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血管升压素对犬钠排泄及血浆抗利钠活性的影响。

Effect of vasopressin on sodium excretion and plasma antinatriferic activity in the dog.

作者信息

Buckalew V M, Dimond K A

出版信息

Am J Physiol. 1976 Jul;231(1):28-33. doi: 10.1152/ajplegacy.1976.231.1.28.

Abstract

Vasopressin (VP) was administered for 1 h intravenously to hydropenic, anesthetized dogs in doses of 1.0-1.25 mU/kg per min. In 14 experiments, sodium excretion (UNA V) increased from a mean of 13 +/- 5 to a peak of 96 +/- 21 mueq/min 40 min after beginning infusion (P less than .001). Urine flow and potassium excretion increased from 0.18 +/-.04 ml/min and 20 +/- 2 meuq/min to peak values of 0.6 +/- .08 ml/min and 61 +/- 9 mueq/min, respectively (P less than .001), with no significant increase in glomerular filtration rate. No significant changes in UNA V occurred in eight sham control experiments of in six experiments in which VP was given at 75 muU/kf per min. To test the hypothesis that VP might be natriuretic indirectly by releasing a natriuretic substance, plasms ultrafiltrates were tested for toad bladder antinatriferic activity(AA). During steady-state control, AA was -10 +/- 3%. Thirty and sixty minutes after beginning VP, AA increased to -24 +/- 3% (P less than .05) and -26 +/- 2% (P less than .001), respectiviely. No significant change in plasma AA occurred in either sham controls or in animals given the subnatriuretic VP dose. Incubation of plasma with 1,000 muU/ml VP caused no increase in AA. The data show that VP natriuresis is accompanied by an increase in plasms AA. The results suggest that vasopressin natriuresis in hydropenic dogs at least in part to the release of a humoral inhibitor of renal tubular sodium transport.

摘要

对禁水、麻醉的犬静脉输注血管加压素(VP)1小时,剂量为每分钟1.0 - 1.25 mU/kg。在14项实验中,开始输注后40分钟,钠排泄量(UNA V)从平均13±5增加到峰值96±21 μeq/分钟(P <.001)。尿流量和钾排泄量分别从0.18±0.04 ml/分钟和20±2 μeq/分钟增加到峰值0.6±0.08 ml/分钟和61±9 μeq/分钟(P <.001),而肾小球滤过率无显著增加。在8项假对照实验以及6项以每分钟75 μU/kg给予VP的实验中,UNA V无显著变化。为了检验VP可能通过释放一种利钠物质间接产生利钠作用的假说,检测了血浆超滤液对蟾蜍膀胱的抗利钠活性(AA)。在稳态对照期间,AA为-10±3%。开始VP输注后30分钟和60分钟,AA分别增加到-24±3%(P <.05)和-26±2%(P <.001)。在假对照动物或给予亚利钠剂量VP的动物中,血浆AA均无显著变化。将血浆与1000 μU/ml的VP孵育未导致AA增加。数据表明,VP利钠作用伴随着血浆AA的增加。结果提示,禁水犬中VP利钠作用至少部分归因于一种肾小管钠转运体液抑制剂的释放。

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