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肾皮质中PCO2变化的分析。I. 单个肾单位。

Analysis of PCO2 variations in the renal cortex. I. Single nephron.

作者信息

Atherton L J, Maddox D A, Gennari F J, Deen W M

机构信息

Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge 02139.

出版信息

Am J Physiol. 1988 Aug;255(2 Pt 2):F349-60. doi: 10.1152/ajprenal.1988.255.2.F349.

Abstract

A mathematical model was developed to predict differences in CO2 partial pressure between afferent arterioles and peritubular capillaries, based on the flow rate and composition of afferent arteriolar blood. Buffering reactions in blood were described by use of conditions of chemical equilibrium and electroneutrality in separate plasma and red cell compartments, with inclusion of such factors as the effect of hemoglobin oxygenation (alkaline Bohr effect) and formation of carbamino compounds. Steady-state mass balance equations allowed the prediction of peritubular capillary blood composition based on the inputs of blood from the efferent arteriole and the addition of water, CO2, NaHCO3, and NaCl derived from tubule reabsorbate. Models developed previously to describe the rates of glomerular filtration, and of proximal tubule reabsorption of HCO3- and CO2, were combined with the peritubular capillary model to allow realistic simulations for a single superficial nephron. The predicted difference of 5.5 mmHg between the CO2 partial pressures in peritubular capillaries and afferent arterioles (delta PCO2) was in good agreement with values reported for normal Munich-Wistar rats. For a given afferent arteriolar blood composition, the calculated delta PCO2 generally decreased with increasing blood flow rate. At a given blood flow rate and afferent PCO2, delta PCO2 decreased as afferent plasma HCO3- concentration was increased. When afferent PCO2 was varied at constant blood flow rate and HCO3- concentration, delta PCO2 changed in parallel with afferent PCO2.

摘要

基于入球小动脉血流速率和成分,建立了一个数学模型来预测入球小动脉与肾小管周围毛细血管之间二氧化碳分压的差异。血液中的缓冲反应通过单独的血浆和红细胞区室中的化学平衡和电中性条件来描述,其中包括血红蛋白氧合作用(碱性波尔效应)和氨基甲酰化合物形成等因素。稳态质量平衡方程可根据出球小动脉的血液输入以及来自肾小管重吸收液的水、二氧化碳、碳酸氢钠和氯化钠的添加量来预测肾小管周围毛细血管的血液成分。先前建立的用于描述肾小球滤过率以及近端小管对碳酸氢根和二氧化碳重吸收率的模型与肾小管周围毛细血管模型相结合,以对单个浅表肾单位进行实际模拟。预测的肾小管周围毛细血管与入球小动脉之间二氧化碳分压的差值(ΔPCO₂)为5.5 mmHg,与正常慕尼黑-威斯塔大鼠报道的值高度吻合。对于给定的入球小动脉血液成分,计算出的ΔPCO₂通常随血流速率增加而降低。在给定的血流速率和入球二氧化碳分压下,随着入球血浆碳酸氢根浓度增加,ΔPCO₂降低。当在恒定血流速率和碳酸氢根浓度下改变入球二氧化碳分压时,ΔPCO₂与入球二氧化碳分压平行变化。

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