Hamm L L, Trigg D, Martin D, Gillespie C, Buerkert J
J Clin Invest. 1985 Feb;75(2):478-85. doi: 10.1172/JCI111723.
Nonionic diffusion and diffusion equilibrium of ammonia have been generally accepted as the mechanism of urinary ammonium excretion. However, these characteristics have not been examined directly in vitro. In the present studies, nonionic diffusion and diffusion equilibrium of ammonia were examined in rabbit cortical collecting tubules perfused in vitro. Collected fluid ammonium and pH were measured in tubules exposed to chemical gradients of NH3/NH+4. In tubules perfused with an acid perfusate free of ammonia and bathed with solutions containing NH4Cl, collected fluid ammonia failed to equilibrate across the epithelium except at slow flow rates. The estimated apparent permeability coefficient to NH3 was approximately 5 X 10(-3) cm/s. Predominant nonionic diffusion of NH3, rather than transport of NH+4, was indicated by alkalinization of luminal fluid in tubules exposed to peritubular NH4Cl and by the relative influence of peritubular NH+4 and NH3 on ammonia entry. In tubules perfused with an acid solution containing NH4Cl, little loss of ammonium was detectable, indicating a low permeability to NH+4. In contrast to the restricted diffusion of NH3 in cortical collecting tubules, proximal convoluted tubules exhibited a much higher apparent permeability to NH3. In conclusion, nonionic diffusion of NH3 accounted for most ammonium transport in the proximal convoluted tubule and in the cortical collecting tubule. However, there was relatively restricted diffusion in the collecting tubules; this may account for the failure of whole kidney ammonium excretion to obey quantitatively the predictions of nonionic diffusion and diffusion equilibrium of ammonia.
氨的非离子扩散和扩散平衡已被公认为尿铵排泄的机制。然而,这些特性尚未在体外直接进行研究。在本研究中,在体外灌注的兔皮质集合管中检测了氨的非离子扩散和扩散平衡。在暴露于NH3/NH4+化学梯度的小管中测量收集液中的铵和pH值。在用不含氨的酸性灌注液灌注并用含NH4Cl的溶液浴洗的小管中,除了流速较慢时,收集液中的氨未能在上皮细胞间达到平衡。估计的氨的表观渗透系数约为5×10(-3) cm/s。暴露于管周NH4Cl的小管中管腔液碱化以及管周NH4+和NH3对氨进入的相对影响表明,NH3主要以非离子扩散为主,而非NH4+的转运。在用含NH4Cl的酸性溶液灌注的小管中,几乎检测不到铵的损失,表明对NH4+的通透性较低。与皮质集合管中NH3的扩散受限相反,近端曲管对NH3的表观通透性要高得多。总之,NH3的非离子扩散占近端曲管和皮质集合管中大部分铵的转运。然而,集合管中的扩散相对受限;这可能解释了全肾铵排泄未能定量遵循氨的非离子扩散和扩散平衡预测的原因。