The effect of estrogens on renal sodium excretion in the dog.

J A Johnson, J O Davis
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Abstract

The effects of estrogens on electrolyte balances were studied in dogs. In doses of 1 mg or 250 mug/day, 17 beta-estradiol produced moderate sodium retention, whereas 100 mug/day produced only slight sodium retention. Estriol produced about the same degree of sodium retention as did estradiol. The administration of estradiol during the injection of large doses of DOCA produced the same degree of sodium retention as estradiol administered alone. Also, the injection of DOCA to estrogen-treated dogs resulted in a transitory sodium retention, followed by a sodium escape and a return to the previous balance level. Estradiol given to dogs with an arteriovenous shunt that had failed previously to show sodium escape during treatment with DOCA produced the same degree of sodium retention as that observed during estradiol administration to normal dogs. Five adrenalectomized dogs maintained on cortisone and DOCA had normal sodium balances during the control period but showed a retention of sodium during the administration of estradiol; administration. Four adrenalectomized dogs maintained only on cortisone were in negative sodium balance during the control period, but during estradiol treatment they showed a retention of sodium. These studies provide evidence that estrogens promote sodium retention in dogs by mechanisms other than by decreasing the glomerular filtration rate, increasing the secretion rates of adrenal steroids, or affecting the sodium escape mechanism. It is suggested that estrogens might act directly on the renal tubules at receptors other than those for the adrenal mineralocorticoids to produce sodium retention.

雌激素对犬肾钠排泄的影响。
研究了雌激素对狗电解质平衡的影响。在1毫克或250杯/天的剂量下,17 -雌二醇产生适度的钠潴留,而100杯/天只产生轻微的钠潴留。雌三醇产生的钠潴留程度与雌二醇大致相同。在注射大剂量DOCA时给予雌二醇与单独给予雌二醇产生相同程度的钠潴留。同时,给接受雌激素治疗的狗注射DOCA会导致短暂的钠潴留,随后钠逃逸并恢复到之前的平衡水平。经动静脉分流术治疗的狗在使用DOCA治疗期间没有出现钠逸出,但给予雌二醇后,其钠潴留程度与正常狗服用雌二醇时相同。5只肾上腺切除的狗在对照组期间钠平衡正常,但在给予雌二醇期间出现钠潴留;管理。4只肾上腺切除后只服用可的松的狗在对照组处于负钠平衡状态,但在雌二醇治疗期间,它们表现出钠潴留。这些研究提供了证据,表明雌激素促进狗钠潴留的机制不是通过降低肾小球滤过率、增加肾上腺类固醇分泌率或影响钠逃逸机制。提示雌激素可能直接作用于肾小管受体,而不是肾上腺皮质激素受体,从而产生钠潴留。
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