Al-Awqati Q
J Clin Invest. 1977 Dec;60(6):1240-7. doi: 10.1172/JCI108883.
The mode of action of aldosterone on the energetics of H+ transport in the turtle bladder was examined with the rate of glucose oxidation as an index of the metabolic activity of the epithelium (we show that H+ transport is not coupled to fatty acid oxidation). Within 6 h of addition of aldosterone H+, transport increased; so did glucose oxidation. The amount of H+ transport per mole of 14CO2 produced from glucose oxidation was 15.6 eq-mol-1 in the control hemi-bladder, while in the aldosterone-treated bladder it was 13.6, delta = 2.0+/-4.0 (n = 6). However, in bladders exposed to aldosterone for 20 h, the relation of transport to glucose oxidation was significantly altered: control 10.8, aldosterone 16.4, delta = 4.5+/-2.5, P less than 0.02, n = 7. The slope of H+ transport on the applied electrochemical gradient was steeper during both short- and long-term incubations. However, the maximum gradient necessary to nullify the net rate of secretion was unaltered in both experiments. Evidence is presented that aldosterone does not alter the passive backflux into the cell. In five additional experiments where aldosterone produced no significant stimulation of H+ transport, no change was noted in any of the metabolic or transport characteristics measured, suggesting that the alterations discussed above are dependent on the stimulation of H+ transport by the hormone. These results, along with some thermodynamic considerations, suggest that the effect of aldosterone is primarily exerted on the transport process rather than on metabolism. Further, it appears that prolonged stimulation of transport work leads to secondary alterations in the metabolic pathways reminiscent of the changes that occur in skeletal muscles of athletes undergoing physical conditioning.
以葡萄糖氧化速率作为上皮细胞代谢活性的指标,研究了醛固酮对龟膀胱H⁺转运能量代谢的作用方式(我们发现H⁺转运与脂肪酸氧化不偶联)。添加醛固酮后6小时内,H⁺转运增加,葡萄糖氧化也增加。对照半膀胱中,每摩尔由葡萄糖氧化产生的¹⁴CO₂所对应的H⁺转运量为15.6 eq - mol⁻¹,而在醛固酮处理的膀胱中为13.6,差值 = 2.0 ± 4.0(n = 6)。然而,在暴露于醛固酮20小时的膀胱中,转运与葡萄糖氧化的关系发生了显著改变:对照为10.8,醛固酮为16.4,差值 = 4.5 ± 2.5,P < 0.02,n = 7。在短期和长期孵育过程中,H⁺转运相对于所施加的电化学梯度的斜率都更陡。然而,在两个实验中,使净分泌速率为零所需的最大梯度均未改变。有证据表明醛固酮不会改变H⁺被动回流进入细胞的情况。在另外五个醛固酮未对H⁺转运产生显著刺激的实验中,所测量的任何代谢或转运特征均未发现变化,这表明上述改变依赖于该激素对H⁺转运的刺激。这些结果,连同一些热力学方面的考虑,表明醛固酮的作用主要施加于转运过程而非代谢。此外,似乎对转运功的长期刺激会导致代谢途径的继发性改变,这类似于进行体能训练的运动员骨骼肌中发生的变化。