Vekaria Renu M, Unwin Robert J, Shirley David G
Department of Physiology and Centre for Nephrology, University College London, Hampstead Campus, London NW3 2PF, UK.
J Am Soc Nephrol. 2006 Jul;17(7):1841-7. doi: 10.1681/ASN.2005111171. Epub 2006 Jun 21.
It is becoming increasingly recognized that stimulation of apical P2 receptors can influence solute transport in the nephron, but, to date, no information is available on endogenous intraluminal nucleotide concentrations in vivo. This study measured intraluminal ATP concentrations in the renal tubules of anesthetized rats. Proximal tubular concentrations were found to be in the range of 100 to 300 nmol/L, with no significant variation along the S2 segment, whereas concentrations in the early distal tubule were markedly lower. Using collections of varying duration, the half-life of ATP in collected proximal tubular fluid was found to be 3.4 min, indicating significant breakdown by soluble nucleotidases. For assessment of whether proximal tubular ATP was filtered or secreted, experiments were performed in Munich-Wistar rats. The ATP concentration in midproximal tubules (142 +/- 23 nmol/L) was more than four-fold higher than in Bowman's space (32 +/- 7 nmol/L; P < 0.001), whereas fractional water reabsorption between the two sites was modest. In experiments that were designed to determine the effects of (patho)physiologic disturbances on intraluminal ATP, rats were either volume expanded or subjected to hypotensive hemorrhage. Neither maneuver affected proximal tubular luminal ATP concentrations significantly; rapid degradation of secreted ATP by ecto- and soluble nucleotidases is a possible explanation. It is concluded that the proximal tubule secretes ATP into the lumen, where it may have an autocrine/paracrine regulatory role.
人们越来越认识到,刺激顶端P2受体可影响肾单位中的溶质转运,但迄今为止,尚无关于体内内源性管腔内核苷酸浓度的信息。本研究测量了麻醉大鼠肾小管中的管腔内ATP浓度。发现近端小管浓度在100至300 nmol/L范围内,沿S2段无显著变化,而远端小管早期的浓度明显较低。通过不同时长的收集,发现收集的近端小管液中ATP的半衰期为3.4分钟,表明可溶核苷酸酶可使其显著分解。为评估近端小管ATP是经滤过还是分泌而来,在慕尼黑-威斯塔大鼠中进行了实验。近端小管中部的ATP浓度(142±23 nmol/L)比鲍曼囊中的浓度(32±7 nmol/L;P<0.001)高出四倍多,而两个部位之间的水分重吸收分数适中。在旨在确定(病理)生理紊乱对管腔内ATP影响的实验中,大鼠要么进行容量扩张,要么进行低血压性出血。两种操作均未显著影响近端小管管腔内ATP浓度;外切和可溶核苷酸酶对分泌的ATP快速降解可能是一个解释。得出的结论是,近端小管将ATP分泌到管腔中,在那里它可能具有自分泌/旁分泌调节作用。