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抗利尿激素对大鼠尿液酸化及肾小管对碳酸氢盐处理的影响。

Effects of antidiuretic hormone on urinary acidification and on tubular handling of bicarbonate in the rat.

作者信息

Bichara M, Mercier O, Houillier P, Paillard M, Leviel F

出版信息

J Clin Invest. 1987 Sep;80(3):621-30. doi: 10.1172/JCI113114.

Abstract

Paired micropuncture experiments were carried out in plasma-replete volume-expanded rats to examine the acute effects of 1-desamino-8-D-arginine vasopressin (dDAVP) on urinary acidification and tubular handling of bicarbonate and chloride. No effect was detected on the fractional absorption of water, total CO2, and chloride at end-proximal and early distal sites of superficial nephrons in intact animals; dDAVP, however, inhibited the fractional absorption of total CO2 in Henle's loop while stimulating that of chloride in thyroparathyroidectomized (TPTX) somatostatin-infused rats. In the distal tubule accessible to micropuncture, net total CO2 secretion was observed during hypotonic volume expansion, which reversed to net total CO2 absorption during dDAVP infusion in intact Wistar rats. Marked stimulation of urinary acidification occurred in all animals as attested by a fall in urine pH and bicarbonate excretion. Net acid excretion almost doubled in intact rats. We conclude that (a) antidiuretic hormone (ADH) inhibits fractional bicarbonate absorption in the thick ascending limb while stimulating that of chloride at least in TPTX somatostatin-infused rats, and (b) ADH stimulates proton secretion (or inhibits bicarbonate secretion) in the distal tubule and cortical collecting ducts, which leads to enhanced urinary acidification.

摘要

在血浆充足且血容量扩充的大鼠身上进行了配对微穿刺实验,以研究1-去氨基-8-D-精氨酸血管加压素(dDAVP)对尿液酸化以及肾小管对碳酸氢盐和氯离子处理的急性影响。在完整动物的浅表肾单位近端末端和远端早期部位,未检测到dDAVP对水、总二氧化碳和氯离子的分数吸收有影响;然而,在甲状腺甲状旁腺切除(TPTX)并注入生长抑素的大鼠中,dDAVP抑制了亨氏袢中总二氧化碳的分数吸收,同时刺激了氯离子的分数吸收。在微穿刺可及的远端小管中,在低渗性血容量扩充期间观察到了净总二氧化碳分泌,而在完整的Wistar大鼠中注入dDAVP期间,净总二氧化碳分泌则转变为净总二氧化碳吸收。所有动物的尿液酸化均受到显著刺激,这可通过尿液pH值下降和碳酸氢盐排泄量减少得到证实。完整大鼠的净酸排泄量几乎增加了一倍。我们得出结论:(a)抗利尿激素(ADH)至少在TPTX并注入生长抑素的大鼠中,抑制了髓袢升支粗段中碳酸氢盐的分数吸收,同时刺激了氯离子的分数吸收;(b)ADH刺激远端小管和皮质集合管中的质子分泌(或抑制碳酸氢盐分泌),从而导致尿液酸化增强。

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