Star R A, Burg M B, Knepper M A
J Clin Invest. 1985 Sep;76(3):1123-30. doi: 10.1172/JCI112067.
Cortical collecting ducts (CCD) from rabbits treated with deoxycorticosterone (DOC) actively secrete bicarbonate at high rates. To investigate the mechanism of bicarbonate secretion, we measured bicarbonate and chloride transport in CCD from rabbits treated with DOC for 9-24 d. Removal of chloride (replaced with gluconate) from both perfusate and bath inhibited bicarbonate secretion without changing transepithelial voltage. Removal of chloride only from the bath increased bicarbonate secretion, while removal of chloride only from the perfusate inhibited secretion. In contrast to the effect of removing chloride, removal of sodium from both the perfusate and bath (replacement with N-methyl-D-glucamine) did not change the rate of bicarbonate secretion. The rate of bicarbonate secretion equaled the rate of chloride absorption in tubules bathed with 0.1 mM ouabain to inhibit any cation-dependent chloride transport. Under these conditions, chloride absorption occurred against an electrochemical gradient. Removal of bicarbonate from both the perfusate and bath inhibited chloride absorption. Removal of bicarbonate only from the bath inhibited chloride absorption, while removal of bicarbonate from the lumen stimulated chloride absorption. We conclude that CCD from DOC-treated rabbits actively secrete bicarbonate and actively absorb chloride by an electroneutral mechanism involving 1:1 chloride/bicarbonate exchange. The process is independent of sodium.
用脱氧皮质酮(DOC)处理的家兔皮质集合管(CCD)能以高速率主动分泌碳酸氢盐。为研究碳酸氢盐分泌机制,我们测量了用DOC处理9 - 24天的家兔CCD中碳酸氢盐和氯离子的转运情况。从灌流液和浴液中去除氯离子(用葡萄糖酸盐替代)会抑制碳酸氢盐分泌,而不改变跨上皮电压。仅从浴液中去除氯离子会增加碳酸氢盐分泌,而仅从灌流液中去除氯离子则会抑制分泌。与去除氯离子的效果相反,从灌流液和浴液中去除钠离子(用N - 甲基 - D - 葡萄糖胺替代)不会改变碳酸氢盐分泌速率。在用0.1 mM哇巴因处理以抑制任何阳离子依赖性氯离子转运的小管中,碳酸氢盐分泌速率等于氯离子吸收速率。在这些条件下,氯离子逆电化学梯度吸收。从灌流液和浴液中去除碳酸氢盐会抑制氯离子吸收。仅从浴液中去除碳酸氢盐会抑制氯离子吸收,而从管腔中去除碳酸氢盐则会刺激氯离子吸收。我们得出结论,用DOC处理的家兔的CCD通过涉及1:1氯离子/碳酸氢盐交换的电中性机制主动分泌碳酸氢盐并主动吸收氯离子。该过程不依赖于钠离子。