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钾离子跨大鼠肾脏单个远端小管转运的动力学

Kinetics of potassium transport across single distal tubules of rat kidney.

作者信息

de Mello-Aires M, Giebisch G, Malnic G

出版信息

J Physiol. 1973 Jul;232(1):47-70. doi: 10.1113/jphysiol.1973.sp010256.

Abstract
  1. The transport of potassium across the distal tubular epithelium was studied in vivo in rats on a normal potassium intake and in rats in which distal tubular potassium secretion was either stimulated by potassium loading or the I.V. administration of a 5% sodium bicarbonate solution or in which potassium secretion was suppressed by dietary deprivation of potassium or sodium.2. (42)K was used to measure unidirectional fluxes across the luminal and peritubular cell membranes and to assess the magnitude of cellular potassium partaking in the transport process. This was accomplished by the simultaneous perfusion of the peritubular capillary network with (42)K-Ringer and of the distal tubular lumen with initially tracer-free solution. From the steady-state flux and the time course of tracer washout into the lumen after discontinuing the peritubular perfusion, unidirectional fluxes, rate coefficients of ion transfer and cellular transport pools could be measured.3. Transepithelial movement of potassium involves mixing with a variable cellular potassium transport pool. The latter is significantly elevated in conditions of enhanced distal tubular potassium secretion; cellular potassium labelling is reduced in conditions in which potassium secretion has been suppressed by potassium deprivation.4. Evidence is presented that changes in the peritubular transport pattern are primarily responsible for modifications of potassium translocation. Thus, stimulation of potassium secretion is associated with increased peritubular potassium uptake; a reduced potassium uptake across the peritubular cell membrane accounts for the fall in potassium secretion in potassium-depleted animals. Whereas passive entry of potassium across the peritubular membrane is augmented in potassium-loaded animals, the induction of metabolic alkalosis by the administration of 5% sodium bicarbonate stimulates active potassium uptake across the peritubular cell membrane. Sodium deprivation stimulates active reabsorptive transfer of potassium from the tubular lumen.
摘要
  1. 研究了正常钾摄入的大鼠以及通过钾负荷、静脉注射5%碳酸氢钠溶液刺激远端肾小管钾分泌,或通过低钾或低钠饮食抑制钾分泌的大鼠体内钾在远端肾小管上皮的转运情况。

  2. 用(42)K测量钾在管腔和肾小管周围细胞膜的单向通量,并评估参与转运过程的细胞内钾的量。这是通过同时用含(42)K的林格液灌注肾小管周围毛细血管网和用初始无示踪剂的溶液灌注远端肾小管腔来实现的。根据稳态通量和停止肾小管周围灌注后示踪剂洗脱到管腔的时间进程,可以测量单向通量、离子转运速率系数和细胞转运池。

  3. 钾的跨上皮运动涉及与可变的细胞内钾转运池混合。在远端肾小管钾分泌增强的情况下,后者显著升高;在低钾饮食抑制钾分泌的情况下,细胞内钾标记减少。

  4. 有证据表明,肾小管周围转运模式的变化主要是钾转运改变的原因。因此,钾分泌的刺激与肾小管周围钾摄取增加有关;低钾动物中,肾小管周围细胞膜钾摄取减少导致钾分泌下降。在钾负荷动物中,钾通过肾小管周围膜的被动进入增加,而静脉注射5%碳酸氢钠诱导代谢性碱中毒刺激钾通过肾小管周围细胞膜的主动摄取。钠缺乏刺激钾从肾小管腔的主动重吸收转运。

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