血管紧张素II:优先的传出收缩?

Renal physiology Pub Date : 1986-01-01 DOI:10.1159/000173101
J Heller, V Horácek
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引用次数: 33

摘要

在高盐饮食和转换酶抑制(CEI, SQ 14,225, 15微克X kg-1 X min-1静脉注射)导致内源性血管紧张素II (AII)产生最大抑制的狗中,注射亚压剂量的血管紧张素II (1 ng X kg-1 X min-1)不会改变对侧肾功能。在输注肾中,肾血(RBF)下降24%,肾小球滤过率(GFR)下降9%,滤过分数(FF)增加20%。同样,单肾元(SN) RBF的增加大于SNGFR, SNFF增加了8%。肾小球毛细血管压(GCP)无明显变化;近端小管压力降低20%,导致δ HP升高22%。这种增加抵消了超滤系数(Kf)的急剧下降(57%),使GFR和SNGFR的下降相对较小。总动脉阻力(RT)上升26%,主要是由于传入阻力(RA, 4%)增加,而传入阻力(RE, 50%)增加。如果AII输注时同时输注CEI和吲哚美辛(1 mg X kg-1 X min-1)或阿司匹林(5 mg X kg-1 X min-1), RBF下降36%,GFR下降25%,从而使FF增加18%;相应的SN值也发生了类似的变化。在GCP不变的情况下,Kf下降了62%,液压差(delta HP)增加了11%。RT(72%)的增加是由于RA(68%)和RE(76%)的增加非常相似。总之,非常小剂量的AII表现出一种典型的优先传出作用,至少在浅表肾细胞中,这种作用在抑制前列腺素合成后消失,表明血管舒张前列腺素的保护作用主要作用于传入小动脉。
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Angiotensin II: preferential efferent constriction?

In dogs with maximal subpression of endogenous angiotensin II (AII) production due to a high-salt diet and converting enzyme inhibition (CEI, SQ 14,225, 15 micrograms X kg-1 X min-1 i.v.), infusion of a subpressor dose of angiotensin II (1 ng X kg-1 X min-1) did not change contralateral kidney function. In the infused kidney, a decrease in renal blood (RBF) by 24% and glomerular filtration rate (GFR) by 9% with an increase in filtration fraction (FF) by 20% occurred. Similarly, the increase in single nephron (SN) RBF was greater than in SNGFR, thus rising SNFF by 8%. Glomerular capillary pressure (GCP) did not change significantly; a decrease by 20% in proximal tubule pressure thus resulted in an increase in delta HP by 22%. This increase counterbalanced the profound drop in ultrafiltration coefficient (Kf) (57%) making the decrease in GFR and SNGFR relatively small. Total arteriolar resistance (RT) rose by 26%, the rise being due mainly to an increase in efferent (RE, 50%) rather than afferent (RA, 4%) resistance. If the AII infusion was carried out during concomitant infusion of CEI and indomethacin (1 mg X kg-1 X min-1) or aspirin (5 mg X kg-1 X min-1), RBF decreased by 36%, GFR by 25%, thus increasing FF by 18%; corresponding SN values underwent similar changes. Drop in Kf amounted to 62% and hydraulic pressure difference (delta HP) increased by 11% with unchanged GCP. The increase in RT (72%) was now due to a very similar increase in both RA (68%) and RE (76%). In conclusion, a very small dose of AII exhibits-at least in superficial nephrons-a typical preferential efferent effect which disappears after inhibition of prostanoid synthesis, indicating a protective effect of vasodilatory prostaglandins mainly on the afferent arteriole.

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