Breyer M D, Kokko J P, Jacobson H R
J Clin Invest. 1986 May;77(5):1650-60. doi: 10.1172/JCI112482.
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.
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。