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肾神经在出血期间对肾血流变异性的作用。

Contribution of renal nerves to renal blood flow variability during hemorrhage.

作者信息

Malpas S C, Evans R G, Head G A, Lukoshkova E V

机构信息

Baker Medical Research Institute, Prahran, Victoria, Australia.

出版信息

Am J Physiol. 1998 May;274(5):R1283-94. doi: 10.1152/ajpregu.1998.274.5.R1283.

Abstract

We have examined the role of the renal sympathetic nerves in the renal blood flow (RBF) response to hemorrhage in seven conscious rabbits. Hemorrhage was produced by blood withdrawal at 1.35 ml.min(-1).kg-1 for 20 min while RBF and renal sympathetic nerve activity (RSNA) were simultaneously measured. Hemorrhage was associated with a gradual increase in RSNA and decrease in RBF from the 4th min. In seven denervated animals, the resting RBF before hemorrhage was significantly greater (48 +/- 1 vs. 31 +/- 1 ml/min intact), and the decrease in RBF did not occur until arterial pressure also began to fall (8th min); however, the overall percentage change in RBF by 20 min of blood withdrawal was similar. Spectral analysis was used to identify the nature of oscillations in each variable. Before hemorrhage, a rhythm at approximately 0.3 Hz was observed in RSNA, although not in RBF, whose spectrogram was composed mostly of lower-frequency (< 0.25 Hz) components. The denervated group of rabbits had similar frequency spectrums for RBF before hemorrhage. RSNA played a role in dampening the effect of oscillations in arterial pressure on RBF as the transfer gain between mean arterial pressure (MAP) and RBF for frequencies > 0.25 Hz was significantly less in intact than denervated rabbits (0.83 +/- 0.12 vs. 1.19 +/- 0.10 ml.min(-1).mmHg-1). Furthermore, the coherence between MAP and RBF was also significantly higher in denervated rabbits, suggesting tighter coupling between the two variables in the absence of RSNA. Before the onset of significant decreases in arterial pressure (up to 10 min), there was an increase in the strength of oscillations centered around 0.3 Hz in RSNA. These wer accompanied by increases in the spectral power of RBF at the same frequency. Arterial pressure fell in both groups of animals, the dominant rhythm to emerge in RBF was centered between 0.15 and 0.20 Hz and was present in intact and denervated rabbits. It is speculated that this myogenic in origin. We conclude that RSNA can induce oscillations in RBF at 0.3 Hz, plays a significant role in altering the effect of oscillations in arterial pressure on RBF, and mediates a proportion of renal vasoconstriction during hemorrhage in conscious rabbits.

摘要

我们研究了肾交感神经在7只清醒家兔肾血流量(RBF)对出血反应中的作用。以1.35 ml·min⁻¹·kg⁻¹的速度抽血20分钟造成出血,同时测量RBF和肾交感神经活动(RSNA)。从第4分钟开始,出血与RSNA逐渐增加和RBF减少有关。在7只去神经的动物中,出血前的静息RBF显著更高(完整动物为48±1 vs. 31±1 ml/min),直到动脉压也开始下降(第8分钟)RBF才开始降低;然而,20分钟抽血后RBF的总体百分比变化相似。频谱分析用于确定每个变量振荡的性质。出血前,在RSNA中观察到约0.3 Hz的节律,而RBF中未观察到,其频谱图主要由低频(<0.25 Hz)成分组成。去神经的家兔组在出血前RBF的频谱相似。RSNA在减弱动脉压振荡对RBF的影响中起作用,因为完整家兔中平均动脉压(MAP)和RBF之间频率>0.25 Hz的传递增益显著低于去神经家兔(0.83±0.12 vs. 1.19±0.10 ml·min⁻¹·mmHg⁻¹)。此外,去神经家兔中MAP和RBF之间的相干性也显著更高,表明在没有RSNA的情况下两个变量之间的耦合更紧密。在动脉压显著下降之前(长达10分钟),RSNA中以0.3 Hz为中心的振荡强度增加。这些伴随着相同频率下RBF频谱功率的增加。两组动物的动脉压均下降,RBF中出现的主导节律集中在0.15至0.20 Hz之间,完整和去神经的家兔中均存在。推测这起源于肌源性。我们得出结论,RSNA可诱导RBF以0.3 Hz振荡,在改变动脉压振荡对RBF的影响中起重要作用,并在清醒家兔出血期间介导一定比例的肾血管收缩。

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