Barajas L, Liu L
Department of Pathology, Harbor-UCLA Medical Center, Torrance 90509.
Pediatr Nephrol. 1993 Oct;7(5):657-66. doi: 10.1007/BF00852575.
Immunocytochemical methods were used to investigate the distribution of afferent [calcitonin gene-related peptide-(CGRP) immunoreactive and substance P-immunoreactive] nerves and efferent (neuropeptide Y-immunoreactive and dopamine beta-hydroxylase-immunoreactive) nerves in the kidneys of rats within the 1st day of life. The newborn rat kidney possesses an afferent and efferent innervation. Both afferent and efferent nerves reach the kidney in the same bundles. The afferent sensory fibers predominate overwhelmingly in the renal pelvis and ureter while the efferent fibers clearly predominate in the vasculature. The corticomedullary connective tissue contains both types of innervation with a more prominent afferent innervation (CGRP immunoreactive). Only afferent arterioles of perihilar nephrons were innervated by efferent sympathetic fibers. The distribution and extent of afferent and efferent innervation is consistent with the renal nerves playing a significant role in the transition from fetal to newborn life. The close proximity between afferent and efferent fibers suggests a possible interaction between the two systems.
采用免疫细胞化学方法研究出生第1天大鼠肾脏中传入神经(降钙素基因相关肽免疫反应性和P物质免疫反应性)和传出神经(神经肽Y免疫反应性和多巴胺β-羟化酶免疫反应性)的分布。新生大鼠肾脏具有传入和传出神经支配。传入和传出神经以相同的束状到达肾脏。传入感觉纤维在肾盂和输尿管中占绝对优势,而传出纤维在脉管系统中明显占优势。皮质髓质结缔组织含有两种类型的神经支配,传入神经支配(降钙素基因相关肽免疫反应性)更为突出。仅肾门周围肾单位的入球小动脉受传出交感神经纤维支配。传入和传出神经支配的分布及范围表明,肾神经在从胎儿到新生生命的转变中发挥重要作用。传入和传出纤维的紧密相邻提示这两个系统之间可能存在相互作用。