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清醒犬对外源性和内源性腺苷的肾血流动力学反应。

Renal haemodynamic responses to exogenous and endogenous adenosine in conscious dogs.

作者信息

Berthold H, Just A, Kirchheim H R, Osswald H, Ehmke H

机构信息

I. Physiologisches Institut, Ruprecht-Karls-Universitat Heidelberg, D-69120 Heidelberg, Germany.

出版信息

J Physiol. 1998 Jul 1;510 ( Pt 1)(Pt 1):321-30. doi: 10.1111/j.1469-7793.1998.321bz.x.

Abstract
  1. Adenosine has been suggested to be the mediator of a metabolic feedback mechanism which transfers acute changes in the tubular load into opposite changes in renal blood flow (RBF). The goal of the present experiments was to assess the importance of endogenously formed adenosine as a 'homeostatic metabolite' during short-term changes in metabolic demand. 2. In nine chronically instrumented conscious foxhounds, both the direct effects of adenosine injections (10, 30 and 100 nmol) into the renal artery and the temporal changes of RBF after short renal artery occlusions (15, 30 and 60 s duration), the most widely used experimental model to study the metabolic feedback mechanism in vivo, were studied. 3. Intrarenal bolus injections of adenosine (10, 30 and 100 nmol) induced dose-dependent decreases of RBF (RBF: -34 +/- 5, -59 +/- 4 and -74 +/- 4 %, respectively). This vasoconstrictor effect of adenosine was significantly larger (RBF: -51 +/- 4, -68 +/- 4 and -83 +/- 3 %, respectively) when the dogs received a low salt diet. 4. The post-occlusive responses were characterized by a transient hyperaemia with no detectable drop of RBF below the preocclusion level. The post-occlusive responses were affected neither by changes in local angiotensin II levels, nor by intrarenal infusions of hypertonic NaCl or blockade of A1 adenosine receptors. 5. When intrarenal adenosine levels were elevated by infusion of the adenosine uptake inhibitor dipyridamole, a transient, although weak, post-occlusive vasoconstriction was detected. 6. In summary, the present data demonstrate that adenosine acts as a potent renal vasoconstrictor in the conscious dog. The endogenous production of adenosine during short-lasting occlusions of the renal artery, however, appears to be too small to induce a post-occlusive vasoconstrictor response of RBF. These results suggest that a metabolic feedback with adenosine as 'homeostatic metabolite' is of minor importance in the short-term regulation of RBF in the conscious, unstressed animal.
摘要
  1. 腺苷被认为是一种代谢反馈机制的介质,该机制将肾小管负荷的急性变化转化为肾血流量(RBF)的相反变化。本实验的目的是评估内源性生成的腺苷作为“稳态代谢物”在代谢需求短期变化期间的重要性。2. 在9只长期植入仪器的清醒猎狐犬中,研究了向肾动脉注射腺苷(10、30和100 nmol)的直接效应以及肾动脉短暂闭塞(持续15、30和60秒)后RBF的时间变化,这是研究体内代谢反馈机制最常用的实验模型。3. 肾内推注腺苷(10、30和100 nmol)引起RBF剂量依赖性降低(RBF分别为-34±5、-59±4和-74±4%)。当犬接受低盐饮食时,腺苷的这种血管收缩作用明显更大(RBF分别为-51±4、-68±4和-83±3%)。4. 闭塞后反应的特征是短暂的充血,未检测到RBF降至闭塞前水平以下。闭塞后反应既不受局部血管紧张素II水平变化的影响,也不受肾内输注高渗氯化钠或A1腺苷受体阻断的影响。5. 当通过输注腺苷摄取抑制剂双嘧达莫提高肾内腺苷水平时,检测到短暂的、尽管较弱的闭塞后血管收缩。6. 总之,目前的数据表明,腺苷在清醒犬中作为一种有效的肾血管收缩剂起作用。然而,在肾动脉短暂闭塞期间内源性腺苷的产生似乎太小,不足以诱导RBF的闭塞后血管收缩反应。这些结果表明,以腺苷作为“稳态代谢物”的代谢反馈在清醒、未受应激动物的RBF短期调节中不太重要。

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