De Mello Aires M, Lopes M J, Malnic G
Departmento de Fisiologia e Biofisica, Universidade de São Paulo, Brazil.
Am J Physiol. 1990 Aug;259(2 Pt 2):F357-65. doi: 10.1152/ajprenal.1990.259.2.F357.
In a number of recent investigations a renal cortical PCO2 higher than that of systemic blood was reported. We have studied this problem with the use of micro-Severinghaus electrodes based on antimony, H+ liquid ion exchange, and glass pH electrodes with an inner buffer solution containing 0.5 mg/ml carbonic anhydrase (CA). Measurements in renal cortical structures (renal tubules, star vessels, capillaries, and glomeruli in Munich-Wistar rats) were compared with determinations in renal vein or artery performed with the same electrode in sequence. No significant differences in PCO2 were found between cortical structures and renal vein in control rats, in metabolic alkalosis, respiratory acidosis and alkalosis, and after CA inhibition. Nevertheless, absolute PCO2 levels, which followed the PCO2 of systemic blood, were markedly different in these groups. Measurements of pH and PCO2 at the same tubule site were compatible with HCO3- determinations in tubule fluid in vitro (made with use of the Henderson-Hasselbalch equation) in control rats. When proximal tubules were pump-perfused in vivo with a solution containing 30 mM NaHCO3, measured PCO2 approached that of the perfusing solution at high pump rates, and approached the free-flow value as rates were reduced to zero, indicating that the CO2 generated in the lumen equilibrated rapidly across the epithelium. Reducing renal blood flow by aortic clamping reduced renal cortical PCO2. In conclusion, in a large number of experimental conditions renal cortical PCO2 was never higher than that measured in systemic blood.
在最近的一些研究中,有报告称肾皮质的PCO2高于全身血液的PCO2。我们使用基于锑、H⁺液体离子交换的微型Severinghaus电极以及内缓冲溶液含有0.5mg/ml碳酸酐酶(CA)的玻璃pH电极研究了这个问题。将慕尼黑-威斯塔大鼠肾皮质结构(肾小管、星状血管、毛细血管和肾小球)的测量结果与用同一电极依次对肾静脉或动脉进行的测定结果进行比较。在对照大鼠、代谢性碱中毒、呼吸性酸中毒和碱中毒以及CA抑制后,皮质结构与肾静脉之间的PCO2没有显著差异。然而,这些组中绝对PCO2水平跟随全身血液的PCO2,明显不同。在对照大鼠中,在同一肾小管部位测量的pH和PCO2与体外肾小管液中HCO3⁻的测定结果(使用亨德森-哈塞尔巴尔赫方程得出)相符。当在体内用含有30mM NaHCO3的溶液对近端肾小管进行泵灌注时,在高泵速下测量的PCO2接近灌注液的PCO2,当泵速降至零时接近自由流动值,这表明管腔内产生的CO2迅速通过上皮达到平衡。通过夹闭主动脉减少肾血流量会降低肾皮质PCO2。总之,在大量实验条件下,肾皮质PCO2从未高于在全身血液中测量的值。