- 4, and -55 +/- 4%, respectively) and by APL (-11 +/- 2, -25 +/- 2, -49 +/- 3, and -59 +/- 6%, respectively). There were no significant differences between the effects of AVPX and APL, and the effect of APL was not augmented by AVPX. These results indicate that the suppression of RSNA due to portal venous infusion of 9.0% NaCl involves an action of AVP via the area postrema.

摘要

据推测,从肠道吸收的钠离子作用于肝脏,以反射性抑制肾交感神经活动(RSNA),从而抑制肾脏对钠的重吸收。为了验证肾交感神经抑制反应对门静脉输注氯化钠涉及精氨酸加压素(AVP)在后区的作用这一假设,我们研究了在损毁后区(APL)之前和之后或用AVP V1受体拮抗剂(AVPX)预处理后,门静脉输注高渗氯化钠对RSNA的影响。兔子长期植入门静脉和股静脉导管、股动脉导管和肾神经电极。门静脉输注9.0%氯化钠(9.0%氯化钠0.02、0.05、0.10和0.15 ml·kg-1·min-1,持续10分钟)产生剂量依赖性的RSNA抑制(分别为-12±3、-34±3、-62±5和-80±2%),大于股静脉输注9.0%氯化钠产生的抑制(分别为2±3、-3±2、-12±4和-33±3%)。门静脉输注9.0%氯化钠产生的RSNA抑制通过AVPX预处理(分别为-9±3、-20±3、-41±4和-55±4%)和APL(分别为-11±2、-25±2、-49±3和-59±6%)部分逆转。AVPX和APL的作用之间没有显著差异,并且APL的作用没有被AVPX增强。这些结果表明,门静脉输注9.0%氯化钠导致的RSNA抑制涉及AVP通过后区的作用。

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