Maddox D A, Gennari F J
Am J Physiol. 1985 Jan;248(1 Pt 2):F113-21. doi: 10.1152/ajprenal.1985.248.1.F113.
Studies were undertaken in Munich-Wistar rats to evaluate the influence of variations in the filtered load of bicarbonate (FLHCO3) and water [single nephron glomerular filtration rate (SNGFR)] on the pattern of reabsorption along the accessible proximal tubule. SNGFR and FLHCO3 were varied by examining animals under conditions of hydropenia, plasma and extracellular volume expansion (VE), and VE plus aortic constriction. Water and HCO-3 reabsorption rates were measured at intervals along the proximal tubule, from very early segments to late segments, and these values compared with previous measurements in euvolemic rats. The earliest accessible portion of the proximal tubule reabsorbed HCO3 and water avidly; 40-55% of FLHCO3 and 18-20% of SNGFR were reabsorbed within the first millimeter. Moreover, when FLHCO3 was increased to as high as 2,400 pmol/min, HCO3 reabsorption rate in the first millimeter of the tubule increased concomitantly, reaching values as high as 1,000 pmol X mm-1 X min-1. In a similar fashion, water reabsorption in the first millimeter increased in direct relation to increases in SNGFR, reaching values as high as 13 nl X mm-1 X min-1 at SNGFR values of 70 nl/min. These results indicate that the early proximal tubule has much higher HCO3 and water reabsorptive rates and a stronger load dependence than has been found in later segments of the proximal tubule. The early proximal tubule thus appears to play a critical role in the maintenance of glomerulotubular balance.
在慕尼黑-威斯塔大鼠身上开展了多项研究,以评估碳酸氢盐滤过负荷(FLHCO3)和水[单肾单位肾小球滤过率(SNGFR)]的变化对沿可及近端小管重吸收模式的影响。通过在缺水、血浆和细胞外液量扩张(VE)以及VE加主动脉缩窄的条件下检查动物来改变SNGFR和FLHCO3。沿着近端小管,从非常早期的节段到晚期节段,每隔一段时间测量水和HCO-3的重吸收率,并将这些值与之前在血容量正常的大鼠中的测量值进行比较。近端小管最早可及的部分 avidly重吸收HCO3和水;在最初的一毫米内,40 - 55%的FLHCO3和18 - 20%的SNGFR被重吸收。此外,当FLHCO3增加到高达2400 pmol/min时,小管第一毫米内的HCO3重吸收率随之增加,达到高达1000 pmol×mm-1×min-1的值。以类似的方式,第一毫米内的水重吸收与SNGFR的增加直接相关,在SNGFR值为70 nl/min时达到高达13 nl×mm-1×min-1的值。这些结果表明,近端小管早期的HCO3和水重吸收率要高得多,并且比近端小管后期对负荷的依赖性更强。因此,近端小管早期似乎在维持球管平衡中起关键作用。