Gullans S R, Blumenfeld J D, Balschi J A, Kaleta M, Brenner R M, Heilig C W, Hebert S C
Renal Division, Brigham and Women's Hospital, Boston, Massachusetts.
Am J Physiol. 1988 Oct;255(4 Pt 2):F626-34. doi: 10.1152/ajprenal.1988.255.4.F626.
Osmotically active organic solutes, osmolytes, exist at high concentrations in the renal inner medulla; however, their modulation during antidiuresis remains largely undefined. Renal osmolyte levels were measured by nuclear magnetic resonance spectroscopy and biochemical assays in perchloric acid extracts from normal and dehydrated (3 days) rats. Dehydration increased urine osmolality from 1,503 to 3,748 mosmol/kg and inner medullary urea content from 2,036 to 4,405 nmol/mg protein. In addition, inner medullary trimethylamines [glycerophosphorylcholine (GPC) and betaine] and polyhydric alcohols (inositol and sorbitol) significantly increased by 95 and 78%, respectively. Ninhydrin-positive substances (amino acids), although abundant, were unchanged. Renal cortex also contained GPC, betaine, and inositol but only inositol increased with dehydration. Analysis of correlations among inner medullary osmolytes showed that only GPC was consistently elevated by dehydration and was not directly correlated with the other osmolytes. In contrast, betaine and inositol contents were linearly related to each other and both tended to rise only when sorbitol content was unchanged. In conclusion, the major osmolytes in the rat renal inner medulla can increase during antidiuresis but they are regulated in a complex manner.
具有渗透活性的有机溶质,即渗透溶质,在肾内髓质中以高浓度存在;然而,它们在抗利尿过程中的调节作用在很大程度上仍不明确。通过核磁共振光谱法和生化分析测定了正常和脱水(3天)大鼠高氯酸提取物中的肾渗透溶质水平。脱水使尿渗透压从1503 mosmol/kg增加到3748 mosmol/kg,内髓质尿素含量从2036 nmol/mg蛋白质增加到4405 nmol/mg蛋白质。此外,内髓质中的三甲胺[甘油磷酸胆碱(GPC)和甜菜碱]和多元醇(肌醇和山梨醇)分别显著增加了95%和78%。茚三酮阳性物质(氨基酸)虽然含量丰富,但没有变化。肾皮质也含有GPC、甜菜碱和肌醇,但只有肌醇随着脱水而增加。对内髓质渗透溶质之间的相关性分析表明,只有GPC在脱水时持续升高,且与其他渗透溶质没有直接相关性。相比之下,甜菜碱和肌醇含量彼此呈线性相关,且只有当山梨醇含量不变时两者才都趋于升高。总之,大鼠肾内髓质中的主要渗透溶质在抗利尿过程中会增加,但它们是以复杂的方式被调节的。