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呼吸性酸中毒对兔集合管碳酸氢根转运的影响。

Effects of respiratory acidosis on HCO3- transport by rabbit collecting tubules.

作者信息

McKinney T D, Davidson K K

机构信息

Department of Medicine, University of Texas Health Science Center, San Antonio.

出版信息

Am J Physiol. 1988 Oct;255(4 Pt 2):F656-65. doi: 10.1152/ajprenal.1988.255.4.F656.

Abstract

These studies were performed to determine whether in vitro elevation of bath PCO2 with associated reduction in pH (acute respiratory acidosis) affected bicarbonate transport by isolated perfused rabbit cortical collecting tubules (CCT) and collecting tubules from the outer (OMCTos) and inner (OMCTis) stripes of the outer medulla. When the PCO2 was elevated and pH reduced from approximately 7.4 to 7.0 the rate of total CO2 absorption increased to 252% of that observed at pH 7.4 in CCT, 146% in OMCTos, and 150% in OMCTis. In OMCTis, pretreatment with colchicine inhibited the stimulation of total CO2 absorption associated with respiratory acidosis, whereas lumicolchicine did not. Similar inhibition was observed in the presence of maptam and a low calcium concentration and in the presence of a calmodulin inhibitor. No differences were observed in apical or basolateral membrane morphometry of principal or intercalated cells between control tubules and those subjected to respiratory acidosis. The results indicate that acute respiratory acidosis stimulates acidification by the rabbit distal nephron in vitro through a process(es) that, at least in OMCTis, evidently involves the cell cytoskeleton and changes in cell calcium and calmodulin activities.

摘要

进行这些研究是为了确定体外升高浴液PCO2并伴随pH降低(急性呼吸性酸中毒)是否会影响离体灌注的兔皮质集合小管(CCT)以及外髓质外层(OMCTos)和内层(OMCTis)集合小管的碳酸氢盐转运。当PCO2升高且pH从约7.4降至7.0时,总CO2吸收速率在CCT中增加至pH 7.4时观察值的252%,在OMCTos中为146%,在OMCTis中为150%。在OMCTis中,用秋水仙碱预处理可抑制与呼吸性酸中毒相关的总CO2吸收刺激,而光秋水仙碱则无此作用。在存在马普坦和低钙浓度以及存在钙调蛋白抑制剂的情况下也观察到类似的抑制作用。在对照小管和经历呼吸性酸中毒的小管之间,主细胞或闰细胞的顶端或基底外侧膜形态测量未观察到差异。结果表明,急性呼吸性酸中毒在体外通过一个过程刺激兔远端肾单位的酸化,至少在OMCTis中,该过程明显涉及细胞细胞骨架以及细胞钙和钙调蛋白活性的变化。

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