Influence of nitric oxide derived from neuronal nitric oxide synthase on glomerular filtration

David H Sigmon, William H Beierwaltes
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引用次数: 25

Abstract

The neuronal isoform of nitric oxide synthase (nNOS) has been localized to specific regions of the kidney, including the thick ascending limb of the loop of Henle and the macula densa. Because of this discrete localization in the renal cortex, nitric oxide (NO) produced by nNOS has been suggested to play an important role in the regulation of macula densa-mediated arteriole tone and therefore could play an important role in the regulation of whole-kidney glomerular filtration rate (GFR). We hypothesized that selective blockade of nNOS would decrease GFR. Renal hemodynamics were measured before and after acute selective blockade of nNOS by 50 mg/kg 7-nitroindazole (7-NI) in anesthetized rats. Administration of 7-NI had no significant effect on basal blood pressure (from 105 ± 3 to 101 ± 2 mm Hg), renal blood flow [from 6.08 ± 0.39 to 6.31 ± 0.33 ml/min/gram of kidney weight (gkw)], or total renal vascular resistance (from 18.1 ± 1.6 to 16.4 ± 1.0 mm Hg/ml/min/gkw) but decreased GFR by 26% (from 1.36 ± 0.15 to 1.00 ± 0.13 ml/min/gkw; p < 0.02), urinary flow rate by 28% (from 24.7 ± 1.8 to 17.8 ± 2.2 μl/min; p < 0.05), and sodium excretion by 22% (from 5.55 ± 0.53 to 4.30 ± 0.52 μEq/min; p < 0.05). However, fractional sodium excretion was not changed by nNOS inhibition. There were no such changes in vehicle-treated time controls. We conclude that, in the renal cortex, NO produced by nNOS plays an important role in the regulation of whole-kidney GFR and excretion in normal, sodium-replete rats.

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神经元型一氧化氮合酶衍生的一氧化氮对肾小球滤过的影响
一氧化氮合酶(nNOS)的神经元异构体已经定位于肾脏的特定区域,包括Henle袢的厚升肢和黄斑致密。由于这种在肾皮质的离散定位,nNOS产生的一氧化氮(NO)被认为在黄斑致密介导的小动脉张力的调节中起重要作用,因此可能在全肾小球滤过率(GFR)的调节中起重要作用。我们假设选择性阻断nNOS会降低GFR。用50 mg/kg 7-硝基吲唑(7-NI)急性选择性阻断nNOS前后,测定麻醉大鼠肾脏血流动力学。给药7-NI对基础血压(从105±3到101±2 mm Hg)、肾血流量(从6.08±0.39到6.31±0.33 ml/min/g肾重(gkw))或肾血管总阻力(从18.1±1.6到16.4±1.0 mm Hg/ml/min/gkw)没有显著影响,但GFR降低了26%(从1.36±0.15到1.00±0.13 ml/min/gkw;p & lt;0.02),尿流率下降28%(从24.7±1.8 μl/min降至17.8±2.2 μl/min;p & lt;钠排泄量下降22%(从5.55±0.53 μEq/min降至4.30±0.52 μEq/min;p & lt;0.05)。然而,nNOS的抑制并未改变部分钠排泄。在车辆处理的时间控制中没有这样的变化。我们得出结论,在肾皮质中,nNOS产生的NO在正常钠补给大鼠全肾GFR和排泄的调节中起重要作用。
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