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肾近端小管中氯化钠和水转运的特征

Characteristics of NaCl and water transport in the renal proximal tubule.

作者信息

Kokko J P, Burg M B, Orloff J

出版信息

J Clin Invest. 1971 Jan;50(1):69-76. doi: 10.1172/JCI106485.

Abstract

Renal proximal tubular transport of salt and water has been examined using isolated perfused rabbit tubules. In this method direct measurements can be made under controlled conditions not readily achieved in vivo. The results are in general agreement with previous micropuncture studies in other species, supporting the validity of both sets of measurements. In the present studies, absorption of sodium salts and water occurred without change in the concentration of Na in the lumen except when a poorly reabsorbed solute (raffinose) was present, in which case, mean concentration of Na in the lumen reached a steady-state value 33-35 mEq liter(-1) less than in the bath. The tubule is very permeable to sodium salts (sodium permeability = 9.3 x 10(-5) cm sec(-1), sigma(NaCl) = 0.68-(0.71) and to water (hydraulic conductivity [L(p)] = 2.9 to 6.3 x 10(-5) cm sec(-1) atm(-1)). Net reabsorptive flux of Na was only 20% of the unidirectional Na flux. The steady-state concentration difference for Na in the presence of raffinose and sigma(NaCl) in the present studies was the same as previously found by micropuncture in the rat. On the other hand Na permeability, net Na transport rate, and L(p) were all from one-half to one-third as great in the isolated rabbit tubule as in the rat in vivo. Apparently, although the transport mechanisms appear to be basically the same in the two species, there are fewer transport units and passive permeability paths per unit length in the rabbit tubule than in the rat.

摘要

利用分离灌注的兔肾小管对盐和水的肾近端小管转运进行了研究。在这种方法中,可以在体内难以实现的受控条件下进行直接测量。结果与之前对其他物种的微穿刺研究总体一致,支持了两组测量结果的有效性。在本研究中,钠盐和水的吸收发生时,管腔内Na浓度没有变化,除非存在重吸收不良的溶质(棉子糖),在这种情况下,管腔内Na的平均浓度达到一个稳态值,比浴液中的浓度低33 - 35 mEq·L⁻¹。肾小管对钠盐(钠通透性 = 9.3×10⁻⁵ cm·sec⁻¹,σ(NaCl)= 0.68 - 0.71)和水(水力传导率[L(p)] = 2.9至6.3×10⁻⁵ cm·sec⁻¹·atm⁻¹)非常通透。Na的净重吸收通量仅为单向Na通量的20%。本研究中存在棉子糖时Na的稳态浓度差和σ(NaCl)与之前大鼠微穿刺研究中发现的相同。另一方面,分离的兔肾小管中的钠通透性、净钠转运速率和L(p)均仅为大鼠体内的一半至三分之一。显然,尽管两种物种的转运机制似乎基本相同,但兔肾小管中每单位长度的转运单元和被动通透路径比大鼠少。

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