DuBose T D, Pucacco L R, Lucci M S, Carter N W
J Clin Invest. 1979 Aug;64(2):476-82. doi: 10.1172/JCI109485.
Previous studies evaluating the mechanism of renal HCO-3 reabsorption have assumed equilibrium between systemic arterial blood and tubular fluid PCO2. We have recently reported that the PCO2 in proximal and distal tubular fluid as well as the stellate vessel significantly exceeded arterial PCO2 by 25.9 +/- 0.92 mm Hg. The purpose of this study was to determine directly, for the first time, pH, PCO1, and total CO2 concentration in the accessible structures of the rat renal cortex with both microelectrodes and microcalorimetry. In addition, the concentrations of chloride and total CO2 were compared in the stellate vessel. The data demonstrate that: (a) values for total [CO2] in both the proximal tubule and stellate vessel calculated from in situ determination of pH and PCO2 closely agree with the measured values for total [CO2]: (b) values for chloride concentration in the stellate vessel are significantly less than the corresponding values in systemic plasma (delta[Cl-] = 5.6 meq/liter); and (c) the rise in [HCO-3] from systemic to stellate vessel plasma closely approximates the observed reciprocal fall in [Cl-] in this structure.
以往评估肾脏HCO₃⁻重吸收机制的研究假定全身动脉血与肾小管液的PCO₂处于平衡状态。我们最近报道,近端和远端肾小管液以及星状血管中的PCO₂显著超过动脉PCO₂,差值为25.9±0.92 mmHg。本研究的目的是首次使用微电极和微量量热法直接测定大鼠肾皮质可及结构中的pH、PCO₂和总CO₂浓度。此外,还比较了星状血管中氯离子和总CO₂的浓度。数据表明:(a) 通过原位测定pH和PCO₂计算得到的近端小管和星状血管中总[CO₂]值与总[CO₂]的测量值密切相符;(b) 星状血管中氯离子浓度值显著低于全身血浆中的相应值(Δ[Cl⁻]=5.6 meq/升);(c) 从全身血浆到星状血管血浆,[HCO₃⁻]的升高与该结构中观察到的[Cl⁻]的相应下降密切接近。