Stolte H, Schurek H J, Alt J M
Kidney Int. 1979 Sep;16(3):377-84. doi: 10.1038/ki.1979.140.
Glomerular albumin filtration was investigated in the isolated perfused rat kidney and compared with in vivo experiments. Applying micropuncture techniques, we obtained samples from the glomerulus or adjacent early proximal convoluted tubules (EPT) of cortical nephrons and analyzed them for albumin using ultramicrodisc electrophoresis. By determining albumin in glomerular filtrate, we could calculate the sieving coefficient (EPTalb/Palb) directly. The control in vivo value was 0.27 +/- 0.05 X 10(-3) (N = 11). In the isolated perfused rat kidney, the sieving coefficient was 2.1 +/- 0.8 X 10(-3), N = 18 (30 g/liter albumin in perfusate) and 2.3 +/- 0.8 X 10(-3), N = 13 (50 g/liter albumin in perfusate), which is approximately eight times the control in vivo value. With elevated renal venous pressure (20 cm H2O), it increased further to 5.4 +/- 1.6 X 10(-3), N = 8. In all experiments, GFR and proximal transit times were similar to the in vivo controls. Although no major morphologic changes could be detected in any instance, the albumin filtration was greatly elevated. These data confirm the role of a functional barrier in the prevention of glomerular albumin filtration.
在离体灌注的大鼠肾脏中研究了肾小球白蛋白滤过情况,并与体内实验进行了比较。应用微穿刺技术,我们从皮质肾单位的肾小球或相邻的早期近端曲管(EPT)获取样本,并使用超微量圆盘电泳分析其中的白蛋白。通过测定肾小球滤液中的白蛋白,我们可以直接计算筛滤系数(EPTalb/Palb)。体内对照值为0.27±0.05×10⁻³(N = 11)。在离体灌注的大鼠肾脏中,当灌注液中白蛋白浓度为30 g/升时,筛滤系数为2.1±0.8×10⁻³,N = 18;当灌注液中白蛋白浓度为50 g/升时,筛滤系数为2.3±0.8×10⁻³,N = 13,约为体内对照值的八倍。随着肾静脉压力升高(20 cm H₂O),筛滤系数进一步增加至5.4±1.6×10⁻³,N = 8。在所有实验中,肾小球滤过率(GFR)和近端转运时间与体内对照相似。尽管在任何情况下均未检测到明显的形态学变化,但白蛋白滤过却大幅升高。这些数据证实了功能性屏障在防止肾小球白蛋白滤过中的作用。