Shareghi G R, Stoner L C
Am J Physiol. 1978 Oct;235(4):F367-75. doi: 10.1152/ajprenal.1978.235.4.F367.
The mechanism of Ca2+ transport by various segments of the distal nephron was studied in vitro using the isolated perfused tubule technique. Calcium absorption in the distal convoluted tubule (DCT) and the granular portion of the cortical collecting duct (CCTg) was significantly enhanced in the presence of parathyroid hormone (PTH), 3 X 10(-2) U/ml. Na+ was absorbed from and K+ was secreted into the lumen of the DCT. The presence of amiloride (5 X 10(-5) M) or furosemide (5 X 10(-5) M) in the perfusate of DCT each caused a partial inhibition of Na+ but not Ca2+ absorption. The foregoing result with Na+ is consistent with the heterogeneous nature of DCT. Net Na+ absorption and K+ secretion also occurred in the CCTg; both processes were completely inhibited by amiloride. Ca2+ absorption occurred in the thick ascending limb of Henle's loop; it was not enhanced by PTH, and the results were consistent with passive movement. No net Ca2+ movement was observed in the nongranular (light) segment of the cortical collecting tubule in the presence or absence of PTH or dibutyryl cyclic adenosine monophosphate.
采用离体灌注肾小管技术在体外研究了远端肾单位各节段钙(Ca2+)转运机制。在存在甲状旁腺激素(PTH,3×10⁻²U/ml)的情况下,远端曲管(DCT)和皮质集合管颗粒部(CCTg)的钙吸收显著增强。钠(Na+)从DCT管腔被吸收,钾(K+)分泌到DCT管腔。在DCT灌注液中存在氨氯吡脒(5×10⁻⁵M)或呋塞米(5×10⁻⁵M)均导致Na+吸收部分受抑制,但不影响Ca2+吸收。上述关于Na+的结果与DCT的异质性相符。CCTg中也发生净Na+吸收和K+分泌;这两个过程均被氨氯吡脒完全抑制。Ca2+吸收发生在髓袢升支粗段;它不受PTH增强,结果与被动转运一致。在有或无PTH或二丁酰环磷酸腺苷的情况下,皮质集合管非颗粒(浅色)段均未观察到净Ca2+转运。