Liu F Y, Cogan M G
J Clin Invest. 1987 Jul;80(1):272-5. doi: 10.1172/JCI113059.
The early proximal convoluted tubule (PCT) is the site of 50% of bicarbonate reabsorption in the nephron, but its control by angiotensin II has not been previously studied. In vivo microperfusion was used in both the early and late PCT in Munich-Wistar rats. Systemic angiotensin II administration (20 ng/kg X min) or inhibition of endogenous angiotensin II activity with saralasin (1 microgram/kg X min) caused profound changes in bicarbonate absorption in the early PCT (169 +/- 25 and -187 +/- 15 peq/mm X min, respectively). Because the bicarbonate absorptive capacity of the early PCT under free-flow conditions is 500 peq/mm X min, angiotensin II administration or inhibition affected greater than 60% of proton secretion in this segment. Both agents less markedly affected bicarbonate absorption in the late PCT (+/- 28 peq/mm X min) or chloride absorption (+/- 68-99 peq/mm X min) in both the early and late PCT. Because of its potential for controlling the majority of bicarbonate absorption in the early PCT (hence greater than or equal to 30% of bicarbonate absorption in the entire nephron), angiotensin II may be a powerful physiologic regulator of renal acidification.
近端小管早期(PCT)是肾单位中50%的碳酸氢盐重吸收部位,但此前尚未研究过血管紧张素II对其的调控作用。对慕尼黑-威斯塔大鼠的近端小管早期和晚期均采用了体内微灌注技术。全身性给予血管紧张素II(20 ng/kg·min)或用沙拉新抑制内源性血管紧张素II活性(1 μg/kg·min),会使近端小管早期的碳酸氢盐吸收发生显著变化(分别为169±25和 -187±15 peq/mm·min)。由于在自由流动条件下近端小管早期的碳酸氢盐吸收能力为500 peq/mm·min,给予血管紧张素II或进行抑制会影响该节段超过60%的质子分泌。这两种药物对近端小管晚期的碳酸氢盐吸收(±28 peq/mm·min)或近端小管早期和晚期的氯离子吸收(±68 - 99 peq/mm·min)的影响均较小。由于血管紧张素II有调控近端小管早期大部分碳酸氢盐吸收的潜力(因此占整个肾单位碳酸氢盐吸收的30%或更多),它可能是肾酸化的一种强大生理调节因子。