Burg M B, Orloff J
J Clin Invest. 1968 Sep;47(9):2016-24. doi: 10.1172/JCI105888.
Glomerulotubular balance was investigated in isolated, perfused rabbit proximal tubules in vitro in order to evaluate some of the mechanisms proposed to account for the proportionate relationship between glomerular filtration rate and fluid absorption generally observed in vivo. The rate of fluid transport from lumen to bath in proximal convoluted tubules in vitro was approximately equal to the estimated normal rate in vivo. The absorption rate in proximal straight tubules however was approximately one-half as great. If the mechanism responsible for maintenance of glomerulotubular balance is intrinsic to the proximal tubule, as has been proposed on the basis of micropuncture studies, the rate of fluid absorption in vitro should be directly related to the perfusion rate and/or tubule volume. In the present studies absorption rate was only minimally affected when perfusion rate was increased or the tubule distended. Thus, glomerulotubular balance is not mediated by changes in velocity of flow of the tubular fluid or tubular diameter and therefore is not an intrinsic property of the proximal tubule. It has also been proposed that glomerulotubular balance results from a humoral feedback mechanism in which angiotensin directly inhibits fluid absorption by the proximal convoluted tubule. In the present experiments, angiotensin was found to have no significant effect on absorption rate.
为了评估一些被认为可以解释体内普遍观察到的肾小球滤过率与液体重吸收之间比例关系的机制,我们在体外对分离灌注的兔近端小管中的球管平衡进行了研究。体外近曲小管中从管腔到浴液的液体转运速率大约等于体内估计的正常速率。然而,近端直小管中的重吸收率约为近曲小管的一半。如果如微穿刺研究结果所表明的那样,负责维持球管平衡的机制是近端小管固有的,那么体外液体重吸收率应该与灌注速率和/或小管容积直接相关。在本研究中,当灌注速率增加或小管扩张时,重吸收率仅受到极小的影响。因此,球管平衡不是由小管液流速或小管直径的变化介导的,所以它不是近端小管的固有特性。也有人提出,球管平衡是由一种体液反馈机制导致的,在这种机制中,血管紧张素直接抑制近曲小管的液体重吸收。在本实验中,发现血管紧张素对重吸收率没有显著影响。