Mandin H, Israelit A H, Rector F C, Seldin D W
J Clin Invest. 1971 Mar;50(3):514-22. doi: 10.1172/JCI106520.
The effect of acute extracellular volume expansion with saline on the intrarenal distribution of glomerular filtrate, was studied in dogs utilizing micropuncture techniques in which samples were obtained by both recollection and from new tubules. Recollection was examined in seven dogs during continuous hydropenia and in five dogs during continuous saline diuresis. Recollection was associated with an increase in nephron flow rate of 8% during hydropenia and 27% during saline diuresis. In addition, during continuous saline diuresis, shortened transit times and lowered intratubular pressures were recorded in previously punctured tubules. Despite increased tubular flow, fractional reabsorption was unchanged. Nephron glomerular filtration rates (gfr) were measured during hydropenia and then after acute volume expansion in 10 dogs. In the repunctured tubules gfr rose 38% more than total glomerular filtration rate (GFR). In contrast, when new tubules were punctured during volume expansion, nephron gfr and total GFR changed proportionately. The disproportionate rise in nephron gfr after volume expansion noted with the recollection technique appears to be artifactual when contrasted to micropuncture of new tubules. With acute volume expansion, fractional reabsorption decreased 15% in recollected samples and 16% in newly sampled tubules. Increased nephron gfr cannot account for the fall in fractional reabsorption. It is concluded that in dogs, saline diuresis is not associated with redistribution of filtrate from deep to superficial nephrons, and that the fall in proximal fractional reabsorption is caused by diminished absolute reabsorption.
利用微穿刺技术,在狗身上研究了用生理盐水进行急性细胞外液量扩张对肾小球滤过液肾内分布的影响,在该技术中,通过重穿刺和从新肾小管获取样本。在7只处于持续缺水状态的狗和5只处于持续盐水利尿状态的狗身上检查了重穿刺情况。在缺水状态下,重穿刺与肾单位流速增加8%有关,在盐水利尿状态下增加27%。此外,在持续盐水利尿期间,在先前穿刺的肾小管中记录到转运时间缩短和肾小管内压力降低。尽管肾小管流量增加,但分数重吸收没有变化。在10只狗身上测量了缺水状态下以及急性容量扩张后的肾单位肾小球滤过率(gfr)。在重穿刺的肾小管中,gfr的上升比总肾小球滤过率(GFR)多38%。相反,当在容量扩张期间穿刺新的肾小管时,肾单位gfr和总GFR成比例变化。与新肾小管的微穿刺相比,重穿刺技术记录到的容量扩张后肾单位gfr的不成比例上升似乎是人为造成的。随着急性容量扩张,重穿刺样本中的分数重吸收下降了15%,新采样肾小管中的分数重吸收下降了16%。肾单位gfr的增加不能解释分数重吸收的下降。得出的结论是,在狗身上,盐水利尿与滤液从深部肾单位向浅表肾单位的重新分布无关,近端分数重吸收的下降是由绝对重吸收减少引起的。