McKinney T D, Burg M B
J Clin Invest. 1977 Sep;60(3):766-8. doi: 10.1172/JCI108830.
Rabbit cortical collecting tubules were perfused in vitro to investigate the control of bicarbonate transport. Bicarbonate was measured by microcalorimetry as total CO2. The perfusate and bath were identical solutions containing 25 mM bicarbonate at pH 7.4. The mean pH of the urine in the bladders of untreated rabbits at the time they were killed was 7.4. Their individual tubules, studied in vitro, either absorbed or secreted bicarbonate, and, combining the results, there was on the average no significant net transport. When the rabbits were treated with NH4Cl the day before the experiment, their urine was acidic and their tubules studied in vitro absorbed bicarbonate (i.e., there was net lumen-to-bath transport). In contrast, when the rabbits were treated with NaHCO3, their urine was significantly more alkaline, and their tubules studied in vitro generally secreted bicarbonate (i.e., net bath-to-lumen transport). Thus, the direction of bicarbonate transport by cortical collecting tubules studied under standard conditions in vitro correlated with the urine pH and was determined by the preceding treatment of the animals in vivo with acidifying or alkalinizing salts. These results demonstrate a previously unrecognized mechanism which contributes to the control of urinary bicarbonate excretion.
对兔皮质集合管进行体外灌注,以研究碳酸氢盐转运的调控机制。采用微量量热法将碳酸氢盐测定为总二氧化碳。灌注液和浴液均为pH 7.4、含25 mM碳酸氢盐的相同溶液。处死时未处理兔膀胱内尿液的平均pH值为7.4。对其单个小管进行体外研究时,有的小管吸收碳酸氢盐,有的小管分泌碳酸氢盐,综合结果来看,平均而言没有明显的净转运。在实验前一天用氯化铵处理兔后,其尿液呈酸性,体外研究发现其小管吸收碳酸氢盐(即存在从管腔到浴液的净转运)。相反,用碳酸氢钠处理兔后,其尿液碱性显著增强,体外研究发现其小管通常分泌碳酸氢盐(即存在从浴液到管腔的净转运)。因此,在标准体外条件下研究的皮质集合管碳酸氢盐转运方向与尿液pH值相关,且由动物体内先前用酸化或碱化盐处理所决定。这些结果证明了一种此前未被认识到的机制,该机制有助于调控尿中碳酸氢盐的排泄。