The potential influences of nitric oxide (NO) and prostaglandins on the renal effects of angiotensin II (Ang II) have been investigated in the captopril-treated anaesthetized rat by examining the effect of indomethacin or the NO synthase inhibitor, N(omega)-nitro-L-arginine methyl ester (L-NAME), on the renal responses obtained during infusion of Ang II directly into the renal circulation. 2. Intrarenal artery (i.r.a.) infusion of Ang II (1-30 ng kg(-1) min(-1)) elicited a dose-dependent decrease in renal vascular conductance (RVC; -38+/-3% at 30 ng kg(-1) min(-1); P < 0.01) and increase in filtration fraction (FF; +49+/-8%; P < 0.05) in the absence of any change in carotid mean arterial blood pressure (MBP). Urine output (Uv), absolute (UNaV) and fractional sodium excretion (FENa), and glomerular filtration rate (GFR) were unchanged during infusion of Ang II 1-30 ng kg(-1) min(-1) (+6+/-17%, +11+/-17%, +22+/-23%, and -5+/-9%, respectively, at 30 ng kg(-1) min(-1)). At higher doses, Ang II (100 and 300 ng kg(-1) min(-1)) induced further decreases in RVC, but with associated increases in MBP, Uv and UNaV. 3. Pretreatment with indomethacin (10 mg kg(-1) i.v.) had no significant effect on basal renal function, or on the Ang II-induced reduction in RVC (-25+/-7% vs -38+/-3% at Ang II 30 ng kg(-1) min(-1)). In the presence of indomethacin, Ang II tended to cause a dose-dependent decrease in GFR (-38+/-10% at 30 ng kg(-1) min(-1)); however, this effect was not statistically significant (P=0.078) when evaluated over the dose range of 1-30 ng kg(-1) min(-1), and was not accompanied by any significant changes in Uv, UNaV or FENa (-21+/-12%, -18+/-16% and +36+/-38%, respectively). 4. Pretreatment with L-NAME (10 microg kg(-1) min(-1) i.v.) tended to reduce basal RVC (control -11.8+/-1.4, +L-NAME -7.9+/-1.8 ml min(-1) mmHg(-1) x 10(-2)), and significantly increased basal FF (control +15.9+/-0.8, +L-NAME +31.0+/-3.7%). In the presence of L-NAME, renal vasoconstrictor responses to Ang II were not significantly modified (-38+/-3% vs -35+/-13% at 30 ng kg(-1) min(-1)), but Ang II now induced dose-dependent decreases in GFR, Uv and UNaV (-51+/-11%, -41+/-14% and -31+/-17%, respectively, at an infusion rate of Ang II, 30 ng kg(-1) min(-1)). When evaluated over the range of 1-30 ng kg(-1) min(-1), the effect of Ang II on GFR and Uv were statistically significant (P < 0.05), but on UNaV did not quite achieve statistical significance (P=0.066). However, there was no associated change in FENa observed, suggesting a non-tubular site of interaction between Ang II and NO. 5. In contrast to its effects after pretreatment with L-NAME alone, Ang II (1-30 ng kg(-1) min(-1)) failed to reduce renal vascular conductance in rats pretreated with the combination of L-NAME and the selective angiotensin AT1 receptor antagonist, GR117289 (1 mg kg(-1) i.v.). This suggests that the renal vascular effects of Ang II are mediated through AT1 receptors. Over the same dose range, Ang II also failed to significantly reduce GFR or Uv. 6. In conclusion, the renal haemodynamic effects of Ang II in the rat kidney appear to be modulated by cyclooxygenase-derived prostaglandins and NO. The precise site(s) of such an interaction cannot be determined from the present data, but the data suggest complex interactions at the level of the glomerulus.
摘要
通过研究吲哚美辛或一氧化氮合酶抑制剂N(ω)-硝基-L-精氨酸甲酯(L-NAME)对直接向肾循环输注血管紧张素II(Ang II)期间获得的肾脏反应的影响,在接受卡托普利治疗的麻醉大鼠中研究了一氧化氮(NO)和前列腺素对Ang II肾脏作用的潜在影响。2. 在肾内动脉(i.r.a.)输注Ang II(1 - 30 ng kg⁻¹ min⁻¹)时,在颈动脉平均动脉血压(MBP)无任何变化的情况下,肾血管传导率(RVC)呈剂量依赖性降低(在30 ng kg⁻¹ min⁻¹时为-38±3%;P < 0.01),滤过分数(FF)增加(+49±8%;P < 0.05)。在输注1 - 30 ng kg⁻¹ min⁻¹的Ang II期间,尿量(Uv)、绝对尿钠排泄量(UNaV)和尿钠排泄分数(FENa)以及肾小球滤过率(GFR)均无变化(在30 ng kg⁻¹ min⁻¹时分别为+6±17%、+11±17%、+22±23%和-5±9%)。在更高剂量下,Ang II(100和300 ng kg⁻¹ min⁻¹)导致RVC进一步降低,但伴有MBP、Uv和UNaV增加。3. 静脉注射吲哚美辛(10 mg kg⁻¹)预处理对基础肾功能或Ang II诱导的RVC降低无显著影响(在Ang II 30 ng kg⁻¹ min⁻¹时为-25±7%对-38±3%)。在吲哚美辛存在的情况下,Ang II倾向于导致GFR呈剂量依赖性降低(在30 ng kg⁻¹ min⁻¹时为-38±10%);然而,在1 - 30 ng kg⁻¹ min⁻¹的剂量范围内评估时,这种影响无统计学意义(P = 0.078),并且未伴随Uv、UNaV或FENa的任何显著变化(分别为-21±