Chesney R W, Scriver C R, Mohyuddin F
J Clin Invest. 1976 Jan;57(1):183-93. doi: 10.1172/JCI108258.
We investigated the mechanism of taurinuria in three inbred strains of mice: A/J, a normal taurine excretor (taut+); and two hypertaurinuric (taut-) strains, C57BL/6J and PRO/Re. Plasma taurine is comparable in the three strains (approximately 0.5 mM), but taurinuria is 10-fold greater in taut- animals. Fractional reabsorption of taurine is 0.967 +/- 0.013 (mean +/- SD) in A/J); and 0.839 +/- 0.08 and 0.787 +/- 0.05 in C57BL/6J and PRO/Re, respectively. Taurine concentration in renal cortex intracellular fluid (free of urine contamination) is similar in the three strains. Taurine reabsorption is inhibited by beta-alanine, in taut+ and taut- strains. These in vivo findings reveal residual taurine transport activity in the taut- phenotype and no evidence for impaired efflux at basilar membranes as the cause of impaired taurine reabsorption. Cortex slices provide information about uptake of amino acids at the antiluminal membrane. Taurine behaves as an inert metabolite in mouse kidney cortex slices. Taurine uptake by slices is active and, at less than 1 mM, is greater than normal in taut- slices. Concentration-dependent uptake studies reveal more than one taurine carrier in taut+ and taut- strains. The apparent Km values for uptake below 1 mM are different in taut- and taut+ slices (approximately 0.2 mM and approximately 0.7 mM, respectively); the apparent Km values above 1 mM taurine are similar in taut+ and taut- slices. Efflux from slices in all strains in the same (0.0105-0.0113 mumol-min-1-g-1 wet wt), but taut- tissue retains about 10% more radioactivity over the period of efflux. beta-Alanine is actively metabolized in mouse kidney. Its uptake in the presence of blocked transamination, is greater; its intracellular oxidation is attenuated; and its exchange with intracellular taurine is diminished in taut- slices. These findings indicate impaired beta-amino acid permeation on a low-Km uptake system at the luminal membrane in the taut- phenotype. beta-Amino acids are not reclaimed efficiently either from the innermost luminal pool in cortex slices or from the ultrafiltrate in the tubule lumen in vivo. The former leads to high uptake ratios in vitro, the latter to high clearance rates in vivo. In vitro and in vivo data are thus concordant. This is the first time that a hereditary defect in amino acid transport has been assigned to a specific membrane surface in mammalian kidney.
A/J系小鼠,正常牛磺酸排泄者(taut+);以及两种高牛磺酸尿症(taut-)品系,C57BL/6J和PRO/Re。三种品系小鼠的血浆牛磺酸水平相当(约0.5 mM),但taut-小鼠的牛磺酸尿排泄量高10倍。A/J系小鼠牛磺酸的重吸收率为0.967±0.013(平均值±标准差);C57BL/6J和PRO/Re品系分别为0.839±0.08和0.787±0.05。三种品系小鼠肾皮质细胞内液(无尿液污染)中的牛磺酸浓度相似。在taut+和taut-品系中,β-丙氨酸均可抑制牛磺酸重吸收。这些体内研究结果显示,taut-表型存在残余的牛磺酸转运活性,且没有证据表明基底膜上的流出受损是牛磺酸重吸收受损的原因。皮质切片提供了有关氨基酸在抗腔面膜摄取的信息。在小鼠肾皮质切片中,牛磺酸表现为惰性代谢物。切片对牛磺酸的摄取是活跃的,在浓度低于1 mM时,taut-切片中的摄取量高于正常水平。浓度依赖性摄取研究表明,taut+和taut-品系中存在不止一种牛磺酸载体。在taut-和taut+切片中,低于1 mM时牛磺酸摄取的表观Km值不同(分别约为0.2 mM和约0.7 mM);高于1 mM牛磺酸时,taut+和taut-切片中的表观Km值相似。所有品系切片的流出量相同(0.0105 - 0.0113 μmol·min-1·g-1湿重),但在流出过程中,taut-组织保留的放射性约多10%。β-丙氨酸在小鼠肾脏中可被活跃代谢。在转氨作用受阻的情况下,其摄取量增加;细胞内氧化减弱;在taut-切片中,其与细胞内牛磺酸的交换减少。这些发现表明,taut-表型在腔面膜的低Km摄取系统上β-氨基酸渗透受损。无论是在皮质切片的最内层腔池还是在体内肾小管腔的超滤液中,β-氨基酸都不能有效地被回收。前者导致体外摄取率高,后者导致体内清除率高。因此,体外和体内数据是一致的。这是首次将氨基酸转运的遗传性缺陷归因于哺乳动物肾脏的特定膜表面。