Nagami G T, Sonu C M, Kurokawa K
J Clin Invest. 1986 Jul;78(1):124-9. doi: 10.1172/JCI112540.
We examined the effects of metabolic acidosis in vivo and reduced bath and luminal pH in vitro on total NH3 (NH3 + NH+4) production rates by isolated mouse proximal tubule segments. Midproximal tubule segments were obtained from mice with NH4Cl-induced metabolic acidosis and from nonacidotic controls. The segments were perfused with modified Krebs-Ringer bicarbonate (KRB) buffer, incubated in KRB buffer containing 0.5 mM L-glutamine and 1.0 mM sodium acetate, and gassed with 95% O2 and 5% CO2. Isolated unperfused and perfused proximal tubules from acidotic mice produced total NH3 at higher rates than corresponding tubules from nonacidotic mice. Perfusion of the tubular lumen stimulated total NH3 production by tubules from both acidotic and nonacidotic mice. In contrast, lowering the bath pH to 7.0 by lowering the HCO3- concentration increased total NH3 production rates by tubules from nonacidotic mice but not by tubules from acidotic mice. Reducing the HCO3- concentration of the bath buffer to 10 mM while maintaining a pH of 7.4 had no significant effect on total NH3 production by tubules from nonacidotic mice. Lowering the luminal fluid pH by reducing the perfusate HCO-3 from 25 mM to 10, 5, or 1.2 mM while maintaining a bath pH of 7.4 lowered collected luminal fluid pH but had no effect on total NH3 production by proximal tubules from nonacidotic mice. These observations demonstrated that metabolic acidosis in vivo stimulated total NH3 production in isolated mouse proximal tubule segments and that low peritubular pH and HCO-3 stimulated total NH3 production by proximal tubule segments from nonacidotic mice in vitro.
我们研究了体内代谢性酸中毒以及体外降低浴液和管腔pH值对分离的小鼠近端肾小管节段总氨(NH₃ + NH₄⁺)生成速率的影响。从氯化铵诱导的代谢性酸中毒小鼠和非酸中毒对照小鼠获取近端肾小管中段节段。将这些节段用改良的 Krebs-Ringer 碳酸氢盐(KRB)缓冲液灌注,在含有 0.5 mM L-谷氨酰胺和 1.0 mM 醋酸钠的 KRB 缓冲液中孵育,并用 95% O₂ 和 5% CO₂ 通气。与来自非酸中毒小鼠的相应肾小管相比,来自酸中毒小鼠的分离的未灌注和灌注近端肾小管产生总氨的速率更高。管腔灌注刺激了酸中毒和非酸中毒小鼠肾小管的总氨生成。相比之下,通过降低 HCO₃⁻ 浓度将浴液 pH 值降至 7.0 会增加非酸中毒小鼠肾小管的总氨生成速率,但不会增加酸中毒小鼠肾小管的总氨生成速率。在维持 pH 值为 7.4 的同时将浴液缓冲液的 HCO₃⁻ 浓度降至 10 mM 对非酸中毒小鼠肾小管的总氨生成没有显著影响。通过将灌注液 HCO₃⁻ 从 25 mM 降至 10、5 或 1.2 mM 同时维持浴液 pH 值为 7.4 来降低管腔液 pH 值,会降低收集的管腔液 pH 值,但对非酸中毒小鼠近端肾小管的总氨生成没有影响。这些观察结果表明,体内代谢性酸中毒刺激了分离的小鼠近端肾小管节段的总氨生成,并且体外低肾小管周pH值和 HCO₃⁻ 刺激了非酸中毒小鼠近端肾小管节段的总氨生成。