Whinnery M A, Kunau R T
Am J Physiol. 1979 Sep;237(3):F226-31. doi: 10.1152/ajprenal.1979.237.3.F226.
Chronic potassium (K+) deficiency has been shown previously to cause a reduction in solute content in the renal papilla, an effect that is potentially important as a contributing factor to the concentrating defect seen in this circumstance. The cause of the decrease in papillary solute content has not been adequately explained. Because alterations in the blood flow rate through the renal papilla may affect the solute content of the papilla, the present experiments examined the effect of chronic K+ deficiency on papillary plasma flow (PPF) in the rat. PPF was measured by the radioactive albumin accumulation technique. Sprague-Dawley rats were fed identical quantities of water and either a normal or a K+-deficient diet for 21 days. Total GRR in the control rats, 1.7 +/- 0.17 (SE) ml/min, was similar to that in K+-deficient rats, 1.4 +/- 0.14 ml/min (P greater than 0.01). Total [3H]PAH clearance was also comparable in the two groups, i.e., 4.4 +/- 0.47 in control and 4.7 +/- 0.45 ml/min in K+-deficient rats (P greater than 0.06). PPF was significantly lower in K+-deficient rats, 19.7 +/- 1.1 ml-min-1-100 g-1, than in control rats, 59.8 +/- 1.6 ml-min-1-100 g-1 (P less than 0.001). The decrease in PPF in the K+-deficient rat may reflect a reduction in perfusion to the juxtamedullary nephrons, thereby resulting in a diminution in both solute delivery and blood flow to the papilla.
先前的研究表明,慢性钾(K+)缺乏会导致肾乳头溶质含量降低,这一效应作为导致这种情况下浓缩功能缺陷的一个因素可能具有重要意义。肾乳头溶质含量降低的原因尚未得到充分解释。由于流经肾乳头的血流速率变化可能会影响肾乳头的溶质含量,因此本实验研究了慢性K+缺乏对大鼠肾乳头血浆流量(PPF)的影响。PPF通过放射性白蛋白蓄积技术进行测量。将Sprague-Dawley大鼠给予等量的水,并分别喂食正常饮食或低钾饮食21天。对照大鼠的总GRR为1.7±0.17(SE)ml/min,与低钾大鼠的1.4±0.14 ml/min相似(P>0.01)。两组的总[3H]PAH清除率也相当,即对照组为4.4±0.47,低钾大鼠为4.7±0.45 ml/min(P>0.06)。低钾大鼠的PPF显著低于对照大鼠,分别为19.7±1.1 ml·min-1·100 g-1和59.8±1.6 ml·min-1·100 g-1(P<0.001)。低钾大鼠PPF的降低可能反映了近髓肾单位灌注减少,从而导致肾乳头的溶质输送和血流量均减少。