Blantz R C, Peterson O W, Thomson S C
Department of Medicine, University of California, San Diego, School of Medicine, La Jolla 92093.
Am J Physiol. 1991 May;260(5 Pt 2):F749-56. doi: 10.1152/ajprenal.1991.260.5.F749.
After unilateral nephrectomy adaptive events must occur in the remaining kidney within the first 12-14 h in anticipation of an increase in glomerular filtration rate (GFR) and eventual renal hypertrophy. Utilizing micropuncture and microperfusion techniques in the rat, we have examined tubuloglomerular feedback (TGF) and single-nephron GFR (SNGFR) responses while the late proximal tubule was microperfused [late proximal tubule flow (VLP)] from 0 to 40 nl/min in 10 nl/min intervals at 2-4 and 12 h after contralateral nephrectomy. Urinary excretion increased, but SNGFR derived from distal collections was reduced, and early distal flow rate remained constant 2-4 h after nephrectomy. The operating point was shifted, suggesting activation of TGF. The turning point half-maximal activity (V1/2) and slope were not statistically different when all nephron data were submitted to a curve-fitting procedure, but group mean data suggested a quantitatively lower V1/2 and steeper slope of the TGF profile. Twelve to fourteen hours after contralateral nephrectomy, values for SNGFR at all microperfusion rates were increased, as were late proximal and early distal flow rates. The values for V1/2 and slope of TGF were not statistically different from control values. We conclude that TGF activity and sensitivity are not suppressed at 2 and 12 h after nephrectomy. Increased urinary excretion does not require TGF alterations. Changes in TGF may be adaptive to increases in SNGFR and may not be causal to the increase in filtration rate after nephrectomy.
单侧肾切除术后,为了应对肾小球滤过率(GFR)的增加和最终的肾肥大,剩余肾脏必须在最初的12 - 14小时内发生适应性变化。我们利用大鼠的微穿刺和微灌注技术,在对侧肾切除术后2 - 4小时和12小时,以10 nl/min的间隔将晚期近端小管从0至40 nl/min进行微灌注[晚期近端小管流量(VLP)],同时检测了管球反馈(TGF)和单肾单位GFR(SNGFR)反应。肾切除术后2 - 4小时,尿排泄增加,但来自远端收集的SNGFR降低,早期远端流速保持恒定。工作点发生了偏移,提示TGF被激活。当所有肾单位数据进行曲线拟合时,转折点半最大活性(V1/2)和斜率无统计学差异,但组均值数据显示TGF曲线的V1/2在数量上更低,斜率更陡。对侧肾切除术后12至14小时,所有微灌注率下的SNGFR值均增加,晚期近端和早期远端流速也增加。TGF的V1/2和斜率值与对照值无统计学差异。我们得出结论,肾切除术后2小时和12小时,TGF活性和敏感性未被抑制。尿排泄增加不需要TGF改变。TGF的变化可能是对SNGFR增加的适应性反应,可能不是肾切除术后滤过率增加的原因。