Abe Y, Okahara T, Kishimoto T, Yamamoto K
Jpn Circ J. 1976 Jul;40(7):713-21. doi: 10.1253/jcj.40.713.
The present study was undertaken to evaluate the relationship between renin secretion from the denervated kidney and intrarenal distribution of blood flow during reductions in renal perfusion pressure by partial constriction of the aorta with and without ureteral occlusion in the anesthetized dog. In addition, renin contents in different zones of the kidney were measured. A reduction in renal arterial pressure from normal pressure (125-135 mmHg) to 77 mm Hg resulted in significant increase in renin secretion and redistribution of cortical blood flow. A further reduction of renal arterial pressure to 51 mmHg produced a marked increase in renin secretion rate (RSR) without further changes in the intrarenal distribution pattern of blood flow. The pressure reductions during ureteral occlusion increased RSR without any change in the distribution pattern of blood flow, and a decrease in the amounts of extractable renin was found in the outer cortex of the experimental kidney. These findings suggest that renin release occurs mainly in the outer cortex, and this process may be stimulated when the mechanism of autoregulation fails as the perfusion presure approaches to the lower range of autoregulation in the outer cortex.
本研究旨在评估在麻醉犬中,通过部分结扎主动脉降低肾灌注压时,去神经支配肾脏的肾素分泌与肾内血流分布之间的关系,同时伴有或不伴有输尿管阻塞。此外,还测量了肾脏不同区域的肾素含量。肾动脉压从正常压力(125 - 135 mmHg)降至77 mmHg,导致肾素分泌显著增加和皮质血流重新分布。肾动脉压进一步降至51 mmHg,肾素分泌率(RSR)显著增加,而肾内血流分布模式无进一步变化。输尿管阻塞期间的压力降低增加了RSR,血流分布模式无任何变化,且在实验肾脏的外皮质中发现可提取肾素量减少。这些发现表明,肾素释放主要发生在外皮质,当自动调节机制在灌注压力接近外皮质自动调节下限范围时失效,这一过程可能会受到刺激。