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液压诱导的对流溶质跨兔腹膜转运

Hydraulically-induced convective solute transport across the rabbit peritoneum.

作者信息

Bell J L, Leypoldt J K, Frigon R P, Henderson L W

机构信息

Department of Medicine, Veterans Administration Medical Center, San Diego, California.

出版信息

Kidney Int. 1990 Jul;38(1):19-27. doi: 10.1038/ki.1990.162.

Abstract

Transport of solutes during osmotically-induced transperitoneal ultrafiltration is less than would be predicted based upon rates of transperitoneal solute diffusion. Previous workers have hypothesized that osmotically-induced convective solute transport occurs only in small pores at the arteriolar end of peritoneal capillaries, whereas solute diffusion occurs only through large venular pores. We tested this heteroporosity hypothesis in the eviscerated New Zealand White rabbit by determining sieving coefficients (S) for creatinine, p-aminohippurate (PAH) and neutral dextran during hydraulically-induced transperitoneal ultrafiltration (N = 13). A hydraulically-induced driving force directs convective solute transport through the same capillary pores employed for diffusion; therefore S for all solutes should approach unity if the heteroporosity hypothesis is valid. S for creatinine and PAH were respectively 0.72 +/- 0.03 and 0.67 +/- 0.05, values lower than unity and not different from those previously determined during osmotically induced ultrafiltration. Mean S for dextran were relatively independent of molecular size, ranging from 0.50 at 13 A to 0.40 at 50 A. Thus, dextran S were higher than those previously determined during osmotically induced ultrafiltration yet still less than unity. Control experiments (N = 6) suggested that only surface area and not transport characteristics were altered by evisceration. These observations demonstrate that the heteroporosity hypothesis fails to completely describe both diffusive and convective transport properties of the peritoneum.

摘要

在渗透诱导的经腹膜超滤过程中,溶质的转运量低于根据经腹膜溶质扩散速率所预测的量。先前的研究人员推测,渗透诱导的对流溶质转运仅发生在腹膜毛细血管小动脉端的小孔中,而溶质扩散仅通过大的静脉小孔进行。我们通过测定在液压诱导的经腹膜超滤过程中肌酐、对氨基马尿酸(PAH)和中性右旋糖酐的筛分系数(S),在摘除内脏的新西兰白兔身上检验了这一孔隙率差异假说(N = 13)。液压诱导的驱动力引导对流溶质通过与扩散相同的毛细血管孔进行转运;因此,如果孔隙率差异假说成立,所有溶质的S值应接近1。肌酐和PAH的S值分别为0.72±0.03和0.67±0.05,低于1,且与先前在渗透诱导超滤过程中测定的值无差异。右旋糖酐的平均S值相对独立于分子大小,范围从13 Å时的0.50到50 Å时的0.40。因此,右旋糖酐的S值高于先前在渗透诱导超滤过程中测定的值,但仍小于1。对照实验(N = 6)表明,摘除内脏仅改变了表面积,而未改变转运特性。这些观察结果表明,孔隙率差异假说未能完全描述腹膜的扩散和对流转运特性。

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