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急性代谢性酸中毒对肾脏氨代谢的影响。

Effect of acute metabolic acidosis on ammonia metabolism in kidney.

作者信息

Bogusky R T, Dietrich R L

机构信息

Department of Internal Medicine, School of Medicine, University of California, Davis, Sacramento 95616.

出版信息

Am J Physiol. 1989 Feb;256(2 Pt 2):F321-8. doi: 10.1152/ajprenal.1989.256.2.F321.

Abstract

To understand the mechanisms that initiate the increase in ammonia formation during acute acidosis in kidney [amino-15N]- and [amino-15N]glutamine were used as substrates in isolated perfused rat kidney experiments. Perfused kidneys from methionine sulfoximine-treated rats take up glutamine nitrogen at the rate of 1.50 +/- 0.08 mumol.g kidney-1.min-1 while forming ammonia at a rate of 0.65 +/- 0.09 mumol.g.kidney-1.min-1. Mass spectrometer analysis of the perfusate and urine reveals that ammonia is formed from the amide nitrogen of glutamine at the rate of 0.32 +/- 0.06 mumol.g kidney-1.min-1 and ammonia is formed from glutamate derived from glutamine at the rate of 0.21 +/- 0.04 mumol.g kidney-1.min-1. The balance of the ammonia formed is from unidentified endogenous sources. Addition of HCl to the perfusate to lower perfusate pH increases ammonia formation to 1.09 +/- 0.10 mumol.g kidney-1.min-1. The results exclude a role for the purine nucleotide cycle during acute acidosis and confirm that ammonia formation from glutamate derived from glutamine is via glutamate dehydrogenase. Lowering perfusate pH increases the rate of glutamine deamidation significantly by 0.33 +/- 0.06 mumol.g kidney-1.min-1 and increases the rate of ammonia formation via glutamate dehydrogenase insignificantly by only 0.08 +/- 0.04 mumol.g kidney-1.min-1, whereas ammonia formation from endogenous sources remains unchanged. The results demonstrate that regulation of glutamine deamidation is an important controlling step in ammonia formation during acute metabolic acidosis in kidney.

摘要

为了解肾脏急性酸中毒期间启动氨生成增加的机制,在离体灌注大鼠肾脏实验中,使用[氨基 - ¹⁵N] - 和[氨基 - ¹⁵N]谷氨酰胺作为底物。用蛋氨酸亚砜亚胺处理的大鼠的灌注肾脏以1.50±0.08 μmol·g肾脏⁻¹·min⁻¹的速率摄取谷氨酰胺氮,同时以0.65±0.09 μmol·g肾脏⁻¹·min⁻¹的速率生成氨。对灌注液和尿液的质谱分析表明,氨从谷氨酰胺的酰胺氮以0.32±0.06 μmol·g肾脏⁻¹·min⁻¹的速率生成,氨从谷氨酰胺衍生的谷氨酸以0.21±0.04 μmol·g肾脏⁻¹·min⁻¹的速率生成。生成的氨的其余部分来自未确定的内源性来源。向灌注液中添加HCl以降低灌注液pH值,可使氨生成增加至1.09±0.10 μmol·g肾脏⁻¹·min⁻¹。结果排除了嘌呤核苷酸循环在急性酸中毒期间的作用,并证实谷氨酰胺衍生的谷氨酸生成氨是通过谷氨酸脱氢酶进行的。降低灌注液pH值可使谷氨酰胺脱酰胺化速率显著增加0.33±0.06 μmol·g肾脏⁻¹·min⁻¹,而通过谷氨酸脱氢酶生成氨的速率仅轻微增加0.08±0.04 μmol·g肾脏⁻¹·min⁻¹,而内源性来源的氨生成保持不变。结果表明,谷氨酰胺脱酰胺化的调节是肾脏急性代谢性酸中毒期间氨生成的一个重要控制步骤。

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