THE HEART AND CONTROL OF RENAL EXCRETION - NEURAL AND ENDOCRINE MECHANISMS

被引:14
|
作者
PETERSON, TV [1 ]
BENJAMIN, BA [1 ]
机构
[1] DUKE UNIV,MED CTR,DEPT CELL BIOL,DIV PHYSIOL,DURHAM,NC 27710
来源
FASEB JOURNAL | 1992年 / 6卷 / 11期
关键词
CARDIAC RECEPTORS; ATRIAL PEPTIDES; BLOOD VOLUME CONTROL; RENAL FUNCTION;
D O I
10.1096/fasebj.6.11.1386584
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
There has been a great deal of research concerning the heart being an important regulator of renal fluid and electrolyte excretion. This cardiac-renal connection involves two different types of major mechanisms, both of which are covered in this review. The first of these to bc discovered was neural reflex regulation. This type of control is due to the fact that the heart possesses nerve receptors whose activity is altered by changes in the degree of cardiac stretch that occur as a result of changes in blood volume. These receptors affect various humoral, neural, and perhaps hemodynamic mechanisms that modify renal excretion. A second, more recently discovered type of regulation is based on the concept that the heart is also an endocrine gland. Similar to neural receptor activity, cardiac hormone secretion is also linked to the degree of cardiac stretch or filling. These cardiac peptides have been shown to have a variety of physiologic effects, most of which directly or indirectly affect renal excretion. Both of the above cardiorenal control mechanisms, one neural and one humoral, may be important not only in maintaining normal fluid-electrolyte balance but may also have pathophysiologic relevance.
引用
收藏
页码:2923 / 2932
页数:10
相关论文
共 50 条
  • [1] NEURAL CONTROL OF RENAL EXCRETION OF SODIUM IN THE DOG
    BLAKE, WD
    JOURNAL OF CLINICAL INVESTIGATION, 1952, 31 (06): : 618 - 618
  • [2] ENDOCRINE AND NEURAL CONTROL OF AMPHIBIAN RENAL FUNCTIONS
    PANG, PKT
    UCHIYAMA, M
    SAWYER, WH
    FEDERATION PROCEEDINGS, 1982, 41 (08) : 2365 - 2370
  • [3] NEURAL CONTROL OF THE ENDOCRINE RAT-HEART
    JIAO, JH
    BAERTSCHI, AJ
    PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1993, 90 (16) : 7799 - 7803
  • [4] MECHANISMS OF SODIUM HOMEOSTASIS - SODIUM AND WATER-EXCRETION IN MAMMALS - HEMODYNAMIC, ENDOCRINE, AND NEURAL MECHANISMS - INTRODUCTION
    REINHARDT, HW
    LEYSSAC, PP
    BIE, P
    ACTA PHYSIOLOGICA SCANDINAVICA, 1990, 139 : 3 - 3
  • [5] RENAL MECHANISMS FOR EXCRETION OF POTASSIUM
    BERLINER, RW
    KENNEDY, TJ
    HILTON, JG
    AMERICAN JOURNAL OF PHYSIOLOGY, 1950, 162 (02): : 348 - 367
  • [6] RENAL MECHANISMS FOR POTASSIUM EXCRETION
    BERLINER, RW
    HARVEY LECTURES, 1960, (55) : 141 - 171
  • [7] MECHANISMS OF RENAL EXCRETION OF UROBILINOGEN
    BOURKE, E
    MILNE, MD
    STOKES, GS
    BRITISH MEDICAL JOURNAL, 1965, 2 (5477): : 1510 - &
  • [8] ENDOCRINE CONTROL OF INTESTINAL CALCIUM EXCRETION
    FUJITA, T
    OHATA, M
    OKANO, K
    YOSHIKAWA, M
    ENDOCRINOLOGIA JAPONICA, 1977, 24 (01): : 15 - 18
  • [9] ENVIRONMENTAL-FACTORS IN NEURAL CONTROL OF RENAL EXCRETION IN CONSCIOUS SHR
    KOEPKE, JP
    DIBONA, GF
    KIDNEY INTERNATIONAL, 1984, 25 (01) : 203 - 203
  • [10] NEURAL AND ENDOCRINE MECHANISMS OF RENAL SODIUM HANDLING DURING WATER IMMERSION IN NORMAL MAN
    KOLLOCH, R
    STUMPE, KO
    MULLER, HM
    OVERLACK, A
    UNGER, R
    HAGENDORFF, A
    KIDNEY INTERNATIONAL, 1982, 21 (01) : 261 - 261