Pallone T L
Division of Nephrology, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey 17033.
J Clin Invest. 1991 Jan;87(1):12-9. doi: 10.1172/JCI114960.
In the hydropenic kidney, volume efflux from descending vasa recta (DVR) occurs despite an intracapillary oncotic pressure that exceeds hydraulic pressure. That finding has been attributed to small solute gradients which may provide an additional osmotic driving force favoring water transport from DVR plasma to the papillary interstitium. To test this hypothesis, axial gradients of NaCl and urea in the papilla were eliminated by administration of furosemide and saline. DVR were then blocked with paraffin and microperfused at 10 nl/min with a buffer containing albumin, fluorescein isothiocyanate labeled dextran (FITC-Dx), 22Na, and NaCl in a concentration of 0 (hypotonic to the interstitium), 161 (isotonic) or 322 mM (hypertonic). Collectate was obtained from the perfused DVR by micropuncture and the collectate-to-perfusate ratios of FITC-Dx and 22Na were measured. A mathematical model was employed to determine DVR permeability (Ps) and reflection coefficient to NaCl (sigma NaCl). The rate of transport of water from the DVR lumen to the papillary interstitium was 2.8 +/- 0.3 (Nv = 22), -0.19 +/- 0.4 (Nv = 15), and -2.3 +/- 0.3 nl/min (Nv = 21) (mean +/- SE) when perfusate NaCl was 0, 161, or 322 mM, respectively (Nv = number of DVR perfused). The collectate-to-perfusate 22Na concentration ratios were 0.34 +/- 0.04, 0.36 +/- 0.04 and 0.37 +/- 0.03 for those groups, respectively. Based on these data, Ps is calculated to be 60.4 x 10(-5) +/- 4.0 x 10(-5) cm/s and sigma NaCl less than 0.05. The results of this study confirm that transcapillary NaCl concentrations gradients induce water movement across the wall of the DVR.
在缺水的肾脏中,尽管毛细血管内的胶体渗透压超过液压,但仍有液体从直小血管降支(DVR)流出。这一发现归因于小溶质梯度,其可能提供额外的渗透驱动力,有利于水从DVR血浆转运至乳头间质。为了验证这一假设,通过给予呋塞米和生理盐水消除乳头中NaCl和尿素的轴向梯度。然后用石蜡阻塞DVR,并以10 nl/min的速度用含有白蛋白、异硫氰酸荧光素标记的右旋糖酐(FITC-Dx)、22Na和浓度为0(低于间质渗透压)、161(等渗)或322 mM(高渗)的NaCl的缓冲液进行微灌注。通过微穿刺从灌注的DVR获取收集液,并测量FITC-Dx和22Na的收集液与灌注液的比率。采用数学模型确定DVR对NaCl的通透性(Ps)和反射系数(sigma NaCl)。当灌注液NaCl分别为0、161或322 mM时,水从DVR管腔转运至乳头间质的速率分别为2.8±0.3(Nv = 22)、-0.19±0.4(Nv = 15)和-2.3±0.3 nl/min(Nv = 21)(平均值±标准误)(Nv = 灌注的DVR数量)。这些组的收集液与灌注液22Na浓度比率分别为0.34±0.04、0.36±0.04和0.37±0.03。基于这些数据,计算出Ps为60.4×10^(-5)±4.0×10^(-5) cm/s,且sigma NaCl小于0.05。本研究结果证实,跨毛细血管的NaCl浓度梯度可诱导水穿过DVR壁移动。