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肾传出神经活动对肾感觉受体的易化作用。

Facilitatory role of efferent renal nerve activity on renal sensory receptors.

作者信息

Kopp U C, Smith L A, DiBona G F

机构信息

Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.

出版信息

Am J Physiol. 1987 Oct;253(4 Pt 2):F767-77. doi: 10.1152/ajprenal.1987.253.4.F767.

Abstract

The effects of decreasing and increasing efferent renal nerve activity (ERNA) on the renorenal reflex responses to stimulation of renal mechanoreceptors (MR) (increased ureteral pressure) or renal chemoreceptors (CR) (retrograde ureteropelvic perfusion with 0.9 M NaCl) were examined in anesthetized rats. During prevailing ERNA, renal MR stimulation increased ipsilateral afferent renal nerve activity (ARNA) from 6 to 41 counts/s (spike counter) (n = 37) and from 2 to 6 resets/min, (voltage integrator) (n = 23), contralateral urine flow rate from 5.3 to 7.4 microliters . min-1 . g-1 (n = 38) and urinary sodium excretion from 0.7 to 1.1 mumol . min-1 . g-1 (n = 38) (all P less than 0.01), without affecting mean arterial pressure or contralateral glomerular filtration rate. Similar results were obtained with renal CR stimulation. Decreasing ERNA 74 +/- 4% by hexamethonium, 10% body weight isotonic saline volume expansion, or inflation of a balloon at the junction of right atria and superior vena cava abolished the increase in ipsilateral ARNA and the contralateral diuresis and natriuresis produced by stimulation of renal MR or CR. Increasing ERNA 254 +/- 120% (peak response, n = 15, P less than 0.01) by placing the rat's tail in 53 degrees C water increased basal ARNA 249 +/- 80% (n = 6, P less than 0.05) and enhanced the ipsilateral ARNA response 202 +/- 78% (n = 9, P less than 0.01) to renal MR stimulation. These results indicate that ERNA exerts a facilitatory effect on renal MR and CR and their afferent renal nerve fibers in the renorenal reflexes.

摘要

在麻醉大鼠中,研究了降低和增加肾传出神经活动(ERNA)对肾肾反射反应的影响,该反射反应是针对刺激肾机械感受器(MR)(输尿管压力升高)或肾化学感受器(CR)(用0.9 M NaCl进行逆行输尿管肾盂灌注)。在主要的ERNA期间,刺激肾MR可使同侧肾传入神经活动(ARNA)从6次/秒增加到41次/秒(脉冲计数器)(n = 37),从2次/分钟增加到6次/分钟(电压积分器)(n = 23),使对侧尿流率从5.3微升·分钟-1·克-1增加到7.4微升·分钟-1·克-1(n = 38),尿钠排泄从0.7微摩尔·分钟-1·克-1增加到1.1微摩尔·分钟-1·克-1(n = 38)(所有P均小于0.01),而不影响平均动脉压或对侧肾小球滤过率。刺激肾CR也获得了类似结果。通过六甲铵使ERNA降低74±4%、体重10%的等渗盐溶液扩容或在右心房与上腔静脉交界处充气气球,可消除刺激肾MR或CR所产生的同侧ARNA增加以及对侧利尿和利钠作用。将大鼠尾巴置于53℃水中使ERNA增加254±120%(峰值反应,n = 15,P小于0.01),使基础ARNA增加249±80%(n = 6,P小于0.05),并使对肾MR刺激的同侧ARNA反应增强202±78%(n = 9,P小于0.01)。这些结果表明,在肾肾反射中,ERNA对肾MR和CR及其肾传入神经纤维发挥促进作用。

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