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肾小球肾小管平衡的调节。I. 多巴胺对流量依赖型转运的影响。

Regulation of glomerulotubular balance. I. Impact of dopamine on flow-dependent transport.

机构信息

Department of Cellular and Molecular Physiology, Yale University, New Haven, CT 06520-8026, USA.

出版信息

Am J Physiol Renal Physiol. 2012 Aug 1;303(3):F386-95. doi: 10.1152/ajprenal.00531.2011. Epub 2012 May 2.

Abstract

In response to volume expansion, locally generated dopamine decreases proximal tubule reabsorption by reducing both Na/H-exchanger 3 (NHE3) and Na-K-ATPase activity. We have previously demonstrated that mouse proximal tubules in vitro respond to changes in luminal flow with proportional changes in Na(+) and HCO(3)(-) reabsorption and have suggested that this observation underlies glomerulotubular balance. In the present work, we investigate the impact of dopamine on the sensitivity of reabsorptive fluxes to changes in luminal flow. Mouse proximal tubules were microperfused in vitro at low and high flow rates, and volume and HCO(3)(-) reabsorption (J(v) and J(HCO3)) were measured, while Na(+) and Cl(-) reabsorption (J(Na) and J(Cl)) were estimated. Raising luminal flow increased J(v), J(Na), and J(HCO3) but did not change J(Cl). Luminal dopamine did not change J(v), J(Na), and J(HCO3) at low flow rates but completely abolished the increments of Na(+) absorption by flow and partially inhibited the flow-stimulated HCO(3)(-) absorption. The remaining flow-stimulated HCO(3)(-) absorption was completely abolished by bafilomycin. The DA1 receptor blocker SCH23390 and the PKA inhibitor H89 blocked the effect of exogenous dopamine and produced a two to threefold increase in the sensitivity of proximal Na(+) reabsorption to luminal flow rate. Under the variety of perfusion conditions, changes in cell volume were small and did not always parallel changes in Na(+) transport. We conclude that 1) dopamine inhibits flow-stimulated NHE3 activity by activation of the DA1 receptor via a PKA-mediated mechanism; 2) dopamine has no effect on flow-stimulated H-ATPase activity; 3) there is no evidence of flow stimulation of Cl(-) reabsorption; and 4) the impact of dopamine is a coordinated modulation of both luminal and peritubular Na(+) transporters.

摘要

在响应体积扩张时,局部产生的多巴胺通过减少近端小管的 Na/H 交换器 3(NHE3)和 Na-K-ATP 酶活性来减少近端小管的重吸收。我们之前已经证明,体外的小鼠近端小管对管腔内流动的变化做出反应,Na(+)和 HCO(3)(-)重吸收呈比例变化,并提出这种观察结果是肾小球肾小管平衡的基础。在本工作中,我们研究了多巴胺对重吸收通量对管腔流动变化的敏感性的影响。将小鼠近端小管在低和高流量下进行体外微灌流,并测量体积和 HCO(3)(-)重吸收(J(v)和 J(HCO3)),同时估计 Na(+)和 Cl(-)重吸收(J(Na)和 J(Cl))。增加管腔流量增加了 J(v)、J(Na)和 J(HCO3),但不改变 J(Cl)。在低流量下,管腔内多巴胺不改变 J(v)、J(Na)和 J(HCO3),但完全消除了流量对 Na(+)吸收的增加,并部分抑制了流量刺激的 HCO(3)(-)吸收。剩余的流量刺激的 HCO(3)(-)吸收被巴弗洛霉素完全消除。DA1 受体阻滞剂 SCH23390 和 PKA 抑制剂 H89 阻断了外源性多巴胺的作用,并使近端 Na(+)重吸收对管腔流速的敏感性增加了两到三倍。在各种灌注条件下,细胞体积的变化很小,并不总是与 Na(+)转运的变化平行。我们得出结论:1)多巴胺通过 PKA 介导的机制激活 DA1 受体抑制流量刺激的 NHE3 活性;2)多巴胺对流量刺激的 H-ATP 酶活性没有影响;3)没有证据表明 Cl(-)重吸收受流量刺激;4)多巴胺的影响是对管腔和管周 Na(+)转运体的协调调节。

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