Lohr J W, Grantham J J
J Clin Invest. 1986 Nov;78(5):1165-72. doi: 10.1172/JCI112698.
Sudden alteration in medium osmolality causes an osmometric change in proximal tubule cell size followed by restoration of cell volume toward normal in hypotonic but not in hypertonic medium. We determined the capability of isolated nonperfused proximal tubules to prevent a change in cell volume in anisotonic media. The external osmolality was gradually changed over a range from 110 to 480 mosM. At 1.5 mosM/min, cell volume remained constant between 167 +/- 9 and 361 +/- 7 mosM, a phenomenon termed isovolumetric regulation (IVR). Cells lost intracellular solutes in hypotonic and gained intracellular solutes in hypertonic media. Raffinose or choline chloride substitution showed that osmolality, rather than NaCl, signalled cell volume maintenance in hyperosmotic media. Cooling (7-10 degrees C) blocked IVR. IVR was maintained when osmolality was lowered at a rate of 27, but not at 42 mosM/min. IVR was not observed when the rate of osmolality increase exceeded 3 mosM/min. We conclude that proximal tubule cells sensitively regulate intracellular volume in an osmolality range of pathophysiologic interest by mechanisms dependent on the rate of net water movement across basolateral membranes and the absolute intracellular content of critical solutes.
介质渗透压的突然改变会导致近端小管细胞大小发生渗透变化,随后在低渗而非高渗介质中细胞体积恢复至正常。我们测定了分离的非灌注近端小管在不等渗介质中防止细胞体积变化的能力。外部渗透压在110至480 mosM范围内逐渐变化。以1.5 mosM/分钟的速度,细胞体积在167±9至361±7 mosM之间保持恒定,这一现象称为等容调节(IVR)。在低渗介质中细胞丢失细胞内溶质,在高渗介质中细胞获得细胞内溶质。棉子糖或氯化胆碱替代表明,在高渗介质中,是渗透压而非氯化钠发出细胞体积维持的信号。冷却(7 - 10摄氏度)会阻断IVR。当渗透压以27 mosM/分钟而非42 mosM/分钟的速度降低时,IVR得以维持。当渗透压增加速度超过3 mosM/分钟时未观察到IVR。我们得出结论,近端小管细胞通过依赖于跨基底外侧膜的净水流速度和关键溶质的绝对细胞内含量的机制,在具有病理生理意义的渗透压范围内敏感地调节细胞内体积。