Whiteside C, Silverman M
Am J Physiol. 1983 Oct;245(4):F496-505. doi: 10.1152/ajprenal.1983.245.4.F496.
The single-pass multiple-indicator-dilution (MID) technique was used to analyze postglomerular capillary permeability. Anesthetized mongrel dogs (n = 13) during mannitol diuresis received a pulse injection of 125I-albumin (plasma reference), [14C]inulin (glomerular reference), creatinine (interstitial reference), and a homogeneous [3H]dextran molecular weight marker 6,000-12,000 dalton in the left renal artery. Simultaneous left renal venous outflow and right and left urine were rapidly sampled. Left urine recoveries of creatinine, [14C]inulin, and [3H]dextran were identical, indicating no glomerular solute flux limitation. Progressive precession of the [14C]inulin and [3H]dextran renal vein curves relative to creatinine indicated increasing postglomerular limitation to solute flux proportional to molecular size. The postglomerular solute extraction (EPG) (renal vein upslope indicator/125I-albumin) varied inversely with postglomerular renal plasma flow (F), indicating diffusion limitation. Ouabain infusion into the left renal artery significantly reduced Na reabsorption but did not alter the EPG of [14C]inulin or [3H]dextran. Permeability-surface (PS) area products calculated from EPG and F ranged from 4.86 +/- 0.89 to 0.97 +/- 0.25 (SD) cm X s-1 X 100 g-1 for indicators 5,000-12,000 dalton. [14C]Inulin PS products remained constant for F greater than or equal to 2.50 ml X s-1 X 100 g kidney-1. PS[3H]dextran/PS[14C]In (n = 20, F greater than or equal to 2.5 ml X s-1) was used to calculate an effective postglomerular capillary pore radius, r = 55.5 +/- 7.6 (SD) A.
采用单通道多指示剂稀释(MID)技术分析肾小球后毛细血管通透性。在甘露醇利尿期间,对13只麻醉的杂种狗在左肾动脉内脉冲注射125I - 白蛋白(血浆参考物)、[14C]菊粉(肾小球参考物)、肌酐(间质参考物)以及一种分子量为6000 - 12000道尔顿的均匀[3H]右旋糖酐分子量标记物。同时快速采集左肾静脉流出液以及左右两侧尿液。肌酐、[14C]菊粉和[3H]右旋糖酐的左尿回收率相同,表明不存在肾小球溶质通量限制。[14C]菊粉和[3H]右旋糖酐肾静脉曲线相对于肌酐的逐渐前移表明,肾小球后溶质通量限制随分子大小增加。肾小球后溶质提取率(EPG)(肾静脉上升段指示剂/125I - 白蛋白)与肾小球后肾血浆流量(F)呈反比,表明存在扩散限制。向左肾动脉输注哇巴因显著降低了钠重吸收,但未改变[14C]菊粉或[3H]右旋糖酐的EPG。根据EPG和F计算的通透表面积(PS)乘积,对于分子量为5000 - 12000道尔顿的指示剂,范围为4.86±0.89至0.97±0.25(标准差)cm×s-1×100 g-1。当F大于或等于2.50 ml×s-1×100 g肾-1时,[14C]菊粉的PS乘积保持恒定。PS[3H]右旋糖酐/PS[14C]菊粉(n = 20,F大于或等于2.5 ml×s-1)用于计算有效的肾小球后毛细血管孔半径,r = 55.5±7.6(标准差)Å。