Brenner B M, Bennett C M, Berliner R W
J Clin Invest. 1968 Jun;47(6):1358-74. doi: 10.1172/JCI105828.
We have tested two of the hypotheses proposed to explain the adjustment in sodium reabsorption in the proximal tubule that follows a change in the rate of glomerular filtration (glomerulotubular balance). Using the recollection micropuncture technique, we were able to measure the immediate and late changes in reabsorptive rate after an acute alteration in filtration rate produced by aortic constriction and release of constriction. It was found that fractional reabsorption, as measured by the inulin tubule fluid to plasma (TF/P) ratio, increased after aortic constriction and decreased after release, but that in most instances, absolute reabsorptive rate changed in parallel to glomerular filtration rate. The change was similar whether the collections were made less than 1 or more than 5 min after the change in blood pressure. The rapid time course of this adjustment in reabsorptive rate is viewed as evidence against an intrarenal humoral feedback mechanism. In the same experiments we measured the (TF/P)(In), transit time, and flow rate of fluid in single nephrons before and during aortic constriction or release of aortic constriction. The change in reabsorptive rate and the simultaneous change in calculated cross-sectional area of the tubule lumen were rarely proportional, i.e., C/pir(2) was not constant. In other experiments, these same measurements were made before and during periods of increased ureteral pressure. Despite large increments in calculated cross-sectional area, the absolute rate of reabsorption either remained relatively unchanged or fell in proportion to the change in filtration rate. It is concluded that under these conditions, reabsorptive rate is governed by some factor other than tubule geometry.
我们已经对提出的两种假说来进行了检验,这些假说是为了解释在肾小球滤过率发生变化(球管平衡)后近端小管中钠重吸收的调节情况。利用回收微穿刺技术,我们能够测量在主动脉缩窄和缩窄解除所产生的滤过率急性改变后重吸收率的即时和后期变化。结果发现,用菊粉肾小管液与血浆(TF/P)比值测量的分数重吸收在主动脉缩窄后增加,在缩窄解除后降低,但在大多数情况下,绝对重吸收率与肾小球滤过率平行变化。无论在血压变化后不到1分钟还是超过5分钟进行收集,这种变化都是相似的。重吸收率这种快速的调节时间进程被视为反对肾内体液反馈机制的证据。在相同的实验中,我们在主动脉缩窄或主动脉缩窄解除之前和期间测量了单个肾单位中(TF/P)(In)、转运时间和液体流速。重吸收率的变化与计算得出的肾小管腔横截面积的同时变化很少成比例,即C/πr²不是恒定的。在其他实验中,在输尿管压力增加之前和期间进行了相同的测量。尽管计算得出的横截面积大幅增加,但绝对重吸收率要么保持相对不变,要么与滤过率的变化成比例下降。得出的结论是,在这些条件下,重吸收率受肾小管几何形状以外的某些因素控制。