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发育过程中肾脏对磷酸盐的重吸收:肾小管事件

Renal reabsorption of phosphate during development: tubular events.

作者信息

Kaskel F J, Kumar A M, Feld L G, Spitzer A

机构信息

Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.

出版信息

Pediatr Nephrol. 1988 Jan;2(1):129-34. doi: 10.1007/BF00870393.

Abstract

Studies performed in our laboratory on the isolated perfused kidney of the guinea pig have demonstrated that the rate of Pi reabsorption is substantially greater in the newborn than in the adult, when appropriate corrections are being made either for differences in glomerular filtration rate (GFR) or in renal tubular mass. In order to determine the location of this enhanced reabsorption along the nephron, micropuncture experiments were performed on euvolemic, non-fasted guinea pigs 5-14 and 42-49 days of age, maintained on standard guinea-pig chow diet (0.76% Pi). Concomitant measurements of overall kidney function were also obtained. The results confirmed that fractional reabsorption of Pi (TRPi%) across the entire kidney was significantly higher (P less than 0.01) in the newborn (89.93 +/- 2.55%) than in the adult (78.25 +/- 2.89%) animals. The difference was also significant (P less than 0.05) when TRPi was expressed in mol/ml GFR (1.87 +/- 0.14 vs 1.53 +/- 0.12, respectively). At comparable locations along the proximal tubule (TF/Pin of 1.90 +/- 0.16 in the newborn, and 1.79 +/- 0.15 in the adult, P greater than 0.70), the fraction of the filtered load of Pi reabsorbed was significantly higher (P less than 0.001) in the immature (76.66 +/- 2.74%) than in the mature (67.21 +/- 2.74%) guinea pigs. Estimates based on the differences between proximal Pi reabsorption and the urinary excretion of Pi indicate that the reabsorption of Pi in tubular segments located beyond the proximal tubule is also enhanced in the newborn when compared with the adult (15.62 +/- 2.11% vs 10.51 +/- 1.83%, respectively, P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们实验室在豚鼠离体灌注肾脏上进行的研究表明,在对肾小球滤过率(GFR)或肾小管质量差异进行适当校正后,新生豚鼠的磷酸盐(Pi)重吸收速率显著高于成年豚鼠。为了确定这种增强的重吸收在肾单位中的位置,对5 - 14日龄和42 - 49日龄的血容量正常、未禁食的豚鼠进行了微穿刺实验,这些豚鼠以标准豚鼠饲料(含0.76% Pi)喂养。同时还对整体肾功能进行了测量。结果证实,新生豚鼠整个肾脏的Pi分数重吸收(TRPi%)显著高于成年豚鼠(89.93±2.55% 对78.25±2.89%,P<0.01)。当以mol/ml GFR表示TRPi时,差异也显著(P<0.05)(分别为1.87±0.14对1.53±0.12)。在近端小管的可比位置(新生豚鼠TF/Pin为1.90±0.16,成年豚鼠为1.79±0.15,P>0.70),未成熟豚鼠重吸收的Pi滤过负荷分数显著高于成熟豚鼠(76.66±2.74% 对67.21±2.74%,P<0.001)。基于近端Pi重吸收与Pi尿排泄之间差异的估计表明,与成年豚鼠相比,新生豚鼠近端小管以外的肾小管段中Pi的重吸收也增强(分别为15.62±2.11% 对10.51±1.83%,P<0.05)。(摘要截断于250字)

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