急性容量扩张时刺激肾多巴胺的产生需要完整的迷走神经而不是肾神经的存在。

S S Hegde, M F Lokhandwala
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引用次数: 6

摘要

我们之前报道过,等渗生理盐水的急性容量扩张(VE)刺激肾多巴胺(DA)的产生,进而通过激活肾小管DA-1受体促进利尿和钠尿。本研究的目的是确定迷走神经和/或肾神经的存在是否对急性VE期间肾脏多巴胺能系统的激活至关重要。采用等渗生理盐水麻醉两组大鼠进行急性VE(体重6%)实验,其中一组作为假对照组,另一组进行双侧颈部迷走神经切断术。急性VE的利尿和利钠反应在假手术对照组和迷走神经切断组之间没有差异。然而,尿DA排泄量(UDAV)在假手术对照组显著增加,而迷走神经切除组没有。用选择性DA-1受体拮抗剂SCH 23390预处理后,假手术对照组而非迷走神经切断组对急性VE的利尿和利钠反应显著减弱。在另一组动物中,研究了急性VE对急性单侧肾去神经大鼠的利尿和利钠反应。基底UDAV在去神经支配(DNX)肾和对侧神经支配(INX)肾之间无显著差异。急性VE引起双肾利尿和钠尿,DNX肾的反应明显大于INX肾。UDAV在两个肾脏中显著升高至相似水平。用SCH 23390预处理导致DNX而非INX肾脏对急性VE的利尿和利钠反应减弱。DA-1受体阻断后,DNX肾脏的残余肾对容量扩张的反应与INX肾脏没有显著差异。本研究结果表明:1)传入迷走神经通路介导VE诱导的肾DA生成的刺激;2)急性VE期间UDAV的增加主要通过独立于肾去甲肾上腺素能神经和假定的多巴胺能神经的机制发生。
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Stimulation of renal dopamine production during acute volume expansion requires the presence of intact vagi but not renal nerves.

We have previously reported that acute volume expansion (VE) with isotonic saline stimulates the production of renal dopamine (DA) which in turn contributes to the accompanying diuresis and natriuresis via activation of renal tubular DA-1 receptors. The purpose of the present study was to determine whether the presence of vagi and/or renal nerves is essential in order to activate the renal dopaminergic system during acute VE. Acute VE (6% body weight) with isotonic saline was performed in two groups of anesthetized rats, one of which served as sham control whereas the other was subjected to bilateral cervical vagotomy. The diuretic and natriuretic responses to acute VE did not differ between the sham control and vagotomized groups. However, urinary DA excretion (UDAV) was significantly increased in the sham control but not vagotomized group. Pretreatment with SCH 23390, a selective DA-1 receptor antagonist led to significant attenuation of the diuretic and natriuretic response to acute VE in the sham control but not vagotomized group. In another group of animals, the diuretic and natriuretic response to acute VE was studied in rats subjected to acute unilateral renal denervation. Basal UDAV was not significantly different between the denervated (DNX) kidney and the contralateral innervated (INX) kidney. Acute VE evoked diuresis and natriuresis in both kidneys, the response in the DNX kidney being significantly greater when compared to that in the INX kidney. UDAV increased significantly and to similar levels in both kidneys. Pretreatment with SCH 23390 led to attenuation of the diuretic and natriuretic response to acute VE in the DNX but not INX kidney. After DA-1 receptor blockade, the residual renal response to volume expansion in the DNX kidney did not differ significantly from that in the INX kidney. The results of this study suggest that 1) afferent vagal pathways appear to mediate the VE induced stimulation of renal DA production; 2) the increase in UDAV during acute VE occurs primarily through a mechanism which is independent of renal noradrenergic and putative dopaminergic nerves.

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