Stone W J, Pitts R F
J Clin Invest. 1967 Jul;46(7):1141-50. doi: 10.1172/JCI105607.
Studies in which (15)N-labeled precursors of urinary ammonia were infused into the artery of an intact functioning kidney of an acidotic dog have led to the following conclusions: Preformed ammonia and ammonia derived from the amide nitrogen of plasma glutamine are added directly to urine without significant incorporation into amino acid intermediates of renal tissue. Thus, reductive amination of alpha-ketoglutarate to form glutamate does not occur to an appreciable extent nor is there significant transfer of the amide nitrogen of glutamine to the corresponding keto acids to form glutamate, aspartate, alanine, or glycine. The enzyme system "glutaminase II" may participate to a significant extent in the metabolism of glutamine by forming aspartate and alanine by direct transamination of oxalacetate and pyruvate and liberating the amide nitrogen as ammonia. Renal alanine exists as a well mixed pool derived in roughly equal amounts from filtered and reabsorbed plasma alanine and newly synthesized alanine. The alanine pool of tubular cells does not equilibrate with the alanine of peritubular capillary blood. Transfer of the nitrogen of alanine to alpha-ketoglutarate and subsequent oxidative demination of the resulting glutamate can account for the ammonia formed from alanine. Glycine is not an important intermediate in renal nitrogen metabolism.
将(15)N标记的尿氨前体注入酸中毒犬完整功能肾脏的动脉进行的研究得出了以下结论:预先形成的氨和源自血浆谷氨酰胺酰胺氮的氨直接添加到尿液中,而没有显著掺入肾组织的氨基酸中间体中。因此,α-酮戊二酸还原胺化形成谷氨酸的过程并未明显发生,谷氨酰胺的酰胺氮也没有显著转移到相应的酮酸中以形成谷氨酸、天冬氨酸、丙氨酸或甘氨酸。酶系统“谷氨酰胺酶II”可能在很大程度上参与谷氨酰胺的代谢,通过草酰乙酸和丙酮酸的直接转氨作用形成天冬氨酸和丙氨酸,并将酰胺氮以氨的形式释放出来。肾丙氨酸以一个充分混合的库的形式存在,其大致等量地来源于滤过和重吸收的血浆丙氨酸以及新合成的丙氨酸。肾小管细胞的丙氨酸库与肾小管周围毛细血管血液中的丙氨酸不平衡。丙氨酸的氮转移到α-酮戊二酸,随后生成的谷氨酸进行氧化脱氨,可以解释由丙氨酸形成的氨。甘氨酸不是肾氮代谢的重要中间体。