Zelikovic I, Chesney R W
Department of Pediatrics, University of Tennessee, College of Medicine, Memphis.
Am J Kidney Dis. 1989 Oct;14(4):313-6. doi: 10.1016/s0272-6386(89)80211-2.
The reabsorption of amino acids by the proximal tubule is remarkably efficient. Current evidence indicates that this process occurs by Na+-amino acid cotransport or symport. The energy for amino acid entry is derived from the chemical and voltage gradient for Na+ entry across the apical surface of the renal cell maintained by pumping Na+ out of the cell by Na+-K+-adenosine triphosphatase (ATPase) activity at the basolateral membrane. We chose the beta-amino acid taurine to study the anionic requirements as well as voltage- and pH-dependence of Na+-taurine symport into rat proximal tubule brush border membrane vesicles. Maximal uptake was found when Cl- or Br- were the anions. The addition of various ionophores (amiloride, carbonyl cyanide-n chlorophenyl-hydrazone, and valinomycin) under pH-equilibrated conditions did not change taurine entry into the vesicle. Hill equation analysis of the initial rate of taurine uptake into vesicles indicates that transport operates by means of a 2 Na+:1 Cl-:1 taurine-carrier complex. Because taurine is a zwitterion, this complex has a net positive charge. Its entry into the vesicle is favored by the imposition of an outwardly directed K+ gradient in the presence of valinomycin. The movement of a quaternary complex of this type across the apical surface of the proximal tubular cell would assure that the movement of both Cl- and the amino acid is energized by the Na+ gradient. Because most amino acids are zwitterions at physiologic pH this complex would be positively charged, favoring entry into the voltage negative renal cell interior.
近端小管对氨基酸的重吸收非常高效。目前的证据表明,这一过程通过Na⁺-氨基酸协同转运或共转运发生。氨基酸进入细胞的能量来自于Na⁺通过位于基底外侧膜的Na⁺-K⁺-三磷酸腺苷酶(ATP酶)活性泵出细胞,从而维持肾细胞顶端表面Na⁺进入的化学和电压梯度。我们选择β-氨基酸牛磺酸来研究Na⁺-牛磺酸共转运进入大鼠近端小管刷状缘膜囊泡的阴离子需求以及电压和pH依赖性。当Cl⁻或Br⁻作为阴离子时,发现有最大摄取量。在pH平衡条件下添加各种离子载体(氨氯吡脒、羰基氰化物-m-氯苯基腙和缬氨霉素)并不会改变牛磺酸进入囊泡的情况。对牛磺酸摄取到囊泡的初始速率进行希尔方程分析表明,转运通过2个Na⁺:1个Cl⁻:1个牛磺酸-载体复合物进行。由于牛磺酸是两性离子,该复合物带净正电荷。在缬氨霉素存在的情况下,施加外向的K⁺梯度有利于其进入囊泡。这种类型的四元复合物穿过近端肾小管细胞的顶端表面将确保Cl⁻和氨基酸的移动都由Na⁺梯度提供能量。因为大多数氨基酸在生理pH下是两性离子,这种复合物将带正电荷,有利于进入电压为负的肾细胞内部。