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集合管顶端P2受体的体内刺激:抑制钠重吸收的证据。

In vivo stimulation of apical P2 receptors in collecting ducts: evidence for inhibition of sodium reabsorption.

作者信息

Shirley D G, Bailey M A, Unwin R J

机构信息

Dept. of Physiology and Centre for Nephrology, Royal Free and Univ. College Medical School, Hampstead Campus, Rowland Hill St., London NW3 2PF, UK.

出版信息

Am J Physiol Renal Physiol. 2005 Jun;288(6):F1243-8. doi: 10.1152/ajprenal.00152.2004. Epub 2005 Feb 1.

Abstract

In vitro evidence suggests that intraluminal nucleotides, acting on apical P2 receptors, may influence amiloride-sensitive sodium reabsorption in collecting ducts. The present study has assessed this possibility directly in anesthetized rats, by determining the urinary recovery of 22Na relative to that of [14C]inulin (Na/inulin recovery ratio) during in vivo microperfusion of late distal tubules with artificial tubular fluid containing various P2 agonists (all at 1 mM). In animals maintained on a control diet, in which amiloride-sensitive 22Na reabsorption was modest, the poorly hydrolysable, broad-spectrum P2 agonist ATPgammaS had no significant effect on the Na/inulin recovery ratio. In contrast, in rats maintained on a low-sodium diet, in which amiloride-sensitive 22Na reabsorption was considerably enhanced, ATPgammaS caused a significant increase in the Na/inulin recovery ratio (control: 14 +/- 3%; ATPgammaS: 28 +/- 4%; n = 32 pairs; P < 0.001, paired t-test). No change in the Na/inulin recovery ratio was seen in time controls (13 +/- 3 vs. 14 +/- 4%; n = 15 pairs). In subsequent experiments in rats maintained on a low-sodium diet, we used more selective agonists in an attempt to identify the receptor subtype responsible for the effect of ATPgammaS. The P2Y1 agonist 2meSADP, the P2Y2/4 agonists Ap4A and Cp4U, and the P2X agonist BzATP were all without significant effect on the Na/inulin recovery ratio. These findings constitute the first in vivo evidence for a functional role for apical P2 receptors in collecting ducts, but the identity of the receptor subtype(s) involved remains elusive.

摘要

体外实验证据表明,管腔内的核苷酸作用于顶端P2受体,可能会影响集合管中amiloride敏感的钠重吸收。本研究通过在麻醉大鼠体内对远端肾小管晚期进行微灌注含各种P2激动剂(均为1 mM)的人工肾小管液,直接测定22Na相对于[14C]菊粉的尿回收率(Na/菊粉回收率),评估了这种可能性。在维持对照饮食的动物中,amiloride敏感的22Na重吸收适度,难水解的广谱P2激动剂ATPγS对Na/菊粉回收率无显著影响。相比之下,在维持低钠饮食的大鼠中,amiloride敏感的22Na重吸收显著增强,ATPγS导致Na/菊粉回收率显著增加(对照:14±3%;ATPγS:28±4%;n = 32对;P < 0.001,配对t检验)。时间对照组的Na/菊粉回收率无变化(13±3%对14±4%;n = 15对)。在随后对维持低钠饮食的大鼠进行的实验中,我们使用了更具选择性的激动剂,试图确定负责ATPγS作用的受体亚型。P2Y1激动剂2meSADP、P2Y2/4激动剂Ap4A和Cp4U以及P2X激动剂BzATP对Na/菊粉回收率均无显著影响。这些发现构成了顶端P2受体在集合管中发挥功能作用的首个体内证据,但所涉及的受体亚型的身份仍然难以捉摸。

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