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
  • [11] MECHANISMS OF RENAL EXCRETION OF CISDICHLORODIAMINE PLATINUM
    CATERSON, R
    ETHEREDGE, S
    SNITCH, P
    DUGGIN, G
    KIDNEY INTERNATIONAL, 1984, 26 (02) : 236 - 236
  • [12] MECHANISMS OF RENAL EXCRETION OF BILIRUBIN IN RATS
    ELIAS, MM
    COMIN, E
    RODRIGUEZGARAY, EA
    MEDICINA-BUENOS AIRES, 1975, 35 (06) : 570 - 570
  • [13] STUDIES ON THE RENAL EXCRETION MECHANISMS OF CEFADROXIL
    GRANERO, L
    GIMENO, MJ
    TORRESMOLINA, F
    CHESAJIMENEZ, J
    PERIS, JE
    DRUG METABOLISM AND DISPOSITION, 1994, 22 (03) : 447 - 450
  • [14] MECHANISMS OF RENAL EXCRETION OF CISDICHLORODIAMINE PLATINUM
    CATERSON, R
    ETHEREDGE, S
    SNITCH, P
    DUGGIN, G
    RESEARCH COMMUNICATIONS IN CHEMICAL PATHOLOGY AND PHARMACOLOGY, 1983, 41 (02): : 255 - 264
  • [15] RENAL TRANSPORT MECHANISMS FOR EXCRETION OF SULFISOXAZOLE
    COHEN, M
    POCELINKO, R
    JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS, 1973, 185 (03): : 703 - 712
  • [16] STUDIES IN THE RENAL MECHANISMS FOR THE EXCRETION OF POTASSIUM
    BERLINER, RW
    KENNEDY, TJ
    HILTON, JG
    JOURNAL OF CLINICAL INVESTIGATION, 1949, 28 (04): : 770 - 771
  • [17] RENAL EXCRETION OF ACID - REVIEW OF MECHANISMS
    ROBINSON, JR
    AUSTRALASIAN ANNALS OF MEDICINE, 1970, 19 (02): : 196 - &
  • [18] CONTROL MECHANISMS FOR MAGNESIUM EXCRETION
    DUGGAN, KA
    MACDONALD, GJ
    KIDNEY INTERNATIONAL, 1988, 33 (01) : 140 - 141
  • [19] NEURAL CONTROL OF ENDOCRINE FUNCTION
    FARREL
    RAUSCHKOLB, EW
    ANNUAL REVIEW OF MEDICINE, 1961, 12 : 323 - +
  • [20] NEURAL CONTROL OF THE ENDOCRINE PANCREAS
    MATTHEWS, DR
    CLARK, A
    PROCEEDINGS OF THE NUTRITION SOCIETY, 1987, 46 (01) : 89 - &