• 제목/요약/키워드: diuresis

검색결과 148건 처리시간 0.028초

Natriuresis Induced by Intracerebroventricular Diazepam in Rabbits

  • Koh, Jeong-Tae;Kook, Young-Johng
    • The Korean Journal of Physiology and Pharmacology
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    • 제2권5호
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    • pp.555-563
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    • 1998
  • The renal function is under regulatory influence of central nervous system (CNS), in which various neurotransmitter and neuromodulator systems take part. However, a possible role of central GABA-benzodiazepine system on the central regulation of renal function has not been explored. This study was undertaken to delineate the renal effects of diazepam. Diazepam, a benzodiazepine agonist, administered into a lateral ventricle (icv) of the rabbit brain in doses ranging from 10 to 100 ${\mu}g/kg,$ elicited dose-related diuresis and natriuresis along with improved renal hemodynamics. However, when given intravenously, 100 ${\mu}g/kg$ diazepam did not produce any significant changes in all parameters of renal function and systemic blood pressure. Diazepam, 100 ${\mu}g/kg$ icv, transiently decreased the renal nerve activity (RNA), which recovered after 3 min. The plasma level of atrial natriuretic peptide (ANP) increased 7-fold, the peak coinciding with the natriuresis and diuresis. Muscimol, a GABAergic agonist, 1.0 ${\mu}g/kg$ given icv, elicited marked antidiuresis and antinatriuresis, accompanied by decreases in systemic blood pressure and renal hemodynamics. When icv 0.3 ${\mu}g/kg$ muscimol was given 3 min prior to 30 ${\mu}g/kg$ of diazepam icv, urinary flow and Na excretion rates did not change significantly, while systemic hypotension was produced. These results indicate that icv diazepam may bring about natriuresis and diuresis by influencing the central regulation of renal function, and that the renal effects are related to the increased plasma ANP levels, not to the decreased renal nerve activity, and suggest that the effects may not be mediated by the activation of central GABAergic system.

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호도약침(胡桃藥鍼)이 Glycerol로 유발(誘發)된 급성신부전(急性腎不全) 백서(白鼠)의 이뇨(利尿)에 미치는 영향(影響) (The Effect of Juglandis Semen Aquacupuncture on Diuresis of Rat in Glycerol-Induced Acute Renal Failure)

  • 정현철;송춘호
    • Journal of Acupuncture Research
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    • 제17권1호
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    • pp.107-117
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    • 2000
  • This study was undertaken to determine if Juglandis Semen Aquacupuncture(Ja) has a protective effect against glycerol-induced acute renal failure in rats. Rats were dehydrated for 24hr and then injected with $5m{\ell}/kg$ of 50% glycerol, one-half of dose in each hindlimb muscle. In experiments for Ja effect, rats received $0.1m{\ell}$ of Ja extraction in both sides of corresponding $Sh{\grave{e}}ns{\bar{u}}$($BL_{23}$) of human body and non-acupuncture points(the root of tail) for 3 days after injection of glycerol. The experimental group were divided into the Normal group, the Control group, the Ja to $Sh{\grave{e}}ns{\bar{u}}$($BL_{23}$) group(Ja-AS), the Ja to non-acupuncture points group(Ja-AN). There were significant decrease of Urine vollume, total protein and phosphate level in Ja-AS as compared with the control group. There were not any significant change of Urine creatinine in Ja-AS as compared with the control group. There were significant decrease of Unine glucose in Ja-AS, Ja-AN as compared with the control group. This suggests that Ja-AS could be used in prevention and treatment of acute renal failure. However, the precise mechanisms of Ja protection remain to be determined.

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생약(生藥) 복합(複合) 제제(製劑)의 약효(藥效) 연구(硏究)(제17보)(第17報) -보중익기탕(補中益氣湯)이 소화기계(消化器系), 혈압(血壓) 및 호흡(呼吸)에 대한 작용(作用)과 이뇨작용(利尿作用)에 미치는 영향(影響)- (Studies on the Efficacy of Combined Preparation of Crude Drugs(XVII) -Effects of ‘Bojungikgi-Tang’ on the Digestive System, Blood Pressure and Diuretic Actions-)

  • 홍남두;장인규;이상일;김남재
    • 생약학회지
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    • 제15권3호
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    • pp.121-127
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    • 1984
  • Attempts were to investigate the effects of 'Bojungikgi-tang' on the digestive system, blood pressure and diuresis. The results showed that relaxing action was shown on the isolated ileum in mice and that strong antagonistic actions were seen on $BaCl_2$, acetylcholine and histamine-induced contraction of the ileum in mice and guinea-pigs that the relaxing effect of the intestinal smooth muscle was recognized. Inhibitory effects on transport rate in the small intestine of mice and castor oil-induced catharsis in mice were noted. Inhibitory action on the secretion of gastric juice, pH ascending effect and decreasing effect of the free acidity and total acidity were recognized. Continuous hypotensive action was seen, but when the vagus nerve was cut, hypotensive action was remarkably decreased. The diuretic effect was also recognized.

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발한후 음주가 뇨성분(尿成分)에 미치는 영향 (Effects of Ethyl Alcohol on Urinary Constituents after Sweating)

  • 정관호;신동훈
    • The Korean Journal of Physiology
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    • 제2권1호
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    • pp.73-78
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    • 1968
  • The changes of urinary excretion after alcohol drinking on 6 normal subjects sweated in a hot chamber were studied. The results are summarized as follows: 1. The urinary minute flow is increased rapidly to maximum about 60 minutes after intake of alcohol, and this is supposed to be originated from the antidiuretic suppressive action on osmoreceptor by ethyl alcohol. 2. Free water clearance and osmolarity of the urine showed the maximal and minimal values respectively at the sane time when the urinary flow is maximal. 3. The concentrations of Na, K and Cl were roughly proportionate to the urinary osmolarity and the minimal values after drinking were diluted to more than 10-fold than those before drinking, but the minute amounts of these ions is decreased only slightly during tile diuresis. 4. The concentrations of urea were decreased less than 10-fold but the minute amounts were rather increased slightly. 5. The diuresis could not excrete whole quantity of fluid intake in the period of 2 hours, and considerable amount of water was still retained in the body.

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Verapamil이 개의 신장기능에 미치는 영향 (Effect of Verapamil on Renal Function in Dog)

  • 고석태;허영근
    • 약학회지
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    • 제35권2호
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    • pp.85-98
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    • 1991
  • Verapamil, $Ca^{2+}$-channel blocker, when given into vein or into carotid artery, produced the decrease of urine flow accompanied with the decreased amounts of Na$^{+}$ and $K^{+}$ excreted in urine ($E_{Na}, E_{K}$) and with the decreased clearances of free water (C$_{H_2O}$) and osmolar substance (C$_{osm}$), and then increased reabsorption of Na$^{+}$ and $K^{+}$ in renal tubules (R$_{Na}$, R$_{N}$), glomeruler filtration rate (GFR) and renal plasma flow (RPF) were inhibited when verapamil was given into carotid artery, but were only tendency of reduction when given intravenously. Verapamil, when infused into a renal artery, exhibited diuresis accompanied with the increased GER, RPF, E$_{Na}$ and E$_{K}$, with the decreased filtration fraction (FF) in only infused kidney. At the same time, $C_{H_2O}$ was not changed, R$_{Na}$ and R$_{K}$ were reduced. Antidiuretic action by verapamil administered into vein or into carotid artery in normal kidney was reversed to diuretic action in denervated kidney. At this time, parameters of renal function exhibited the opposite phenomena compared to that elicited by verapamil in normal kidney, wherease renal denervation did not influence the action of verapamil infused into a renal artery. Above results suggest that verapamil produce both antidiuresis through nervous system centrally, not endogenous substances and diuresis by direct action in the kidney. Diurectic action are caused by hemodynamic improvement through dilatioon of vas efferense and by greatly inhibited reabsorption of electrolytes in distal tubules.

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사간탕(瀉肝湯)의 효능(效能)에 관(關)한 실험적(實驗的) 연구(硏究) (Experimental Studies on the Effiency of Sagantang)

  • 이원익;이원철;배향섭;구본홍
    • 대한한방내과학회지
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    • 제10권1호
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    • pp.39-52
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    • 1989
  • The present investigation was undertaken to confirm of clinical effects of Sagnating. So, experimental studies were done, especially, to ascertain whether Sagantang had pharmacological effect of analgesia, antipyresis, diuresis and decreasing blood pressure and so on. The results of the studies were obtained as follows: 1. The analgesic effects of Sagantang were obtained in mice. 2. Sagantang prolonged the duration of hypnosis which is induced thiopental-Na in mice, but it was not effective in rotor rod method. 3. Antipyretic effect of Sagantang was known on the typhoid vaccine induced fever in rats. 4. Sagantang inhibited automatic movement on the isolated ileum of mice, and antiacetylcholine effect and antibarium chloride effect of Sangantang were known on that. 5. Sangantang decreased blood pressure due to vasodilatation in anesthetized mice. 6. The effect of diuresis were noted in mice. According to the above results, clinical effects of Sagantang on oriental medical references were similar to the actual experimental results.

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Nifedipine의 개 신장기능에 미치는 영향 (Effect of Nifedipine on Renal Function in Dogs)

  • 고석태;은중영
    • 약학회지
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    • 제31권6호
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    • pp.376-393
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    • 1987
  • This study was performed in order to investigate the effect of nifedipine, a vasodilating drug which acts through calcium antagonism, on renal function using mongrel dog. Nifedipine, when given interavenously in doses ranging from 1.5 to 5.0$\mu\textrm{g}$/kg, elicited diuresis along with less changes of glomerular filtration rate and significant increases of renal plasma flow, so that the filtration fraction(FF) decreased significantly, at the same time both osmolar and free water clearances increased, and amount of sodium, potassium and calcium excreted in urine increased significantly. Nifedipine, when infused into a renal artery in doses from 0.05 to 0.15$\mu\textrm{g}$/kg/min, exhibited identical responses to the actions of intraveneous nifedipine except significant increase of glomerular filtration rate and no change of FF, which was confined only to the infused kidney. The renal action of nifedipine into a renal artery were not influenced by renal denervation, decreased significantly by ouabain, Na$^+$-K$^+$-ATPase inhibitor, which was given into a renal artery. Nifedipine infused into a renal artery in dog pretreated with propranolol i.v. produced diuresis associated with the increase of electrolytes excretion by reduction of electrolyte reabsorption and with no changes of glomerular filtration rate and renal plasma flow. Thus, it is concluded that nifedipine infused into a renal aretery produces diuretic action along with both improvement of hemodynamics and inhibition of electrolytes reabsorption, which may be related to sympathetic $\beta$-receptor or Na$^+$-K$^+$-ATPase activity because the action of nifedipine in kidney is blocked by propranolol or ouabain.

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Clonidine이 개의 신장기능에 미치는 영향 (Influence of Clonidine on Renal Function of Dogs)

  • 고석태;김기환
    • 약학회지
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    • 제27권4호
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    • pp.271-282
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    • 1983
  • This study is an attempt to study the influence of clonidine, which has a central sympatholytic action, on the renal function in dogs and to elucidate its mechanism of action. Clonidine ($15\mu$g/kg) injected into a cephalic vein of the dog produced a marked increase in urine flow and in amounts of $Na^{+}$ and $K^{+}$ excreted in urine, and clearances of free water and osmolar substance, the reabsorption rates of $Na^{+}$ and $K^{+}$ in renal tubules were significantly decreased. Clonidine ($50.0]mu$g/kg) administered intravenouly elicited a transient reduction in urine flow, along with inhibition of all renal functions. Intravenous clonidine-induced diuretic effect was completely blocked by pretreatment with reserpine, and was lessened by water diuresis. Clonidine ($3.0\mu$g/kg) injected tnto a carotid artery revealed a transient diuresis with a increase in clearance of free water. Clonidine injected into a renal artery showed a significant antidiuretic effect and all functions of an experimental kidney were reduced. Antidiuretic action induced by clonidine given into a renal artery markedly suppressed by pretreatment with reserpine. The above results suggest that clonidine has dual mechanisms: 1) diuretic effect due to the central sympatholytic action and inhibition of release of antidiuretic hormone, and 2) antidiutetic effect indued by indirect symptheic stimulation in the periphery.

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가토에 있어서 측뇌실내 Bromocriptine의 신장작용 (Renal Effects of Intracerebroventricular Bromocriptine in the Rabbit)

  • 국영종;김경근;김재필;김경호
    • 대한약리학회지
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    • 제21권1호
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    • pp.49-61
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    • 1985
  • 가토 측뇌실내로 dopamine을 투여하면 항이뇨를 일으키고, 도파민 길항제 haloperidol은 소량에서는 항이뇨를, 대량에서는 이뇨와 Na 배설증가를 초래한다는 보고에 비추어, 본 연구에서는 중추를 통한 신장기능 조절에 관여하는 도파민 수용체의 역할을 구명코자, D-2 receptor agonist이고 D-1 antagonist인 bromocriptine(BRC)의 작용을 검토하였다. 측뇌실내로 BRC를 투여하면 20-600 ${\mu}g/kg$의 범위안에서 대략 용량에 비례하여 natriuresis와 이뇨가 나타났으나, 신혈류와 사구체 여과율은 증량에 따라 점차 감소하였다. 따라서 이뇨 및 Na 배설증가는 신세뇨관에서의 Na재흡수 감소에 의한 것임을 알수 있었다. 이러한 Na 배설증가는 $200{\mu}g/kg$에서 가장 현저하여 Na 배설분획은 약 10%에 달하였다. 그러나 $600{\mu}g/kg$ 에서는 일시적인 현저한 혈압상승에 따르는 급격한 감소로 인하여 일시적 폐뇨가 선행한 다음 이뇨 작용이 나타났다. BRC의 정맥내 투여시에는 전신혈압 하강에 따르는 신혈류역학의 감소와 아울러 항이뇨가 나타났으며, 이는 측피실내로 투여한 BRC의 작용은 전신순환내로 유입되어 초래될 수도 있는 직접신장작용에 기인한것이 아니고 중추를 통한 것임을 시사하였다. Dopamine 150 ${\mu}g/kg$을 측뇌실내로 투여한 후에도 BRC 200 ${\mu}g/kg$은 작용을 나타낼 수 있으나, dopamine 500 ${\mu}g/kg$에 의해서는 BRC의 작용이 소실 되었다. 24 시간전에 1 mg/kg의 reserpine으로 처리한 가토에서는 200 ${\mu}g/kg$ BRC의 작용이 오히려 더 빠르고 강화되었다. 일측신장 신경을 제거한 표본에서는, BRC투여로 대조신은 항이뇨를 나타냈으나 실험신(탈신경측)은 심한 이뇨와 Na배설 증가를 일으켰다. 이상의 실험결과는, 측뇌실내 BRC는 natriuretic factor를 유리시킴과 동시에 교감신경 긴장도를 증가시키는 것을 시사하였으며, 또한 가토 신장기능의 중추 도파민계를 통한 조절에 있어서 여러 도파민 수용체가 각각 다른 기능을 하고 있음을 시사하였다.

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가토신장기능에 미치는 뇌실내 Ketanserin의 영향 (Influence of Intracerebroventricular Ketanserin on Rabbit Renal Function)

  • 국영종;김경근;임영채;김유남;국훈
    • 대한약리학회지
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    • 제26권2호
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    • pp.153-160
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    • 1990
  • 5-Hydroxytryptamine(5-HT)를 가토뇌실내로 투여 (icv)하면 이뇨와 Na배설증가가 초래되며, 이러한 작용은 $5-HT_1$ 수용체길항제인 methysergide에 의하여 차단되므로 중추성 신장기능조절에 있어 중추 tryptamine계의 관련이 시사된 바 있다. 본 연구에서는 $5-HT_2$ 길항제로 알려진 ketanserin (KET)를 이용하여 $5-HT_2$ 수용체의 역할을 구명하고자 하였다. KET $120\;{\mu}g(=0.3{\mu}moles)/kg$ icv는 신혈류역학에는 아무런 변동을 일으키지않으나 유의한 Na배설증가를 초래하여, 세뇨관에서의 Na 재흡수 감소가 시사되었다. 전신혈압은 약간 감소하였다. 정맥내 투여시에는 유의한 기능변동을 볼 수 없었다. 5-HT $200{\mu}g/kg$ icv는 경미하나 유의한 Na배설증가 및 이뇨작용을 나타냈다. 그러나 신장기능에 그다지 큰 영향을 미치지 않는 양인 $40{\mu}g/kg$의 KET icv후에는 5-HT의 작용이 크게 강화되어, Na배설분획이 9.3%에 달하였다. Norepinephrine, dopamine, histamine과 같은 다른 생체아민의 신장작용은 KET전처치에 의하여 영향받지 아니하였다. 본 연구는 중추 $5-HT_1$ 수용체와는 반대로 중추 $5-HT_2$ 수용체는 항이뇨 및 Na배설감소를 매개하고 있으며, 중추 tryptamine계는 신장기능을 이중적으로 조절하고 있음을 시사하였다.

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