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肾小管周pH值、二氧化碳张力和碳酸氢盐浓度对兔皮质集合管净碳酸氢盐转运的调节作用

Regulation of net bicarbonate transport in rabbit cortical collecting tubule by peritubular pH, carbon dioxide tension, and bicarbonate concentration.

作者信息

Breyer M D, Kokko J P, Jacobson H R

出版信息

J Clin Invest. 1986 May;77(5):1650-60. doi: 10.1172/JCI112482.

Abstract

The effects of changes in peritubular pH, carbon dioxide tension (PCO2), and HCO3- concentration on net HCO3- transport was examined in in vitro perfused cortical collecting tubules (CCTs) from unpretreated New Zealand white rabbits. Lowering peritubular HCO3- concentration and pH by reciprocal replacement of HCO3- with Cl-, significantly stimulated net HCO3- absorption. Lowering peritubular HCO3- concentration and pH, by substitution of HCO3- with gluconate, while keeping Cl- concentration constant, also stimulated net HCO3- absorption. Raising peritubular HCO3- concentration and pH, by reciprocal replacement of Cl- with HCO3-, inhibited net HCO3- absorption (or stimulated net HCO3- secretion). When the tubule was cooled, raising peritubular HCO3- concentration had no effect on net HCO3- transport, suggesting these results are not due to the passive flux of HCO3- down its concentration gradient. The effect of changes in ambient PCO2 on net HCO3- transport were also studied. Increasing the ambient PCO2 from 40 mmHg to either 80 or 120 mmHg, allowing pH to fall, had no effect on net HCO3- transport. Similarly, lowering ambient PCO2 to 14 mmHg had no effect on net HCO3- transport. Simultaneously increasing peritubular HCO3- concentration and PCO2, without accompanying changes in peritubular pH, i.e., isohydric changes, stimulated net HCO3- secretion to the same degree as nonisohydric increases in peritubular HCO3- concentration. Likewise, isohydric lowering of peritubular HCO3- concentration and PCO2 stimulated net HCO3- absorption. We conclude that: acute changes in peritubular HCO3- concentration regulate acidification in the CCT and these effects are mediated by a transcellular process; acute changes in ambient PCO2 within the physiologic range have no effect on HCO3- transport in the in vitro perfused CCT; and acute in vitro regulation of CCT acidification is independent of peritubular pH.

摘要

在来自未经处理的新西兰白兔的体外灌注皮质集合管(CCT)中,研究了肾小管周围pH值、二氧化碳分压(PCO2)和HCO3-浓度的变化对HCO3-净转运的影响。通过用Cl-相互替代HCO3-来降低肾小管周围HCO3-浓度和pH值,显著刺激了HCO3-的净吸收。通过用葡萄糖酸盐替代HCO3-来降低肾小管周围HCO3-浓度和pH值,同时保持Cl-浓度恒定,也刺激了HCO3-的净吸收。通过用HCO3-相互替代Cl-来提高肾小管周围HCO3-浓度和pH值,抑制了HCO3-的净吸收(或刺激了HCO3-的净分泌)。当肾小管冷却时,提高肾小管周围HCO3-浓度对HCO3-净转运没有影响,这表明这些结果不是由于HCO3-沿其浓度梯度的被动通量所致。还研究了环境PCO2变化对HCO3-净转运的影响。将环境PCO2从40 mmHg增加到80或120 mmHg,使pH值下降,对HCO3-净转运没有影响。同样,将环境PCO2降低到14 mmHg对HCO3-净转运也没有影响。同时增加肾小管周围HCO3-浓度和PCO2,而肾小管周围pH值不伴随变化,即等渗变化,刺激HCO3-净分泌的程度与肾小管周围HCO3-浓度的非等渗增加相同。同样,肾小管周围HCO3-浓度和PCO2的等渗降低刺激了HCO3-的净吸收。我们得出结论:肾小管周围HCO3-浓度的急性变化调节CCT中的酸化,这些作用是由跨细胞过程介导的;生理范围内环境PCO2的急性变化对体外灌注CCT中的HCO3-转运没有影响;并且CCT酸化的急性体外调节与肾小管周围pH值无关。

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