Garvin J L, Ortiz P A
Division of Hypertension and Vascular Research, Henry Ford Hospital, Detroit, MI, USA.
Acta Physiol Scand. 2003 Nov;179(3):225-32. doi: 10.1046/j.0001-6772.2003.01203.x.
The phrase reactive oxygen species covers a number of molecules and atoms, including the quintessential member of the group, O2-; singlet oxygen; H2O2; organic peroxides; and OONO-. While nitric oxide (NO) is also technically a member of the reactive oxygen species family, it is generally considered with a different class of compounds and will not be considered here. To our knowledge, there are currently no published data reporting the effects of reactive oxygen species on net transepithelial flux in the proximal nephron. However, there is evidence that OONO- regulates Na+/K+ adenosine triphosphatase (ATPase) activity as well as paracellular permeability. While it is easy to speculate that such an effect on the pump would decrease net transepithelial solute and water reabsorption, one cannot do so without knowing how other transporters are affected. O2- stimulates NaCl absorption by the thick ascending limb by activating protein kinase C and blunting the effects of NO. The effects of O2- on thick ascending limb NaCl absorption may be important for the initiation of salt-sensitive hypertension. To our knowledge, there are no published data concerning the role of reactive oxygen species in the regulation of solute absorption in either the distal convoluted tubule or the collecting duct. However, OONO- inhibits basolateral K+ channels in the cortical collecting duct, although the net effect of such inhibition is unknown.
While the regulation of tubular transport by reactive oxygen species is important to overall salt and water balance, we know very little about where and how these regulators act along the nephron.
活性氧族涵盖多种分子和原子,包括该族的典型成员超氧阴离子(O₂⁻)、单线态氧、过氧化氢(H₂O₂)、有机过氧化物和过氧亚硝酸根(OONO⁻)。虽然一氧化氮(NO)从技术上讲也是活性氧族的成员,但通常将其归为另一类化合物,在此不予考虑。据我们所知,目前尚无已发表的数据报道活性氧族对近端肾单位净跨上皮通量的影响。然而,有证据表明过氧亚硝酸根可调节钠钾ATP酶(Na⁺/K⁺ ATPase)的活性以及细胞旁通透性。虽然很容易推测对该泵的这种作用会降低净跨上皮溶质和水的重吸收,但在不知道其他转运体如何受影响的情况下不能这样做。超氧阴离子通过激活蛋白激酶C并减弱一氧化氮的作用来刺激髓袢升支粗段对氯化钠的重吸收。超氧阴离子对髓袢升支粗段氯化钠重吸收的影响可能对盐敏感性高血压的发生很重要。据我们所知,尚无已发表的数据涉及活性氧族在远曲小管或集合管溶质重吸收调节中的作用。然而,过氧亚硝酸根会抑制皮质集合管的基底外侧钾通道,尽管这种抑制的净效应尚不清楚。
虽然活性氧族对肾小管转运的调节对整体盐和水平衡很重要,但我们对这些调节因子在肾单位中的作用位置和方式知之甚少。