首页   按字顺浏览 期刊浏览 卷期浏览 Impact of renal transplantation on small vessel reactivity1
Impact of renal transplantation on small vessel reactivity1

 

作者: Gert Gabriëls,   Christian August,   Olaf Grisk,   Martin Steinmetz,   Markus Kosch,   Karl Heinz Rahn,   Eberhard Schlatter,  

 

期刊: Transplantation  (OVID Available online 2003)
卷期: Volume 75, issue 5  

页码: 689-697

 

ISSN:0041-1337

 

年代: 2003

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Background.The function of large arteries is altered after renal transplantation. Whether transplantation also induces agonist-dependent functional changes in small arterial renal and extrarenal vessels has not yet been studied.Methods.Chronic rejection was induced by grafting Lewis rats with kidneys from Fischer rats (FL). Rats that underwent transplantation were bilaterally nephrectomized. Rats that underwent syngeneic transplantation, uninephrectomized rats, uninephrectomized rats with denervated kidneys or with kidneys made ischemic, and native rats served as controls. All animals were treated with cyclosporine for 10 days. Eighteen weeks after surgery, the reactivity of small arteries (220–270 &mgr;m) was tested by myography.Results.Weight gain, glomerular filtration rate, and arterial pressure were similar in all groups, whereas proteinuria was elevated in FL. Only kidneys from FL showed glomerular lesions, tubular atrophy, and vasculopathy. Responsiveness of coronary, mesenteric, and femoral resistance vessels to both constrictor and dilator agonists was similar in transplanted and nontransplanted animals. Resistance vessels obtained from both allogeneically and syngeneically transplanted kidneys were more sensitive to norepinephrine, phenylephrine, angiotensin II, and vasopressin than renal vessels from weight-matched controls. Vasodilation in response to acetylcholine and sodium nitroprusside was mitigated in transplanted versus nontransplanted kidneys.Conclusions.In rat renal transplantation, renal resistance vessel responsiveness to constrictor or dilator stimuli is altered. Extrarenal small vessel function is not affected. The changes in function of renal resistance vessels are not explained by reduction of nephron mass, denervation, ischemia, or chronic rejection.

 

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