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首页> 外文期刊>American Journal of Physiology >Dynamic characteristics and underlying mechanisms of renal blood flow autoregulation in the conscious dog.
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Dynamic characteristics and underlying mechanisms of renal blood flow autoregulation in the conscious dog.

机译:意识狗肾血流量自动调节的动态特征和潜在机制。

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The time course of the autoregulatory response of renal blood flow (RBF) to a step increase in renal arterial pressure (RAP) was studied in conscious dogs. After RAP was reduced to 50 mmHg for 60 s, renal vascular resistance (RVR) decreased by 50%. When RAP was suddenly increased again, RVR returned to baseline with a characteristic time course (control; n = 15): within the first 10 s, it rose rapidly to 70% of baseline (response 1), thus already comprising 40% of the total RVR response. Thereafter, it increased at a much slower rate until it started to rise rapidly again at 20-30 s after the pressure step (response 2). After passing an overshoot of 117% at 43 s, RVR returned to baseline values. Similar responses were observed after RAP reduction for 5 min or after complete occlusions for 60 s. When tubuloglomerular feedback (TGF) was inhibited by furosemide (40 mg i.v., n = 12), response 1 was enhanced, providing 60% of the total response, whereas response 2 was completely abolished. Instead, RVR slowly rose to reach the baseline at 60 s (response 3). The same pattern was observed when furosemide was given at a much higher dose (>600 mg i.v.; n 6) or in combination with clamping of the plasma levels of nitric oxide (n = 6). In contrast to RVR, vascular resistance in the external iliac artery after a 60-s complete occlusion started to rise with a delay of 4 s and returned to baseline within 30 s. It is concluded that, in addition to the myogenic response and the TGF, a third regulatory mechanism significantly contributes to RBF autoregulation, independently of nitric oxide. The three mechanisms contribute about equally to resting RVR. The myogenic response is faster in the kidney than in the hindlimb.
机译:在清醒犬中研究了肾血流量(RBF)对肾动脉压(RAP)逐步升高的自调节反应的时程。 RAP降低至50 mmHg 60 s后,肾血管阻力(RVR)降低了50%。当RAP再次突然增加时,RVR以典型的时间过程返回基线(控制; n = 15):在最初的10 s内,它迅速上升到基线的70%(响应1),因此已经占基线的40%。总RVR响应。此后,它以非常慢的速度增加,直到在压力阶跃之后20-30 s再次开始迅速上升(响应2)。在43 s处超过117%的超调后,RVR返回到基线值。降低RAP 5分钟或完全阻塞60 s后,观察到相似的反应。当速尿(40 mg i.v.,n = 12)抑制肾小管肾小球反馈(TGF)时,反应1增强,提供总反应的60%,而反应2则完全消失。取而代之的是,RVR在60 s缓慢上升至基线(响应3)。当以高得多的剂量(> 600 mg i.v.; n 6)或与限制一氧化氮的血浆水平(n = 6)联合使用速尿时,观察到相同的模式。与RVR相反,完全闭塞60 s后,外动脉的血管阻力开始以4 s的延迟上升,并在30 s内恢复到基线。结论是,除了肌源性反应和TGF外,第三个调节机制独立于一氧化氮也对RBF的自动调节起了重要作用。这三种机制对静止RVR的贡献大致相同。肾脏中的肌源性反应比后肢中的更快。

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