Staum B B, Hamburger R J, Goldberg M
J Clin Invest. 1972 Sep;51(9):2271-6. doi: 10.1172/JCI107036.
To determine the sites of tubular phosphate reabsorption in the nephron, microinjection studies were undertaken, utilizing isotonic electrolyte solutions, containing either 1.4 or 8.0 mM phosphate and radioactive PO(4)-(33)P and inulin-(3)H, in rats made mildly diuretic by infusion of mannitol. The injected sites were localized by the technique of latex dissection. The relation between proximal tubular length and per cent (33)P recovery for injections of 1.4 mM phosphate (physiological amounts) suggest that relatively little reabsorption of phosphate occurs in the distal 30% of the proximal tubule compared with the proximal portion of the tubule. The corresponding recoveries for proximal tubular microinjections of 8.0 mM phosphate fall along a smooth curve tending to plateau with essentially complete (33)P recovery (> 95%) beyond 50% of the tubule. Absolute reabsorption of injected phosphate for both concentrations (i.e., absolute efflux per unit tubular length in the proximal tubule) was independent of phosphate delivery, since the relationship between reabsorption and site of injection was no different for the two concentrations. Distal convoluted tubular microinjections for both phosphate concentrations showed complete recovery of (33)P from all injection sites. THE DATA INDICATE THAT: (a) no phosphate reabsorption occurs in the distal convoluted tubule or in the collecting duct, (b) phosphate efflux per unit tubular length is greater in the first one-third of the proximal tubule than in the remaining two-thirds, and (c) in the last two-thirds of the proximal tubule, absolute phosphate reabsorption is relatively small and might be limited by factors other than the amount or concentration of injected phosphate.
为了确定肾单位中肾小管磷酸盐重吸收的部位,利用含1.4或8.0 mM磷酸盐以及放射性磷酸根(³³P)和菊粉(³H)的等渗电解质溶液,对通过输注甘露醇而轻度利尿的大鼠进行了微量注射研究。通过乳胶解剖技术确定注射部位。对于注射1.4 mM磷酸盐(生理量)而言,近端肾小管长度与³³P回收率之间的关系表明,与近端肾小管的近端部分相比,近端肾小管远端30%的磷酸盐重吸收相对较少。近端肾小管微量注射8.0 mM磷酸盐时的相应回收率沿一条平滑曲线下降,在超过肾小管50%时趋于平稳,³³P回收率基本完全(>95%)。两种浓度下注射磷酸盐的绝对重吸收(即近端肾小管单位长度的绝对流出量)与磷酸盐输送无关,因为两种浓度下重吸收与注射部位之间的关系并无差异。两种磷酸盐浓度下远曲小管的微量注射均显示³³P从所有注射部位完全回收。这些数据表明:(a)远曲小管或集合管中不发生磷酸盐重吸收;(b)近端肾小管前三分之一单位长度的磷酸盐流出量大于后三分之二;(c)在近端肾小管的后三分之二,磷酸盐的绝对重吸收相对较小,可能受注射磷酸盐的量或浓度以外的因素限制。