Bengele H H, Lechene C P, Alexander E A
Am J Physiol. 1979 Jul;237(1):F48-54. doi: 10.1152/ajprenal.1979.237.1.F48.
The question of phosphate transport along the collecting duct remains controversial inasmuch as no data from direct in vivo evaluation of this nephron segment have been reported. We measured net phosphate transport along the inner medullary collecting duct (IMCD) using the collecting duct microcatheterization technique in five groups of rats. In control rats no net phosphate transport was found and 9.4% of the fraction of filtered phosphate (FFP) entered the IMCD and was excreted. After acute thyroparathyroidectomy (TPTX) there was a striking reduction in the FFP entering the IMCD, 1.8%, and significant reabsorption occurred, 0.5% being excreted. With acute TPTX and parathormone infusion, delivery increased to 33% without significant change along the IMCD. With acute TPTX and phosphate infusion, delivery was increased to control levels but no change was found in net phosphate transport. In rats studied 5-7 days after uninephrectomy alone, phosphate delivery was greater than in control, 25%, and no net phosphate transport was found. These studies demonstrate that phosphate absorption occurs along the IMCD in acutely TPTX rats when the delivery of phosphate to the IMCD is markedly reduced. The increase in phosphaturia which occurs after a reduction in renal mass cannot be accounted for by changes in net phosphate transport along the IMCD.
由于尚未有关于该肾单位节段直接体内评估的数据报道,因此沿集合管的磷酸盐转运问题仍存在争议。我们使用集合管微插管技术在五组大鼠中测量了沿髓质内集合管(IMCD)的净磷酸盐转运。在对照大鼠中,未发现净磷酸盐转运,滤过磷酸盐分数(FFP)的9.4%进入IMCD并被排泄。急性甲状旁腺切除术后(TPTX),进入IMCD的FFP显著减少,为1.8%,并发生了显著的重吸收,0.5%被排泄。在急性TPTX和甲状旁腺激素输注的情况下,输送增加到33%,沿IMCD没有显著变化。在急性TPTX和磷酸盐输注的情况下,输送增加到对照水平,但净磷酸盐转运没有变化。在仅进行单侧肾切除术后5-7天研究的大鼠中,磷酸盐输送大于对照,为25%,未发现净磷酸盐转运。这些研究表明,在急性TPTX大鼠中,当磷酸盐向IMCD的输送显著减少时,沿IMCD会发生磷酸盐吸收。肾质量减少后出现的磷尿增加不能用沿IMCD的净磷酸盐转运变化来解释。