Elalouf J M, Roinel N, de Rouffignac C
Kidney Int. 1986 Apr;29(4):807-13. doi: 10.1038/ki.1986.70.
We investigated by micropuncture the effects of glucagon and parathyroid hormone (PTH) on thin limbs of juxtamedullary nephrons of rats with reduced plasma concentration of endogenous glucagon, PTH, antidiuretic hormone (ADH) and calcitonin, all four hormones enhancing the adenylate-cyclase activity in the thick ascending limbs and the distal nephron. Such a hormonal depletion suppresses the corticomedullary concentration gradient, making favourable conditions for studying the influence of these hormones on the renal concentrating mechanism. Administration of glucagon (4.4 ng/min-1) or PTH (5 mU/min-1) to these hormone-deprived rats elicited the expected decrease in urinary Mg and Ca fractional excretion without modifying either fractional or absolute excretion of water. At the tip of the loop, glucagon enhanced the loop fluid osmolality by 20%, but left the delivery of water unchanged. The Na and Cl concentrations increased significantly with the osmolality, resulting in a positive correlation between the fractional delivery of either ion and the loop fluid osmolality. PTH increased the fraction of filtered phosphate delivered to the thin limbs, as expected, but, in contrast to glucagon, did not alter either the Na, Cl, or total solute fractional deliveries. The Mg, Ca and K deliveries were unaffected by glucagon and PTH. In conclusion, glucagon, which activates the cyclase system of both the medullary and cortical portion of the thick ascending limb, enhances the delivery of salt to the tip of the loop by net sodium chloride addition to the descending limb. PTH which activates the adenyl-cyclase system only in the cortical thick ascending limb cannot enhance such NaCl delivery. NaCl, when added, might therefore originate from the medullary thick ascending limb.
我们通过微穿刺法研究了胰高血糖素和甲状旁腺激素(PTH)对血浆中内源性胰高血糖素、PTH、抗利尿激素(ADH)和降钙素浓度降低的大鼠近髓肾单位细段的影响,这四种激素均可增强髓袢升支粗段和远曲小管的腺苷酸环化酶活性。这种激素缺乏会抑制皮质髓质浓度梯度,为研究这些激素对肾脏浓缩机制的影响创造了有利条件。给这些激素缺乏的大鼠注射胰高血糖素(4.4 ng/min-1)或PTH(5 mU/min-1),可使尿镁和钙的分数排泄量如预期那样降低,而水的分数排泄量或绝对排泄量均未改变。在髓袢顶端,胰高血糖素使髓袢液渗透压提高了20%,但水的输送量未变。钠和氯的浓度随渗透压显著升高,导致任一离子的分数输送量与髓袢液渗透压之间呈正相关。正如预期的那样,PTH增加了输送到细段的滤过磷酸盐的分数,但与胰高血糖素不同的是,它并未改变钠、氯或总溶质的分数输送量。镁、钙和钾的输送量不受胰高血糖素和PTH的影响。总之,激活髓袢升支粗段髓质和皮质部分环化酶系统的胰高血糖素,通过向降支净添加氯化钠来增加盐向髓袢顶端的输送。仅激活皮质髓袢升支腺苷酸环化酶系统的PTH不能增强这种氯化钠的输送。因此,添加的氯化钠可能来自髓质髓袢升支粗段。