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醛固酮和二氧化碳分压增强大鼠远端结肠中钾离子依赖的氯离子吸收。

Aldosterone and PCO2 enhance K-dependent chloride absorption in rat distal colon.

作者信息

Perrone R D, McBride D E

机构信息

Department of Medicine, New England Medical Center, Tufts University School of Medicine, Boston, MA 02111.

出版信息

Pflugers Arch. 1990 Aug;416(6):632-8. doi: 10.1007/BF00370607.

Abstract

We have previously demonstrated that, in the absence of Na+ in vitro, the rate of colonic K+ absorption is increased by increasing PCO2. Chronic secondary hyperaldosteronism induced by dietary Na-depletion further stimulated K+ absorption under these conditions. Because the observed increments in CO2-dependent K+ absorption were not accompanied by corresponding changes in short-circuit current, macroscopic electroneutrality must have been maintained either by anion absorption or by cation secretion. Colonic Cl- absorption is known to respond to increased PCO2 both in vivo and in vitro, but its response under Na-free conditions and the relationship to K+ absorption have not been examined. To determine the relationship of Cl- absorption to K+, we measured unidirectional fluxes of 36Cl and the response to PCO2 in voltage-clamped segments of rat distal colon. Our findings indicate that the rate of Cl- absorption is increased by increasing CO2, both in the presence and absence of Na+. Under Na-free conditions, Cl- absorption is inhibited by acetazolamide and by the absence of K+;K+ absorption (86Rb or 42K flux) is inhibited in a reciprocal fashion by the absence of Cl-. The rates of K+ and Cl- absorption are similar in controls and after secondary hyperaldosteronism due to a Na-deficient diet. These findings suggest that K- and Cl- absorption are closely coupled under Na-free conditions, most likely due to the operation of parallel, aldosterone-responsive H(+)-K+ and Cl(-)-HCO3- exchange pathways.

摘要

我们之前已经证明,在体外无钠的情况下,增加二氧化碳分压可提高结肠钾离子的吸收速率。饮食中钠缺乏所致的慢性继发性醛固酮增多症在这些条件下进一步刺激了钾离子的吸收。由于观察到的依赖二氧化碳的钾离子吸收增加并未伴随着短路电流的相应变化,宏观电中性必定是通过阴离子吸收或阳离子分泌得以维持。已知结肠氯离子吸收在体内和体外均对增加的二氧化碳分压有反应,但在无钠条件下其反应以及与钾离子吸收的关系尚未得到研究。为了确定氯离子吸收与钾离子的关系,我们在电压钳制的大鼠远端结肠段测量了36Cl的单向通量以及对二氧化碳分压的反应。我们的研究结果表明,无论有无钠离子存在,增加二氧化碳均可提高氯离子的吸收速率。在无钠条件下,乙酰唑胺以及无钾离子时可抑制氯离子吸收;无氯离子时,钾离子吸收(86Rb或42K通量)以相反方式受到抑制。因缺钠饮食导致继发性醛固酮增多症的对照组和实验后,钾离子和氯离子的吸收速率相似。这些研究结果表明,在无钠条件下,钾离子和氯离子的吸收紧密耦合,很可能是由于并行的、醛固酮反应性的H(+)-K+和Cl(-)-HCO3-交换途径的作用。

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