RENAL FUNCTION IN PROTEIN DEFICIENCY

蛋白质营养不良是一个世界性的问题。 营养不良影响到 肾功能，包括肾血浆流量（RPF）减少， 肾小球滤过率（GFR）。 我们还发现， 外周血肾素（PRA）和醛固酮活性， 外源性去甲肾上腺素（NE）的高血压作用， 对阿尔法降压效应的敏感性 封锁 这些变化所涉及的机制在很大程度上仍然是 未知 这项建议的具体目的是建立 各种激素和物质在这种情况下发挥的作用。 我们的数据表明，减少血管扩张剂的产生， 而且可能会增加对 血管紧张素II和去甲肾上腺素的血管收缩作用可能 RPF、GFR和PRA的降低可能是其部分原因。 此外，低 蛋白质喂养大鼠导致免疫反应性甲状旁腺 激素（iPTH），这可能会减少GFR的下降。 我们 提出实验来系统地检查肾素的作用， 血管紧张素E，NE，心钠素（ANF）， 抗利尿激素（ADH）和PTH对全身和肾脏的影响 血流动力学 实验将在低剂量喂养的大鼠中进行。 与对照组相比， 成对喂养等热量正常蛋白质（23%酪蛋白）饮食。 平衡， 将进行清除和微穿刺研究（Munich-Wistar） 在完整的，尿崩症（Brattleboro）和 甲状旁腺切除大鼠。 此外，实验将 在离体肾小球和肾小球（颗粒）中进行 细胞，以确定环核苷酸（AMP和GMP）的作用， 胰高血糖素和各种药物在肾素释放。 放射性钙通量和药理学操作 细胞内钙动员将在这些 准备确定钙的作用。 这些实验应该 提供关于全身和肾脏的重要信息 血液动力学变化与实验相关，可能， 人类蛋白质缺乏症。

Protein malnutrition is a world wide problem. Malnutrition affects renal function, including reductions in renal plasma flow (RPF) and glomerular filtration rate (GFR). We have also found reduced peripheral renin (PRA) and aldosterone activity, resistance to the hypertensive effects of exogenous norepinephrine (NE) and increased sensitivity to the blood pressure-lowering effects of alpha blockade. The mechanisms involved in these changes remain largely unknown. The specific aim of this proposal is to establish the role played by various hormones and substances in this condition. Our data indicate that reduced the production of vasodilator prostaglandins and, possibly, increased sensitivity to the vasoconstrictor effects of angiotensin II and norepinephrine may be partly responsible for the reduced RPF, GFR and PRA. Also, low protein feeding of rats led to a fall in immunoreactive parathyroid hormone (iPTH), that may have curtailed the fall in GFR. We propose experiments to systematically examine the role of renin, angiotensin prostaglandins, NE, atrial natriuretic factor (ANF), antidiuretic hormone (ADH), and PTH on systemic and renal hemodynamics. Experiments will be conducted in rats fed low protein (6% casein) for two or sixteen weeks compared to controls pair-fed isocaloric normal protein (23% casein) diet. Balance, clearance and micropuncture studies (Munich-Wistar) will be done in intact, diabetes insipidus (Brattleboro) and parathyroidectomized rats. In addition, experiments will be conducted in isolated glomeruli and juxtaglomerular (granular) cells to determine the role of cyclic nucleotides (AMP and GMP), prostaglandins and various pharmacological agents in renin release. Radiocalcium fluxes and pharmacological manipulation of intracellular Ca mobilization will be performed in these preparations to determine the role of Ca. These experiments should provide important information regarding the systemic and renal hemodynamic changes associated with experimental and, possibly, human protein deficiency.