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输尿管梗阻对大鼠肾脏近端小管功能的影响。

Effect of ureteral obstruction on proximal tubular functions of rat kidney.

作者信息

Suzuki S, Saito Y, Nishiyama A, Fukuzaki A, Orikasa S

机构信息

Department of Physiology, Tohoku University School of Medicine, Miyagi, Japan.

出版信息

J Urol. 1988 Jan;139(1):158-61. doi: 10.1016/s0022-5347(17)42344-5.

Abstract

The effect of complete unilateral ureteral obstruction (CUUO) on proximal tubular functions was studied in rats, using the K+-sensitive microelectrode technique and split oil drop method. In the control kidneys peritubular membrane potential (EMperi) and intracellular potassium activity (aKi) were -70.8 +/- 7.0 mV and 81.2 +/- 22.0 mEq/liter (mean +/- SD), respectively. In the CUUO kidneys both EMperi and aKi were progressively reduced with the duration of obstruction. However, in all tubules aKi values were still above the electrochemical equilibrium. In the three days' CUUO kidneys EMperi and aKi were -51.5 +/- 11.7 mV and 53.8 +/- 22.8 mEq/liter, respectively. Rate of fluid absorption (JVL;nl./sec. mm.) across the proximal tubular epithelium from Ringer solution in the control and three days' CUUO kidneys was 0.029 and 0.0065 respectively. In the CUUO kidneys there were wide variations in JVL and EMperi, but there was a clear correlation between these two variables. JVL from choline chloride solution was negligible in both control and CUUO kidneys. From above results, it was suggested that the proximal tubular reabsorption primarily depending on the Na+-K+ pump might be reduced but still working in the CUUO kidney, and thus the proximal tubular reabsorption might take part in preservation of glomerular filtration during the obstruction.

摘要

采用钾敏感微电极技术和分油滴法,研究了完全性单侧输尿管梗阻(CUUO)对大鼠近端肾小管功能的影响。在对照肾脏中,肾小管周围膜电位(EMperi)和细胞内钾活性(aKi)分别为-70.8±7.0 mV和81.2±22.0 mEq/升(平均值±标准差)。在CUUO肾脏中,EMperi和aKi均随梗阻时间的延长而逐渐降低。然而,在所有肾小管中,aKi值仍高于电化学平衡值。在梗阻三天的CUUO肾脏中,EMperi和aKi分别为-51.5±11.7 mV和53.8±22.8 mEq/升。对照肾脏和梗阻三天的CUUO肾脏中,从林格液跨近端肾小管上皮的液体吸收速率(JVL;nl./sec. mm.)分别为0.029和0.0065。在CUUO肾脏中,JVL和EMperi存在很大差异,但这两个变量之间存在明显的相关性。在对照肾脏和CUUO肾脏中,来自氯化胆碱溶液的JVL均可忽略不计。根据上述结果,提示主要依赖于Na+-K+泵的近端肾小管重吸收可能减少,但在CUUO肾脏中仍在发挥作用,因此近端肾小管重吸收可能参与梗阻期间肾小球滤过的维持。

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