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钾缺乏对大鼠肾小管功能的影响。

Effect of potassium depletion on renal tubular function in the rat.

作者信息

Walter S J, Shore A C, Shirley D G

机构信息

Department of Physiology, Charing Cross and Westminster Medical School, London.

出版信息

Clin Sci (Lond). 1988 Dec;75(6):621-8. doi: 10.1042/cs0750621.

DOI:10.1042/cs0750621
PMID:3208495
Abstract
  1. In order to investigate the effects of K+ depletion on renal function, micropuncture studies were performed on anaesthetized rats which had been kept on a K+-deficient diet for 2 weeks; results were compared with those from control animals. 2. In the K+-depleted animals, values for total glomerular filtration rate and single-nephron filtration rate were significantly lower than in controls. Urine osmolality was also reduced; this was associated with reductions in the osmolality, Na+ concentration and K+ concentration of papillary interstitial fluid. No significant difference between urine and papillary osmolality was observed. 3. Fractional reabsorption by the proximal convoluted tubule was enhanced in the K+-depleted animals; end-proximal fluid delivery was markedly reduced. 4. Absolute, but not fractional, delivery of K+ to the beginning of the distal tubule was reduced in the K+-depleted animals. In contrast to observations in control rats, no net secretion of K+ into the distal tubule occurred and there was indirect evidence of K+ reabsorption in the collecting duct. 5. K+ depletion was associated with reductions in the delivery of Na+ and water to early and late regions of the distal tubule, whereas excretion rates of Na+ and water were unaffected. 6. It is suggested that the reduction in Na+ delivery to the loop of Henle (arising from the changes in filtration rate and proximal tubular reabsorption) might contribute to the reduced medullary osmotic concentration observed during K+ depletion. Reductions in fractional reabsorption of Na+ and water in the collecting duct might result from lowered plasma aldosterone levels and the reduced medullary osmolality.
摘要
  1. 为了研究钾缺乏对肾功能的影响,对食用低钾饮食2周的麻醉大鼠进行了微穿刺研究;将结果与对照动物的结果进行比较。2. 在低钾动物中,总肾小球滤过率和单肾单位滤过率的值显著低于对照组。尿渗透压也降低;这与肾乳头间质液的渗透压、钠浓度和钾浓度降低有关。未观察到尿液和肾乳头渗透压之间的显著差异。3. 低钾动物近端曲管的分数重吸收增强;近端终末液输送明显减少。4. 低钾动物向远端小管起始部输送的钾的绝对值降低,但分数值未降低。与对照大鼠的观察结果相反,未发生钾向远端小管的净分泌,并且有间接证据表明集合管中有钾重吸收。5. 钾缺乏与远端小管早期和晚期钠和水的输送减少有关,而钠和水的排泄率未受影响。6. 有人认为,向髓袢输送的钠减少(由滤过率和近端小管重吸收的变化引起)可能导致钾缺乏时观察到的髓质渗透浓度降低。集合管中钠和水的分数重吸收减少可能是由于血浆醛固酮水平降低和髓质渗透压降低所致。

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