Kniaz D, Arruda J A
Section of Nephrology, University of Illinois, Chicago 60612.
Proc Soc Exp Biol Med. 1991 Apr;196(4):444-50. doi: 10.3181/00379727-196-43214.
We studied the mechanism of adaptation to metabolic alkalosis by the turtle urinary bladder in vitro. Turtles were made alkalotic by administration of oral NaHCO3. Bladders removed from alkalotic turtles had an increased rate of HCO3- secretion in vitro as compared with that of control. H+ secretion, however, was not different, indicating that metabolic alkalosis selectively increases HCO3- secretion. Fluorescence microscopy was used to quantify the carbonic anhydrase cells. The total number of carbonic anhydrase cells was determined by mucosal staining of the bladder with 6-carboxyfluorescein diacetate. The number of HCO3(-)-secreting cells (beta cells) was quantified by mucosal staining with NBD-taurine and the number of H(+)-secreting cells (alpha cells) was calculated from the difference between the two. Metabolic alkalosis significantly increased the total number of 6-carboxyfluorescein positive cells and NBD-taurine-positive cells. The increase in the number of 6-carboxyfluorescein positive cells was totally accounted for by the increase in the NBD-taurine-positive cells without change in the number of alpha cells. If NBD-taurine accurately reflects the number of beta cells, these studies show that the adaptation to metabolic alkalosis is mediated, at least in part, by an increase in the number of HCO3(-)-secreting (beta) cells.
我们研究了离体龟膀胱对代谢性碱中毒的适应机制。通过口服碳酸氢钠使龟发生碱中毒。与对照组相比,从碱中毒龟身上取下的膀胱在体外的碳酸氢根分泌速率增加。然而,氢离子分泌并无差异,这表明代谢性碱中毒选择性地增加了碳酸氢根分泌。利用荧光显微镜对碳酸酐酶细胞进行定量。通过用6-羧基荧光素二乙酸酯对膀胱黏膜进行染色来确定碳酸酐酶细胞的总数。用NBD-牛磺酸对黏膜进行染色来定量分泌碳酸氢根的细胞(β细胞)数量,并通过两者的差值计算分泌氢离子的细胞(α细胞)数量。代谢性碱中毒显著增加了6-羧基荧光素阳性细胞和NBD-牛磺酸阳性细胞的总数。6-羧基荧光素阳性细胞数量的增加完全是由NBD-牛磺酸阳性细胞数量的增加所致,而α细胞数量没有变化。如果NBD-牛磺酸能准确反映β细胞的数量,那么这些研究表明,对代谢性碱中毒的适应至少部分是由分泌碳酸氢根的(β)细胞数量增加介导的。