Department of Physiology and Kidney Disease Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Compr Physiol. 2012 Apr;2(2):1541-84. doi: 10.1002/cphy.c110052.
The central goal of this overview article is to summarize recent findings in renal epithelial transport,focusing chiefly on the connecting tubule (CNT) and the cortical collecting duct (CCD).Mammalian CCD and CNT are involved in fine-tuning of electrolyte and fluid balance through reabsorption and secretion. Specific transporters and channels mediate vectorial movements of water and solutes in these segments. Although only a small percent of the glomerular filtrate reaches the CNT and CCD, these segments are critical for water and electrolyte homeostasis since several hormones, for example, aldosterone and arginine vasopressin, exert their main effects in these nephron sites. Importantly, hormones regulate the function of the entire nephron and kidney by affecting channels and transporters in the CNT and CCD. Knowledge about the physiological and pathophysiological regulation of transport in the CNT and CCD and particular roles of specific channels/transporters has increased tremendously over the last two decades.Recent studies shed new light on several key questions concerning the regulation of renal transport.Precise distribution patterns of transport proteins in the CCD and CNT will be reviewed, and their physiological roles and mechanisms mediating ion transport in these segments will also be covered. Special emphasis will be given to pathophysiological conditions appearing as a result of abnormalities in renal transport in the CNT and CCD.
这篇综述文章的中心目标是总结最近在肾脏上皮细胞转运方面的发现,主要集中在连接小管 (CNT) 和皮质收集管 (CCD)。哺乳动物的 CCD 和 CNT 通过重吸收和分泌参与电解质和液体平衡的微调。特定的转运体和通道介导这些节段中水分和溶质的定向运动。尽管只有肾小球滤过液的一小部分到达 CNT 和 CCD,但这些节段对于水和电解质稳态至关重要,因为几种激素,如醛固酮和血管升压素,在这些肾单位部位发挥主要作用。重要的是,激素通过影响 CNT 和 CCD 中的通道和转运体来调节整个肾单位和肾脏的功能。在过去的二十年中,关于 CNT 和 CCD 中转运的生理和病理生理学调节以及特定通道/转运体的特定作用的知识有了极大的增加。最近的研究为几个关于肾脏转运调节的关键问题提供了新的见解。将回顾 CCD 和 CNT 中转运蛋白的精确分布模式,以及它们在这些节段介导离子转运的生理作用和机制。特别强调由于 CNT 和 CCD 中肾脏转运异常而出现的病理生理状况。