Le Hir M, Dubach U C
Eur J Clin Invest. 1985 Jun;15(3):121-7. doi: 10.1111/j.1365-2362.1985.tb00154.x.
Nephrotoxicity has been reported in humans and in animals during treatment with nucleosides. We described recently a Na+ gradient-dependent concentrative transport of adenosine in brush border vesicles isolated from the cortex of the rat kidney. The results of the present study suggest that that transport is shared by other purine nucleosides. The transport of adenosine is inhibited by several purines at micromolar concentrations. The transports of deoxyadenosine, of inosine and of guanosine are concentrative in the presence of a Na+ gradient and they are inhibited by adenosine. We conclude that there exists a concentrative system for reabsorption of various purine nucleosides in the proximal tubule. The transport of nucleosides is non-concentrative in all other cell types studied so far. The concentrative capacity of the transport of nucleosides in the kidney might explain the particular sensitivity of that organ during treatment with nucleosides.
在核苷治疗期间,已在人类和动物中报告了肾毒性。我们最近描述了从大鼠肾皮质分离的刷状缘小泡中,腺苷存在一种依赖于Na⁺梯度的浓缩转运。本研究结果表明,其他嘌呤核苷也存在这种转运。腺苷的转运在微摩尔浓度下会被几种嘌呤抑制。脱氧腺苷、肌苷和鸟苷的转运在存在Na⁺梯度时是浓缩性的,并且它们会被腺苷抑制。我们得出结论,近端小管中存在一个用于重吸收各种嘌呤核苷的浓缩系统。到目前为止,在所有其他研究的细胞类型中,核苷的转运都是非浓缩性的。肾脏中核苷转运的浓缩能力可能解释了该器官在核苷治疗期间的特殊敏感性。