在有和没有动脉气压反射控制的情况下,外源性压力扰动时利尿的短期动态特性。

IF 2.2 3区 医学 Q3 PHYSIOLOGY American journal of physiology. Regulatory, integrative and comparative physiology Pub Date : 2024-03-01 Epub Date: 2024-01-15 DOI:10.1152/ajpregu.00229.2023
Toru Kawada, Hiroki Matsushita, Shohei Yokota, Yuki Yoshida, Masafumi Fukumitsu, Joe Alexander, Keita Saku
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引用次数: 0

摘要

虽然肾脏对体液容量的控制可归类为长期动脉压(AP)控制系统,但这并不一定意味着尿流(UF)对动脉压变化的反应是缓慢的。我们通过在麻醉大鼠(n = 8)中根据二进制白噪声序列每 10 秒改变 60 mmHg 和 100 mmHg 之间的平均动脉压,量化了尿量对短期动脉压变化的动态响应特征。在气压开启试验中(颈动脉窦巴反射被激活),UF 反应代表了压力利尿(PD)和神经介导的抗利尿(NMA)的综合协同效应。在气压固定试验中(颈动脉窦压力固定在 100 毫米汞柱),超滤反应主要反映了压力利尿的效果。使用两个指数衰减函数之和对 UF 阶跃响应进行量化。在气压开启试验中,快速和慢速分量的时间常数分别为 6.5±3.6 秒和 102±85 秒(平均值±标度)。虽然快速分量的增益在两次试验中没有差异(0.49 ± 0.21 vs. 0.66 ± 0.22 mL-min-1-kg-1-mmHg-1),但慢速分量的增益在 baro-on 试验中大于 baro-fix 试验(0.51 ± 0.14 vs. 0.09 ± 0.39 mL-min-1-kg-1-mmHg-1,P = 0.023)。经计算,NMA 相对于 PD 的比例为 32.2 ± 29.8%。总之,NMA 对慢速成分有影响,其影响程度约为 PD 影响的三分之一。
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Short-term dynamic characteristics of diuresis during exogenous pressure perturbations with and without arterial baroreflex control.

Although body fluid volume control by the kidneys may be classified as a long-term arterial pressure (AP) control system, it does not necessarily follow that the urine flow (UF) response to changes in AP is slow. We quantified the dynamic characteristics of the UF response to short-term AP changes by changing mean AP between 60 mmHg and 100 mmHg every 10 s according to a binary white noise sequence in anesthetized rats (n = 8 animals). In a baro-on trial (the carotid sinus baroreflex was enabled), the UF response represented the combined synergistic effects of pressure diuresis (PD) and neurally mediated antidiuresis (NMA). In a baro-fix trial (the carotid sinus pressure was fixed at 100 mmHg), the UF response mainly reflected the effect of PD. The UF step response was quantified using the sum of two exponential decay functions. The fast and slow components had time constants of 6.5 ± 3.6 s and 102 ± 85 s (means ± SD), respectively, in the baro-on trial. Although the gain of the fast component did not differ between the two trials (0.49 ± 0.21 vs. 0.66 ± 0.22 µL·min-1·kg-1·mmHg-1), the gain of the slow component was greater in the baro-on than in the baro-fix trial (0.51 ± 0.14 vs. 0.09 ± 0.39 µL·min-1·kg-1·mmHg-1, P = 0.023). The magnitude of NMA relative to PD was calculated to be 32.2 ± 29.8%. In conclusion, NMA contributed to the slow component, and its magnitude was approximately one-third of that of the effect of PD.NEW & NOTEWORTHY We quantified short-term dynamic characteristics of the urine flow (UF) response to arterial pressure (AP) changes using white noise analysis. The UF step response approximated the sum of two exponential decay functions with time constants of ∼6.5 s and 102 s. The neurally mediated antidiuretic (NMA) effect contributed to the slow component of the UF step response, with the magnitude of approximately one-third of that of the pressure diuresis (PD) effect.

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来源期刊
CiteScore
5.30
自引率
3.60%
发文量
145
审稿时长
2 months
期刊介绍: The American Journal of Physiology-Regulatory, Integrative and Comparative Physiology publishes original investigations that illuminate normal or abnormal regulation and integration of physiological mechanisms at all levels of biological organization, ranging from molecules to humans, including clinical investigations. Major areas of emphasis include regulation in genetically modified animals; model organisms; development and tissue plasticity; neurohumoral control of circulation and hypertension; local control of circulation; cardiac and renal integration; thirst and volume, electrolyte homeostasis; glucose homeostasis and energy balance; appetite and obesity; inflammation and cytokines; integrative physiology of pregnancy-parturition-lactation; and thermoregulation and adaptations to exercise and environmental stress.
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