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脱氧皮质酮刺激兔皮质集合管的碳酸氢盐分泌:管腔氯离子去除和体内酸负荷的影响。

Deoxycorticosterone-stimulated bicarbonate secretion in rabbit cortical collecting ducts: effects of luminal chloride removal and in vivo acid loading.

作者信息

Garcia-Austt J, Good D W, Burg M B, Knepper M A

出版信息

Am J Physiol. 1985 Aug;249(2 Pt 2):F205-12. doi: 10.1152/ajprenal.1985.249.2.F205.

Abstract

To assess the role of cortical collecting duct bicarbonate secretion in the regulation of net acid excretion, we have sought to identify what factors influence the secretion rate. Net and unidirectional bicarbonate fluxes were measured in isolated perfused cortical collecting ducts from deoxycorticosterone-treated rabbits. The collecting ducts secreted bicarbonate at 11-24 pmol X mm-1 X min-1, confirming the high rate seen in earlier studies. Oral acid loading (50 mM NH4Cl drinking water) completely inhibited the net bicarbonate secretion. The bath-to-lumen flux was markedly reduced with acid loading, but the lumen-to-bath flux changed very little. In tubules from rabbits treated with deoxycorticosterone (but not NH4Cl), luminal chloride replacement with either sulfate or gluconate completely and reversibly inhibited the net bicarbonate secretion. The bath-to-lumen flux was greatly inhibited, but there was little change in the lumen-to-bath flux. We conclude: 1) High rates of bicarbonate secretion can be induced in rabbit cortical collecting ducts by chronic treatment of the animals with deoxycorticosterone. 2) When deoxycorticosterone-treated rabbits were made acidotic by oral administration of NH4Cl, the bicarbonate secretion was prevented, indicating that the systemic acid-base state of the animal may be an important factor regulating bicarbonate secretion. 3) Replacement of chloride in the lumen with sulfate inhibits bicarbonate secretion in the cortical collecting duct, an effect which may explain in part the decrease in urinary pH in response to sulfate infusions in mineralocorticoid-stimulated animals.

摘要

为了评估皮质集合管碳酸氢盐分泌在净酸排泄调节中的作用,我们试图确定哪些因素会影响分泌速率。在经脱氧皮质酮处理的兔的离体灌注皮质集合管中测量了净碳酸氢盐通量和单向碳酸氢盐通量。集合管以11 - 24 pmol×mm⁻¹×min⁻¹的速率分泌碳酸氢盐,证实了早期研究中观察到的高分泌速率。口服酸负荷(饮用50 mM氯化铵溶液)完全抑制了净碳酸氢盐分泌。酸负荷时,从管腔外到管腔内的通量显著降低,但从管腔内到管腔外的通量变化很小。在用脱氧皮质酮处理(而非氯化铵处理)的兔的肾小管中,用硫酸盐或葡萄糖酸盐替代管腔内的氯离子可完全且可逆地抑制净碳酸氢盐分泌。从管腔外到管腔内的通量受到极大抑制,但从管腔内到管腔外的通量变化不大。我们得出以下结论:1)通过用脱氧皮质酮长期处理动物,可在兔皮质集合管中诱导出高碳酸氢盐分泌速率。2)当给经脱氧皮质酮处理的兔口服氯化铵使其发生酸中毒时,碳酸氢盐分泌受到抑制,这表明动物的全身酸碱状态可能是调节碳酸氢盐分泌的一个重要因素。3)用硫酸盐替代管腔内的氯离子可抑制皮质集合管中的碳酸氢盐分泌,这一效应可能部分解释了在盐皮质激素刺激的动物中,输注硫酸盐后尿pH值降低的现象。

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