Goldfarb D S, Egnor R W, Charney A N
Nephrology Section, Veterans Administration Medical Center, New York, New York 10010.
J Clin Invest. 1988 Jun;81(6):1903-10. doi: 10.1172/JCI113537.
Alterations in arterial acid-base variables have important effects on colonic electrolyte transport in vivo. To confirm the relative effects of these variables and to characterize the transport processes involved, we measured unidirectional 22Na and 36Cl fluxes across short-circuited, distal colonic mucosa of Sprague-Dawley rats. Stripped tissues were studied in Hepes buffer and in Ringer's solutions at HCO3 concentrations of 11, 21, and 39 mM, and CO2 tensions between 0 and 69.6 mmHg. Increases in PCO2, but not in either pH or HCO3 concentration, caused similar increases in JNanet and JClnet (net flux of sodium and chloride, respectively) from -0.2 +/- 0.3 and -1.5 +/- 0.4 mu eq/cm2 per h at PCO2 = 0 to 6.8 +/- 0.6 and 7.6 +/- 0.7 mu eq/cm2 per h, respectively, at PCO2 = 69.6 mmHg. These increases were accounted for by changes in Jms and were accompanied by small decreases in Isc. 1 mM acetazolamide decreased both JNanet and JClnet and their responses to increases in CO2. 0.75 mM luminal amiloride prevented the increase in sodium absorption, but did not affect the CO2-induced increase in chloride absorption. In the presence of amiloride, CO2 increased JR (residual flux). 0.1 mM luminal furosemide did not affect the CO2-induced increases in JNanet in the absence or presence of amiloride. Changes in HCO3 concentration did not alter JR. We conclude that ambient CO2 effects active, electroneutral sodium absorption in the rat distal colon. The process stimulated by CO2 is dependent on mucosal carbonic anhydrase activity and most likely represents Na/H and Cl/HCO3 ion exchange.
动脉酸碱变量的改变对体内结肠电解质转运有重要影响。为了确定这些变量的相对作用并描述所涉及的转运过程,我们测量了跨Sprague-Dawley大鼠短路远端结肠黏膜的单向22Na和36Cl通量。在Hepes缓冲液和Ringer溶液中研究剥离的组织,其中HCO3浓度为11、21和39 mM,CO2张力在0至69.6 mmHg之间。PCO2升高,但pH或HCO3浓度不变,导致JNanet和JClnet(分别为钠和氯的净通量)从PCO2 = 0时的-0.2±0.3和-1.5±0.4 μeq/cm2 per h分别增加到PCO2 = 69.6 mmHg时的6.8±0.6和7.6±0.7 μeq/cm2 per h。这些增加是由Jms的变化引起的,并伴有Isc的小幅下降。1 mM乙酰唑胺降低了JNanet和JClnet以及它们对CO2升高的反应。0.75 mM管腔氨氯地平阻止了钠吸收的增加,但不影响CO2诱导的氯吸收增加。在氨氯地平存在的情况下,CO2增加了JR(残余通量)。0.1 mM管腔呋塞米在不存在或存在氨氯地平的情况下均不影响CO2诱导的JNanet增加。HCO3浓度的变化不会改变JR。我们得出结论,环境CO2影响大鼠远端结肠中的主动、电中性钠吸收。CO2刺激的过程依赖于黏膜碳酸酐酶活性,最有可能代表Na/H和Cl/HCO3离子交换。