前列腺素抑制对脱氧皮质酮-醋酸盐高血压尤卡坦小型猪肾功能的影响

Charles D. Ciccone, Edward J. Zambraski
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引用次数: 2

摘要

研究了前列腺素(PG)对正常和DOCA型高血压尤卡坦小型猪肾功能的影响。8只动物植入了浸渍DOCA的硅胶条。在有意识的DOCA动物中,MAP从正常的110-115 mmHg增加到148±4 mmHg。3-4周后,用戊巴比妥钠麻醉DOCA高血压和8只正常(假或未植入)动物,使DOCA猪的MAP降至正常水平。麻醉下,PG抑制(吲哚美辛或甲氯芬酯,2 mg/kg静脉注射)仅在正常组增加MAP (P <. 05)。PG抑制导致两组肾血流量显著减少,但仅降低了DOCA动物的肾小球滤过率(P <. 05)。正常动物的外皮层放射性微球分布因PG抑制而明显减少,(P <. 05)。两组在PG抑制后均未观察到电解质排泄或尿流率的持续变化。这些数据表明PG可能影响正常和DOCA高血压尤卡坦小型猪的肾脏血流动力学。在DOCA动物中,PG抑制选择性地降低GFR的发现表明这些激素在高血压动物模型中可能具有保护作用。
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Effects of prostaglandin inhibition on renal function in deoxycorticosterone-acetate hypertensive Yucatan miniature swine

This study evaluated the effect of prostaglandin (PG) on renal function in normal and deoxycorticosterone-acetate (DOCA) hypertensive Yucatan miniature swine. Eight animals were implanted with DOCA impregnated silicone strips. MAP increased in the conscious DOCA animals from a normal pressure of 110–115 mmHg, to 148 ± 4 mmHg.After 3–4 weeks, the DOCA hypertensive and eight normal (sham or non-implanted) animals were anesthetized with sodium pentobarbital which reduced MAP in the DOCA pigs to normotensive levels. Under anesthesia, PG inhibition (indomethacin or meclofenamate, 2 mg/kg i.v.) increased MAP only in the normal group (P < .05). PG inhibition caused a significant reduction in renal blood flow in both groups, but only decreased glomerular filtration rate in the DOCA animals (P < .05). Radioactive microsphere distribution to the outer cortex of the normal animals was significantly decreased with PG inhibition, (P < .05). No consistant changes in electrolyte excretion or urine flow rate was seen in either group following PG inhibition. These data indicate that PG may influence renal hemodynamics in both normal and DOCA hypertensive Yucatan miniature swine. The finding that PG inhibition selectively decreases GFR in the DOCA animals suggests a possible protective role of these hormones in this hypertensive animal model.

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