[Physiology and pathophysiology of renal circulation]. 1987

M Steinhausen
I. Physiologisches Institut, Universität Heidelberg.

An estimate of renal blood flow in the human kidney is possible with PAH-clearance, radiologic and radioisotopic techniques. But even animal experiments with clearance- and flow-measurements usually allow only a coarse evaluation of the renal blood flow. In the past, glomerular filtration has been determined by micropuncture methods. From changes in glomerular filtration, intrarenal alterations of flow resistance have been calculated. Using this method, resistance at different vascular levels could not be measured because the vessels of the mammalian kidney, except peritubular capillaries, vasa recta and single capillaries of the glomerulum, are not accessible to micropuncture. The recently developed split hydronephrotic kidney model allows investigation of almost all renal vessels. Thus it could be demonstrated that regulation of the renal blood flow is mediated not only by afferent and efferent arterioles, but also by arcuate and interlobular arteries. In this model, the effects of systemic blood pressure changes and local drug application on the renal vascular resistance were measured. Angiotensin II elicited pre- as well as postglomerular vasoconstriction, of which only a minor part was due to elevation of systemic blood pressure by Angiotensin II. Dopamine at low concentrations dilated especially the larger preglomerular arteries and, at higher concentrations, caused a vasoconstriction of these vessels. The vasodilatory response could be blocked by haloperidol, whereas the vasoconstrictory effect was abolished by phentolamine and propranolol. Calcium-channel-blockade by nitrendipine exerted a dose-dependent preglomerular vasodilation. Atrial natriuretic peptide (ANP) also dilated preglomerular vessel segments, but at higher doses it additionally induced a postglomerular vasoconstriction. Thus, increments of glomerular filtration by ANP could be explained by its hemodynamic effects.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D007671 Kidney Concentrating Ability The ability of the kidney to excrete in the urine high concentrations of solutes from the blood plasma. Urine Concentrating Ability,Abilities, Kidney Concentrating,Abilities, Urine Concentrating,Ability, Kidney Concentrating,Ability, Urine Concentrating,Concentrating Abilities, Kidney,Concentrating Abilities, Urine,Concentrating Ability, Kidney,Concentrating Ability, Urine,Kidney Concentrating Abilities,Urine Concentrating Abilities
D012077 Renal Artery A branch of the abdominal aorta which supplies the kidneys, adrenal glands and ureters. Arteries, Renal,Artery, Renal,Renal Arteries
D012079 Renal Circulation The circulation of the BLOOD through the vessels of the KIDNEY. Kidney Circulation,Renal Blood Flow,Circulation, Kidney,Circulation, Renal,Blood Flow, Renal,Flow, Renal Blood
D005919 Glomerular Filtration Rate The volume of water filtered out of plasma through glomerular capillary walls into Bowman's capsules per unit of time. It is considered to be equivalent to INULIN clearance. Filtration Rate, Glomerular,Filtration Rates, Glomerular,Glomerular Filtration Rates,Rate, Glomerular Filtration,Rates, Glomerular Filtration
D006706 Homeostasis The processes whereby the internal environment of an organism tends to remain balanced and stable. Autoregulation
D006869 Hydronephrosis Abnormal enlargement or swelling of a KIDNEY due to dilation of the KIDNEY CALICES and the KIDNEY PELVIS. It is often associated with obstruction of the URETER or chronic kidney diseases that prevents normal drainage of urine into the URINARY BLADDER. Hydronephroses
D000804 Angiotensin II An octapeptide that is a potent but labile vasoconstrictor. It is produced from angiotensin I after the removal of two amino acids at the C-terminal by ANGIOTENSIN CONVERTING ENZYME. The amino acid in position 5 varies in different species. To block VASOCONSTRICTION and HYPERTENSION effect of angiotensin II, patients are often treated with ACE INHIBITORS or with ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKERS. Angiotensin II, Ile(5)-,Angiotensin II, Val(5)-,5-L-Isoleucine Angiotensin II,ANG-(1-8)Octapeptide,Angiotensin II, Isoleucine(5)-,Angiotensin II, Valine(5)-,Angiotensin-(1-8) Octapeptide,Isoleucine(5)-Angiotensin,Isoleucyl(5)-Angiotensin II,Valyl(5)-Angiotensin II,5 L Isoleucine Angiotensin II,Angiotensin II, 5-L-Isoleucine
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus
D058186 Acute Kidney Injury Abrupt reduction in kidney function. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions. Acute Kidney Failure,Acute Kidney Insufficiency,Acute Renal Failure,Acute Renal Injury,Acute Renal Insufficiency,Kidney Failure, Acute,Kidney Insufficiency, Acute,Renal Failure, Acute,Renal Insufficiency, Acute,Acute Kidney Failures,Acute Kidney Injuries,Acute Kidney Insufficiencies,Acute Renal Failures,Acute Renal Injuries,Acute Renal Insufficiencies,Kidney Failures, Acute,Kidney Injuries, Acute,Kidney Injury, Acute,Kidney Insufficiencies, Acute,Renal Failures, Acute,Renal Injuries, Acute,Renal Injury, Acute,Renal Insufficiencies, Acute

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