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肾神经与D1-多巴胺受体介导的利钠作用。

Renal nerves and D1-dopamine receptor-mediated natriuresis.

作者信息

Asico L D, Eisner G M, Jose P A

机构信息

Department of Pediatrics, Georgetown University Medical Center, Washington, DC 20007-2197, USA.

出版信息

Clin Exp Hypertens. 1998 Feb;20(2):259-71. doi: 10.3109/10641969809053218.

Abstract

The resistance of the spontaneously hypertensive rat (SHR) kidney to the natriuretic effect of dopamine and D1 agonists may be due to increased renal nerve activity. Therefore, we compared the effects of the intrarenal arterial infusion of the D1 agonist, SKF 38383, into the denervated (DNX) kidney of saline-loaded-anesthetized SHR and its control, the Wistar-Kyoto (WKY) rat. In both WKY and SHR, DNX of the left kidney slightly decreased urine flow (UV) and absolute (UNaV) and fractional sodium excretion (FENa) in the innervated right kidney; neither vehicle nor D1 agonist infusion exerted any effect. In the left kidney, denervation increased UV, UNaV, and FENa to a similar degree in WKY and SHR (2-fold), without affecting renal blood flow, glomerular filtration rate, or blood pressure. In WKY but not in SHR, after DNX, the D1 agonist dose-dependently increased UV, UNaV, and FENa in the denervated kidney. We conclude that the decreased natriuretic effect of D1 agonists in the SHR is not due to increased renal nerve activity. These data support our previous studies implicating a defect of the D1 receptor or its regulation in the kidney in genetic hypertension.

摘要

自发性高血压大鼠(SHR)肾脏对多巴胺和D1激动剂的利钠作用产生抵抗,可能是由于肾神经活动增强所致。因此,我们比较了在生理盐水负荷麻醉的SHR及其对照Wistar-Kyoto(WKY)大鼠的去神经支配(DNX)肾脏中,肾内动脉输注D1激动剂SKF 38383的效果。在WKY和SHR中,左肾去神经支配均使右侧有神经支配肾脏的尿流(UV)、绝对尿钠排泄量(UNaV)和尿钠排泄分数(FENa)略有降低;输注载体或D1激动剂均未产生任何影响。在左肾中,去神经支配使WKY和SHR的UV、UNaV和FENa升高至相似程度(2倍),而不影响肾血流量、肾小球滤过率或血压。在WKY而非SHR中,去神经支配后,D1激动剂在去神经支配的肾脏中剂量依赖性地增加UV、UNaV和FENa。我们得出结论,SHR中D1激动剂利钠作用降低并非由于肾神经活动增强。这些数据支持了我们之前的研究,即提示在遗传性高血压中,肾脏中D1受体或其调节存在缺陷。

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