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锂在正常和酸中毒大鼠中诱导的肾酸化缺陷。

Renal acidification defect induced by lithium in control and acidotic rats.

作者信息

MacLaughin M, Mello Aires M

机构信息

Departamento de Fisiologia e Biofísica, Universidade de São Paulo, Brasil.

出版信息

Clin Sci (Lond). 1990 Jul;79(1):23-7. doi: 10.1042/cs0790023.

DOI:10.1042/cs0790023
PMID:2167786
Abstract
  1. The aim of this work was to contribute to a better understanding of the mechanism by which Li+ administration impairs renal tubular acidification. 2. The kinetics of tubular acidification in the mid-proximal and distal convoluted tubules were studied by measuring intratubular pH using Sb microelectrodes during stopped-flow microperfusion with Krebs-Ringer bicarbonate (30 mmol/l) buffer. Four groups of male Wistar rats were utilized in this study: control, control plus lithium (C + Li+; one intraperitoneal injection of LiCl of 4 mmol l-1 day-1 kg-1 for 4 days), acidotic and acidotic plus lithium (A + Li+). 3. In C + Li+ rats, the half-time of acidification was significantly higher than in control rats (P less than 0.01), in both the mid-proximal tubule (11.3 +/- 0.34 vs 6.73 +/- 0.22 s) and the distal convoluted tubule (17.5 +/- 0.31 vs 11.5 +/- 1.02 s), and net HCO3- reabsorption was lower in both the mid-proximal tubule and the distal convoluted tubule. The effects of Li+ on tubular acidification kinetics were similar in acidotic rats. 4. A net Na+ flux, as measured by the Gertz split-droplet method, was significantly decreased in the mid-proximal tubule (P less than 0.01) in C + Li+ rats compared with control rats (2.14 +/- 0.17 vs 4.07 +/- 0.39 nmol s-1 cm-2). 5. The transepithelial potential difference in the distal convoluted tubule was significantly lower (P less than 0.01) in C + Li+ rats than in control rats (-7.50 +/- 1.50 vs -20.5 +/- 1.12 mV).(ABSTRACT TRUNCATED AT 250 WORDS)
摘要
  1. 这项工作的目的是促进对锂盐给药损害肾小管酸化机制的更好理解。2. 使用锑微电极在以含有30 mmol/l碳酸氢盐的 Krebs-Ringer 缓冲液进行停流微量灌注期间测量肾小管内pH值,研究了近端小管中段和远端小管酸化的动力学。本研究使用了四组雄性Wistar大鼠:对照组、对照组加锂(C + Li+;腹腔注射4 mmol l-1 天-1 kg-1 的LiCl,共4天)、酸中毒组和酸中毒加锂组(A + Li+)。3. 在C + Li+ 大鼠中,近端小管中段(11.3 +/- 0.34对6.73 +/- 0.22秒)和远端小管(17.5 +/- 0.31对11.5 +/- 1.02秒)酸化的半衰期均显著高于对照组大鼠(P小于0.01),并且近端小管中段和远端小管的净HCO3-重吸收均较低。锂对肾小管酸化动力学的影响在酸中毒大鼠中相似。4. 与对照组大鼠相比,C + Li+ 大鼠近端小管中段通过Gertz分裂液滴法测量的净Na+通量显著降低(P小于0.01)(2.14 +/- 0.17对4.07 +/- 0.39 nmol s-¹ cm-²)。5. C + Li+ 大鼠远端小管的跨上皮电位差显著低于对照组大鼠(P小于0.01)(-7.50 +/- 1.50对-20.5 +/- 1.12 mV)。(摘要截断于250字)

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