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大鼠近端曲管中葡萄糖、钠、渗透溶质和水的自由流动重吸收

Free-flow reabsorption of glucose, sodium, osmoles and water in rat proximal convoluted tubule.

作者信息

Bishop J H, Green R, Thomas S

出版信息

J Physiol. 1979 Mar;288:331-51.

Abstract
  1. Reabsorption of glucose, sodium, total solute (osmoles) and water in the rat proximal tubule (pars convoluta) were studied by free-flow micropuncture at normal (saline-infused), suppressed (saline with phlorizin) and elevated (glucose infusion) glucose reabsorption rates. 2. Phlorizin completely inhibited net glucose reabsorption, approximately halved reabsorption of sodium, total solutes and water, and reduced single nephron glomerular filtration rate (SNGFR). 3. In saline and glucose-infused groups, there were no significant differences between SNGFR nor between reabsorptions (fractional and absolute) of either sodium, total solute or water, which were uniformly distributed along segments assessible to micropuncture. 4. Glucose reabsorptive capacity existed along the entire pars convoluta, with highest reabsorptive rates in convolutions closest to the glomerulus (in saline-infused rats, 90% fractional reabsorption at 2 mm, over 95% at end pars convoluta; in glucose-infused rats, 55 and 90%, respectively). 5. In saline and glucose infused rats, a significant correlation existed between net glucose and sodium reabsorption, but the regression slopes differed and correlations became non-significant when the reabsorptive fluxes were factored by SNGFR. 6. For all groups, the majority of tubular fluid (TF) concentrations of osmoles and sodium were lower than those in plasma (over-all mean TFosm)Posm = 0.973 +/- 0.004, P less than 0.001; TFNa /PNa = 0.964 +/- 0.005, P less than 0.001). 7. Correspondingly, calculated osmolal and sodium concentrations in the reabsorbate were greater than those in plasma, and were significantly correlated with distance to puncture site with maximal values in the most proximal convolutions (for osmolality, approximately +79 m-osmole kg-1 water at 1 mm).
摘要
  1. 通过自由流微穿刺技术,在正常(输注生理盐水)、抑制(输注含根皮苷的生理盐水)和增强(输注葡萄糖)葡萄糖重吸收率的情况下,研究了大鼠近端小管(曲部)对葡萄糖、钠、总溶质(渗透摩尔)和水的重吸收。2. 根皮苷完全抑制葡萄糖净重吸收,使钠、总溶质和水的重吸收减少约一半,并降低单肾单位肾小球滤过率(SNGFR)。3. 在输注生理盐水和葡萄糖的组中,SNGFR之间以及钠、总溶质或水的重吸收(分数和绝对重吸收)之间均无显著差异,这些重吸收在可进行微穿刺的节段中均匀分布。4. 葡萄糖重吸收能力存在于整个曲部,在最靠近肾小球的曲段重吸收率最高(在输注生理盐水的大鼠中,在2 mm处分数重吸收为90%,在曲部末端超过95%;在输注葡萄糖的大鼠中,分别为55%和90%)。5. 在输注生理盐水和葡萄糖的大鼠中,葡萄糖净重吸收与钠重吸收之间存在显著相关性,但回归斜率不同,当重吸收通量用SNGFR进行校正时,相关性变得不显著。6. 对于所有组,大多数肾小管液(TF)中的渗透摩尔和钠浓度低于血浆中的浓度(总体平均TFosm/Posm = 0.973±0.004,P<0.001;TFNa/PNa = 0.964±0.005,P<0.001)。7. 相应地,重吸收液中计算出的渗透摩尔浓度和钠浓度高于血浆中的浓度,并且与穿刺部位的距离显著相关,在最近端的曲段中达到最大值(对于渗透压,在1 mm处约为+79 m-渗透摩尔/千克水)。

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