Quigley R, Lisec A, Baum M
Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75235-9063, USA.
Am J Physiol Regul Integr Comp Physiol. 2001 Jun;280(6):R1713-8. doi: 10.1152/ajpregu.2001.280.6.R1713.
Urea transport in the proximal tubule is passive and is dependent on the epithelial permeability. The present study examined the maturation of urea permeability (P(urea)) in in vitro perfused proximal convoluted tubules (PCT) and basolateral membrane vesicles (BLMV) from rabbit renal cortex. Urea transport was lower in neonatal than adult PCT at both 37 and 25 degrees C. The PCT P(urea) was also lower in the neonates than the adults (37 degrees C: 45.4 +/- 10.8 vs. 88.5 +/- 15.2 x 10(-6) cm/s, P < 0.05; 25 degrees C: 28.5 +/- 6.9 vs. 55.3 +/- 10.4 x 10(-6) cm/s; P < 0.05). The activation energy for PCT P(urea) was not different between the neonatal and adult groups. BLMV P(urea) was determined by measuring vesicle shrinkage, due to efflux of urea, using a stop-flow instrument. Neonatal BLMV P(urea) was not different from adult BLMV P(urea) at 37 degrees C [1.14 +/- 0.05 x 10(-6) vs. 1.25 +/- 0.05 x 10(-6) cm/s; P = not significant (NS)] or 25 degrees C (0.94 +/- 0.06 vs. 1.05 +/- 0.10 x 10(-6) cm/s; P = NS). There was no effect of 250 microM phloretin, an inhibitor of the urea transporter, on P(urea) in either adult or neonatal BLMV. The activation energy for urea diffusion was also identical in the neonatal and adult BLMV. These findings in the BLMV are in contrast to the brush-border membrane vesicles (BBMV) where we have previously demonstrated that urea transport is lower in the neonate than the adult. Urea transport is lower in the neonatal proximal tubule than the adult. This is due to a lower rate of apical membrane urea transport, whereas basolateral urea transport is the same in neonates and adults. The lower P(urea) in neonatal proximal tubules may play a role in overall urea excretion and in developing and maintaining a high medullary urea concentration and thus in the ability to concentrate the urine during renal maturation.
近端小管中的尿素转运是被动的,且依赖于上皮通透性。本研究检测了兔肾皮质体外灌注的近端曲管(PCT)和基底外侧膜囊泡(BLMV)中尿素通透性(P(urea))的成熟情况。在37℃和25℃时,新生兔PCT的尿素转运均低于成年兔。新生兔PCT的P(urea)也低于成年兔(37℃:45.4±10.8对88.5±15.2×10⁻⁶cm/s,P<0.05;25℃:28.5±6.9对55.3±10.4×10⁻⁶cm/s;P<0.05)。新生组和成年组PCT的P(urea)激活能无差异。通过使用停流仪测量由于尿素外流导致的囊泡收缩来测定BLMV的P(urea)。在37℃时,新生兔BLMV的P(urea)与成年兔无差异[1.14±0.05×10⁻⁶对1.25±0.05×10⁻⁶cm/s;P=无显著差异(NS)],在25℃时也无差异(0.94±0.06对1.05±0.10×10⁻⁶cm/s;P=NS)。250μM根皮素(一种尿素转运体抑制剂)对成年或新生兔BLMV的P(urea)均无影响。新生兔和成年兔BLMV中尿素扩散的激活能也相同。BLMV中的这些发现与刷状缘膜囊泡(BBMV)相反,我们之前已证明新生兔BBMV中的尿素转运低于成年兔。新生兔近端小管中的尿素转运低于成年兔。这是由于顶端膜尿素转运速率较低,而新生兔和成年兔的基底外侧尿素转运相同。新生兔近端小管中较低的P(urea)可能在总体尿素排泄以及在发育和维持高髓质尿素浓度方面发挥作用,从而在肾脏成熟过程中影响尿液浓缩能力。