Reineck H J, Osgood R W, Ferris T F, Stein J H
Am J Physiol. 1975 Nov;229(5):1403-9. doi: 10.1152/ajplegacy.1975.229.5.1403.
Because of recent conflicting results, micropuncture studies were performed to clarify the respective role of the distal convoluted tubule and collecting duct in the regulation of urinary potassium excretion. Five groups of Sprague-Dawley rats were studied: group I, hydropenia (n = 10); group II, Ringer loading (n = 7); group III, acute KC1 loading (n = 6); group IV, mannitol diuresis (n = 6); group V, KC1 infusion during mannitol diuresis (n = 7). Early and late distal tubules were identified with intravenous injections of lissamine green. In each animal net secretion of potassium occurred along the distal convoluted tubule, and a direct relationship between distal tubular flow rate and potassium secretion was observed. The magnitude of potassium secretion at high distal tubular flow rates was dependent on the model studied. Potassium transport beyond the distal tubule was evaluated by comparing end distal potassium delivery and fractional potassium excretion. At low urinary flow rates net reabsorption was observed, whereas at higher flow rates no net transport occurred. Thus, flow rate along the collecting duct may be a major determinant of urinary potassium excretion.
由于近期结果相互矛盾,因此进行了微穿刺研究,以阐明远曲小管和集合管在尿钾排泄调节中的各自作用。研究了五组Sprague-Dawley大鼠:第一组,缺水(n = 10);第二组,林格液负荷(n = 7);第三组,急性氯化钾负荷(n = 6);第四组,甘露醇利尿(n = 6);第五组,甘露醇利尿期间输注氯化钾(n = 7)。通过静脉注射丽丝胺绿来识别早期和晚期远曲小管。在每只动物中,钾沿远曲小管发生净分泌,并且观察到远曲小管流速与钾分泌之间存在直接关系。在高远曲小管流速下钾分泌的幅度取决于所研究的模型。通过比较远曲小管末端钾输送量和钾排泄分数来评估远曲小管以外的钾转运。在低尿流率时观察到净重吸收,而在较高流率时未发生净转运。因此,沿集合管的流速可能是尿钾排泄的主要决定因素。