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体外醛固酮对兔皮质集合管的影响。

Effects of in vitro aldosterone on the rabbit cortical collecting tubule.

作者信息

Wingo C S, Kokko J P, Jacobson H R

出版信息

Kidney Int. 1985 Jul;28(1):51-7. doi: 10.1038/ki.1985.117.

Abstract

Considerable evidence indicates that the cortical collecting tubule is a target epithelium for aldosterone. Isolated perfused cortical collecting tubules from rabbits given large doses of deoxycorticosterone acetate (DOCA) for several days, or whose endogenous production of aldosterone is increased by dietary means, exhibit large lumen-negative transepithelial voltages, increased sodium (Na) absorption, and increased potassium (K) secretion compared with tubules from normal animals. However, controversy exists regarding the response of this nephron segment to acute in vitro administration of aldosterone. To address this issue we performed three groups of experiments: 1) clearance experiments on adrenalectomized rabbits to determine the minimum time required after in vivo aldosterone administration before significant changes in sodium excretion are observed; 2) microperfusion experiments on cortical collecting tubules from normal and adrenalectomized rabbits in which transepithelial voltage was measured before and after adding aldosterone to the bath; 3) microperfusion experiments on cortical collecting tubules from adrenalectomized rabbits in which transepithelial voltage, sodium and potassium flux were measured before and after in vitro exposure to aldosterone or dexamethasone. The clearance studies demonstrate that after a 2 hr latent period aldosterone produces significant antinatriuresis without change in K excretion. In vitro studies failed to reveal a steroid-induced change in the transepithelial voltage of cortical collecting tubules from either normal or adrenalectomized rabbits. However, aldosterone added in vitro to collecting tubules from adrenalectomized rabbits produced an increase in net Na absorption without a significant change in voltage or K secretion.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

大量证据表明,皮质集合管是醛固酮的靶上皮细胞。给兔子连续几天大剂量注射醋酸脱氧皮质酮(DOCA),或通过饮食方式增加其醛固酮内源性分泌后,分离灌注的皮质集合管与正常动物的小管相比,呈现大的管腔负跨上皮电压、钠(Na)吸收增加和钾(K)分泌增加。然而,关于该肾单位节段对醛固酮急性体外给药的反应存在争议。为解决这个问题,我们进行了三组实验:1)对肾上腺切除的兔子进行清除实验,以确定体内给予醛固酮后至观察到钠排泄有显著变化所需的最短时间;2)对正常和肾上腺切除兔子的皮质集合管进行微灌注实验,在浴液中添加醛固酮前后测量跨上皮电压;3)对肾上腺切除兔子的皮质集合管进行微灌注实验,在体外暴露于醛固酮或地塞米松前后测量跨上皮电压、钠和钾通量。清除研究表明,经过2小时的潜伏期后,醛固酮产生显著的钠排泄减少,而钾排泄无变化。体外研究未能揭示正常或肾上腺切除兔子的皮质集合管跨上皮电压有类固醇诱导的变化。然而,体外向肾上腺切除兔子的集合管中添加醛固酮会使净钠吸收增加,而电压或钾分泌无显著变化。(摘要截短至250字)

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