Effects of intrarenal-arterial (i.r.a.) and intravenous (i.v.) infusions of PGE
2, I
2 and F
2α on systemic blood pressure (BP), heart rate (HR), renal blood flow (RBF), urine volume (UV), renal function and plasma renin activity (PRA) of the renal venous blood (RVPRA) were investigated. A dose-dependent fall in BP was observed with PGE
2 and I
2 and was accompanied by a tachycardia (PGE
2<
I2
,
i
.r.a.<i.v.). PGE
2 and I
2 induced increases in RBF and UV in a roughly dose-dependent manner (PGE
2>
I2
,
i
.r.a.>i.v.), however, antidiuresis was observed with the highest intravenously given dose of PGI
2 (300 ng/kg/min) such being ascribed to a pronounced hypotension. Changes in electrolyte excretion induced by PGE
2 and I
2 were similar to the pattern of those in RBF or UV. Neither PGE
2 or I
2 produced any significant changes in the glomerular filtration rate (GFR). The diuretic effect of PGE
2 and F
2α correlated with osmolar clearance (C
osm) (r=0.89, p<0.01 ; r=0.55, p<0.01) and free water clearance (C
H2O) (r=0.52, p<0.01 ; r=0.83, p<0.01), whereas that of PGI
2, only with C
osm (r=0.74, p<0.01). PGF
2α produced the weakest changes in the parameters described above. PGE
2 and I
2 (30 ng/kg/min, i.r.a.), but not PGF
2α, produced a significant elevation of RVPRA without any significant change in BP. These findings suggest that PGE
2 plays a primary role in the kidney, whereas PGI
2 is important in the regulation of the systemic circulation, and that PGE
2, I
2 and F
2α all have different modes of action in producing diuresis. Both PGE
2 and I
2 may participate in the control of renin secretion.
抄録全体を表示