Jacobson H R
J Clin Invest. 1979 Mar;63(3):410-8. doi: 10.1172/JCI109317.
Segments of superficial and juxtamedullary proximal convoluted tubules of the rabbit were perfused in vitro to examine the mechanisms responsible for net volume reabsorption. The very early postglomerular segments were not studied. Fluid reabsorptive rates and transepithelial potential differences were compared under various conditions: (a) with perfusate that simulated glomerular filtrate; (b) with perfusate that lacked glucose, amino acids, and acetate and that had HCO(3) and Cl concentrations of 5 and 140 mM, respectively; (c) with perfusate that lacked glucose, amino acids, and acetate but with 20 meq of NaHCO(3) replaced with 20 meq of Na cyclamate; (d) with the same perfusate as in b but in the presence of ouabain in the bath; (e) with ultrafiltrate of rabbit serum titrated with HCl to final HCO(3) and Cl concentrations of 2 and 134 mM, respectively. Tubules were perfused with this titrated ultrafiltrate at 37 degrees C, 21 degrees C, and in the presence of 0.1 mM ouabain in the bath. Bath fluid in all experiments was regular rabbit serum. Under conditions a and b superficial proximal convoluted tubule (SFPCT) and juxtamedullary proximal convoluted tubule (JMPCT) behaved similarly with the exception that SFPCT exhibited a lumen-positive and JMPCT a lumen-negative electrical potential under condition b. However, under condition c SFPCT failed to exhibit net volume reabsorption, whereas reabsorption in JMPCT continued unchanged. Ouabain did not affect volume reabsorption in SFPCT under condition d, whereas neither ouabain nor hypothermia affected SFPCT under condition e. In contrast, ouabain and hypothermia totally inhibited volume reabsorption in JMPCT under conditions d and e. These studies document heterogeneous mechanisms responsible for volume reabsorption in the major portions of SFPCT and JMPCT with passive forces predominating in SFPCT and active forces in JMPCT.
对兔的浅表和近髓质近端曲管段进行体外灌注,以研究负责净体积重吸收的机制。未研究肾小球后极早期段。在各种条件下比较了液体重吸收率和跨上皮电位差:(a) 使用模拟肾小球滤液的灌注液;(b) 使用缺乏葡萄糖、氨基酸和乙酸盐且 HCO₃ 和 Cl 浓度分别为 5 和 140 mM 的灌注液;(c) 使用缺乏葡萄糖、氨基酸和乙酸盐但用 20 毫当量的环己基氨基磺酸钠替代 20 毫当量的 NaHCO₃ 的灌注液;(d) 使用与 b 中相同的灌注液,但浴中存在哇巴因;(e) 使用用 HCl 滴定至最终 HCO₃ 和 Cl 浓度分别为 2 和 134 mM 的兔血清超滤物。在 37℃、21℃下以及浴中存在 0.1 mM 哇巴因的情况下,用这种滴定的超滤物灌注小管。所有实验中的浴液均为正常兔血清。在条件 a 和 b 下,浅表近端曲管(SFPCT)和近髓质近端曲管(JMPCT)表现相似,不同之处在于在条件 b 下 SFPCT 表现为管腔正电位,JMPCT 表现为管腔负电位。然而,在条件 c 下,SFPCT 未能表现出净体积重吸收,而 JMPCT 中的重吸收持续不变。在条件 d 下,哇巴因不影响 SFPCT 中的体积重吸收,而在条件 e 下,哇巴因和低温均不影响 SFPCT。相比之下,在条件 d 和 e 下,哇巴因和低温完全抑制了 JMPCT 中的体积重吸收。这些研究证明了 SFPCT 和 JMPCT 主要部分中负责体积重吸收的异质机制,在 SFPCT 中以被动力为主,在 JMPCT 中以主动力为主。