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兔集合管中HCO3-转运的成熟过程。

Maturation of HCO3- transport in rabbit collecting duct.

作者信息

Mehrgut F M, Satlin L M, Schwartz G J

机构信息

Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York 10461.

出版信息

Am J Physiol. 1990 Nov;259(5 Pt 2):F801-8. doi: 10.1152/ajprenal.1990.259.5.F801.

Abstract

Newborn rabbits maintain a state of hypochloremic metabolic alkalosis with plasma HCO3- concentrations generally exceeding 27 mM. The large amounts of potential net base in mother's milk probably contribute to the generation of this alkalosis. We surmised that immature handling of H+ or HCO3- by the neonatal collecting duct helps maintain this alkalosis. Net HCO3- transport was measured in perfused collecting ducts taken from maturing rabbits, in solutions simulating adult rabbit plasma ultrafiltrate and then in presence of Cl(-)-free bathing solution. Cortical collecting ducts (CCD) from newborn and 4-wk-old rabbits failed to secrete HCO3- under baseline conditions and could not be stimulated to secrete HCO3- in Cl(-)-free bath. Neonatal segments perfused at very slow flow rates showed significant HCO3- absorption; inhibition of HCO3- secretion by removal of luminal Cl- revealed a substantial HCO3- absorptive flux. Segments from 6-wk-old and mature animals secreted net HCO3- and generally showed more than a fivefold increase in HCO3- secretion after Cl- removal from the bath. Outer medullary collecting ducts (OMCD) from newborn rabbits absorbed HCO3- at rates approaching that of mature segments. We conclude that relatively high rates of HCO3- absorption in OMCD and lack of HCO3- secretion in CCD may contribute to the metabolic alkalosis of the neonatal rabbit.

摘要

新生兔维持低氯性代谢性碱中毒状态,血浆碳酸氢根(HCO₃⁻)浓度通常超过27 mM。母乳中大量潜在的净碱可能促成了这种碱中毒的发生。我们推测,新生兔集合管对H⁺或HCO₃⁻的处理不成熟有助于维持这种碱中毒。在模拟成年兔血浆超滤液的溶液中,然后在无氯浴液存在的情况下,对取自发育中兔子的灌注集合管进行净HCO₃⁻转运测量。新生兔和4周龄兔的皮质集合管(CCD)在基线条件下不分泌HCO₃⁻,在无氯浴中也不能被刺激分泌HCO₃⁻。以非常慢的流速灌注的新生段显示出显著的HCO₃⁻吸收;去除管腔Cl⁻对HCO₃⁻分泌的抑制揭示了大量的HCO₃⁻吸收通量。6周龄和成年动物的段分泌净HCO₃⁻,并且在浴液中去除Cl⁻后,HCO₃⁻分泌通常增加超过五倍。新生兔的外髓集合管(OMCD)以接近成熟段的速率吸收HCO₃⁻。我们得出结论,OMCD中相对较高的HCO₃⁻吸收率和CCD中缺乏HCO₃⁻分泌可能导致新生兔的代谢性碱中毒。

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