Pagliara A S, Goodman A D
J Clin Invest. 1970 Nov;49(11):1967-74. doi: 10.1172/JCI106416.
Glutamate is an inhibitor of phosphate dependent glutaminase (PDG), and renal cortical glutamate is decreased in metabolic acidosis. It has been postulated previously that the rise in renal production of ammonia from glutamine in metabolic acidosis is due primarily to activation of cortical PDG as a consequence of the fall in glutamate. The decrease in cortical glutamate has been attributed to the increase in the capacity of cortex to convert glutamate to glucose in acidosis. In the present study, administration of ammonium chloride to rats in an amount inadequate to decrease cortical glutamate increased the capacity of cortex to produce ammonia from glutamine in vitro and increased cortical PDG. Similarly, cortex from potassium-depleted rats had an increased capacity to produce ammonia and an increase in PDG, but glutamate content was normal. The glutamate content of cortical slices incubated at pH 7.1 was decreased, and that at 7.7 was increased, compared to slices incubated at 7.4, yet ammonia production was the same at all three pH levels. These observations suggest that cortical glutamate concentration is not the major determinant of ammonia production. In potassium-depleted rats there was a 90% increase in the capacity of cortex to convert glutamate to glucose, yet cortical glutamate was not decreased. In vitro, calcium more than doubled conversion of glutamate to glucose by cortical slices without affecting the glutamate content of the slices, and theophylline suppressed conversion of glutamate to glucose yet decreased glutamate content. These observations indicate that the rate of cortical gluconeogenesis is not the sole determinant of cortical glutamate concentration. The increase in cortical gluconeogenesis in acidosis and potassium depletion probably is not the primary cause of the increase in ammonia production in these states, but the rise in gluconeogenesis may contribute importantly to the maintenance of increased ammoniagenesis by accelerating removal of the products of glutamine degradation.
谷氨酸是磷酸依赖性谷氨酰胺酶(PDG)的抑制剂,代谢性酸中毒时肾皮质谷氨酸水平降低。此前有推测认为,代谢性酸中毒时肾脏从谷氨酰胺产生氨的量增加,主要是由于谷氨酸水平下降导致皮质PDG激活。皮质谷氨酸水平降低归因于酸中毒时皮质将谷氨酸转化为葡萄糖的能力增强。在本研究中,给大鼠给予不足以降低皮质谷氨酸水平的氯化铵,可增加皮质在体外从谷氨酰胺产生氨的能力,并增加皮质PDG。同样,低钾大鼠的皮质产生氨的能力增强,PDG增加,但谷氨酸含量正常。与在pH 7.4孵育的切片相比,在pH 7.1孵育的皮质切片谷氨酸含量降低,而在pH 7.7孵育的切片谷氨酸含量增加,但在所有这三个pH水平下氨的产生量相同。这些观察结果表明,皮质谷氨酸浓度不是氨产生的主要决定因素。在低钾大鼠中,皮质将谷氨酸转化为葡萄糖的能力增加了90%,但皮质谷氨酸并未降低。在体外,钙使皮质切片将谷氨酸转化为葡萄糖的转化率增加了一倍多,而不影响切片中的谷氨酸含量,茶碱抑制谷氨酸向葡萄糖的转化,但降低了谷氨酸含量。这些观察结果表明,皮质糖异生速率不是皮质谷氨酸浓度的唯一决定因素。酸中毒和低钾时皮质糖异生增加可能不是这些状态下氨产生增加的主要原因,但糖异生增加可能通过加速谷氨酰胺降解产物的清除,对维持氨生成增加起重要作用。