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近端小管浅表直段和髓旁直段中盐和水转运的特征

Characteristics of salt and water transport in superficial and juxtamedullary straight segments of proximal tubules.

作者信息

Kawamura S, Imai M, Seldin D W, Kukko J P

出版信息

J Clin Invest. 1975 Jun;55(6):1269-77. doi: 10.1172/JCI108046.

Abstract

The purpose of the present studies was to characterize the nature of salt and water transport out of the superficial (SF) and juxtamedullary (JM) straight segments of rabbit proximal tubules as examined by in vitro microperfusion techniques. When the perfusate consisted of a solution simulating ultrafiltrate of plasma, there were no differences between SF and JM straight tubules in either net reabsorption of fluid (SF=0.47 nl/mm per min; JM=0.56 nl/mm per min) or in transtubular potential difference (PD) (SF=-2.1 mV; JM=-1.8 mV). Removal of glucose and alanine from the perfusate had no effect on the magnitude of the PD in either straight segment. Ouabain decreased both the net reabsorptive rates and the PD. Isosmolal replacement of NaCL by Na-cyclamate (a presumed impermeant anion) in the perfusate and the bath caused an increase in luminal negativity in both segments wheras similar substitution of NaCL by choline-CL (nontransported cation) changed the PD TO NEAR ZERO. These studies, therefore, suggest that sodium is transported out of the proximal straight tubules by an active noncoupled process that generates a PD (electrogenic process). When the perfusate consisted of a solution with a high chloride concentration (resulting from greater HCO3 than CI reabsorption in the proximal convoluted tubule), different PDs in SF and JM tubules were generated: SF=+1.6 plus or minus 0.2 mV; JM=-1.3 plus or minus 0.3 mV. This difference in PD was attributed to relative differences in Na and CI permeabilities in these two segments. Electrophysiological and isotopic estimates of the chloride to sodium permeability revealed that the SF tubule is about twice as permeant to chloride than to sodium whereas the JM tubules are approximately twice as permeant to sodium than to chloride. It is concluded that the mechanism of active sodium transport in the straight segment of proximal tubule differs from that of the convoluted segment and that both the SF and JM straight segments differ from each other with respect os sodium and chloride permeability.

摘要

本研究的目的是通过体外微灌注技术来描述兔近端小管浅表(SF)和近髓(JM)直段中盐和水的转运性质。当灌注液为模拟血浆超滤液的溶液时,SF和JM直小管在液体净重吸收(SF = 0.47 nl/mm每分钟;JM = 0.56 nl/mm每分钟)或跨小管电位差(PD)(SF = -2.1 mV;JM = -1.8 mV)方面均无差异。从灌注液中去除葡萄糖和丙氨酸对任一直段的PD大小均无影响。哇巴因降低了净重吸收率和PD。在灌注液和浴液中用环磺酸钠(一种假定的非渗透性阴离子)等渗替代氯化钠,导致两段管腔内负性增加,而用氯化胆碱(非转运阳离子)类似地替代氯化钠则使PD接近零。因此,这些研究表明,钠通过一种主动非偶联过程从近端直小管转运出,该过程产生一个PD(电生过程)。当灌注液为氯化物浓度高的溶液时(由于近端曲小管中HCO3的重吸收多于CI),SF和JM小管产生了不同的PD:SF = +1.6±0.2 mV;JM = -1.3±0.3 mV。这种PD差异归因于这两段中Na和CI通透性的相对差异。氯化物对钠通透性的电生理和同位素估计表明,SF小管对氯化物的通透性约为对钠的两倍,而JM小管对钠的通透性约为对氯化物的两倍。得出的结论是,近端小管直段中钠的主动转运机制与曲段不同,并且SF和JM直段在钠和氯化物通透性方面彼此也不同。

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