期刊
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
卷 22, 期 3, 页码 232-239出版社
W B SAUNDERS CO LTD
DOI: 10.1053/ejvs.2001.1444
关键词
arginine; kidney; ischaemia; reperfusion; blood flow
Background: ischaemic renal dysfunction is present in many clinical settings, including cardiovascular surgery. Renal hypoperfusion seems to be the most important pathophysiologic mechanism. Arginine plasma levels are rate limiting for NO synthesis, and low arginine plasma levels are seen after major vascular surgery. Objective: to establish the effects of low arginine plasma levels oil renal blood flow after renal ischaemis/reperfusion. Design: Wistar rats were used in this unilateral renal ischaemia/reperfusion model. After 70 min of ischaemia, the kidney was reperfused for 150 min, Arginase infusion was used to lower arginine plasma levels. Blood flow measurement was performed at the end of the experiment using radiolabelled microspheres. Additional experiments were performed for histopathology. Results: arginase efficiently decreased arginine plasma levels to about 50% of normal. There was a lower blood flow, hl the ischaemic kidney than the contralateral (non-ischaemic) kidney. Lowering arginine plasma levels did not reduce renal blood flow in the ischaemic kidney. Renal histopathology was not influenced by lowered arginine plasma levels. Conclusions: lowering arginine plasma levels did not affect blood flow or histology following renal ischaemia and reperfusion.
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