Beck F X, Dörge A, Ring T, Sauer M
Physiologisches Institut, Universität München, BRD.
Miner Electrolyte Metab. 1989;15(3):144-9.
To obtain further insight into renal medullary function, element concentrations were determined in individual tubule cells of the outer medulla in the rat kidney using electron microprobe analysis on freeze-dried cryosections. In the cells of the thick ascending limb of Henle's loop the Na, P, Cl, and K concentrations (means +/- SEM) were: 9.5 +/- 0.6, 158.4 +/- 6.2, 25.6 +/- 1.2, and 135.3 +/- 4.8 mmol/kg wet weight, respectively. While similar Na, P, and K concentrations were observed in light and dark cells of the medullary collecting duct, Cl was markedly higher--55.0 +/- 2.8 mmol/kg wet weight--in the dark cells. The electrolyte concentrations of the thick ascending limb cells seen in the present study are in good agreement with ion activities reported for the isolated perfused thick ascending limb. The low cell Na and Cl concentrations provide a favorable driving force for passive cell entry of Na, Cl, and K across the apical membrane via the Na-2Cl-K cotransporter even at low tubule fluid NaCl concentrations. Although in hydropenic rats interstitial tonicity of the inner stripe is above isotonicity, electrolyte concentrations of inner stripe cells did not differ from those obtained in cortical tubule cells. This finding suggests that, similar to papillary cells, osmoadaptation of outer medullary cells is, at least partially, accomplished by organic osmolytes.
为了进一步深入了解肾髓质功能,我们使用冷冻干燥冰冻切片的电子微探针分析技术,测定了大鼠肾外髓单个肾小管细胞中的元素浓度。在亨氏袢厚壁升支细胞中,钠、磷、氯和钾的浓度(平均值±标准误)分别为:9.5±0.6、158.4±6.2、25.6±1.2和135.3±4.8 mmol/kg湿重。虽然在髓质集合管的亮细胞和暗细胞中观察到了相似的钠、磷和钾浓度,但暗细胞中的氯浓度明显更高,为55.0±2.8 mmol/kg湿重。本研究中观察到的厚壁升支细胞的电解质浓度与分离灌注的厚壁升支所报道的离子活性高度一致。即使在小管液氯化钠浓度较低时,细胞内低钠和氯浓度也为钠、氯和钾通过顶端膜经钠-2氯-钾共转运体被动进入细胞提供了有利的驱动力。尽管在禁水大鼠中,内带的间质张力高于等渗,但内带细胞的电解质浓度与皮质肾小管细胞中的电解质浓度并无差异。这一发现表明,与乳头细胞类似,外髓细胞的渗透适应至少部分是由有机渗透物完成的。