Good D W, Burg M B
J Clin Invest. 1984 Mar;73(3):602-10. doi: 10.1172/JCI111250.
Ammonia production was measured directly in 10 segments of the rat nephron to determine the relative importance of the segments as sites of renal ammonia production. Tubules were microdissected from normal rats and rats drinking 0.28 M NH4Cl or 0.28 M NaHCO3 for 3-8 d. The segments were incubated in vitro with and without 2 mM glutamine. Ammonia concentrations in the incubation fluid were measured by microfluorometry to determine ammonia production rates. All segments produced ammonia from glutamine. In normal rats, production with glutamine was highest (greater than 5 pmol/min per mm) in the proximal convoluted (S-1), proximal straight (S-3), and distal convoluted tubules, and lowest (less than or equal to 2) in cortical and medullary collecting ducts and thin descending limbs. Metabolic acidosis increased production by 60% in the S-1 segment of the proximal convoluted tubule and by 150% in the S-2 segment of the proximal straight tubule without significant effect in any other segment. Bicarbonate loading decreased production by S-1 but had no effect on S-2 or S-3. Thus, acid-base changes altered production only in specific segments of the proximal tubule. We infer that the bulk of ammonia production occurs in the proximal tubules and that production by collecting ducts can account for only a few percent of renal ammonia production and excretion in the rat.
直接测定大鼠肾单位10个节段的氨生成量,以确定这些节段作为肾脏氨生成部位的相对重要性。从正常大鼠以及饮用0.28 M NH4Cl或0.28 M NaHCO3 3 - 8天的大鼠中显微解剖肾小管。将这些节段在有和没有2 mM谷氨酰胺的情况下进行体外培养。通过微量荧光法测量培养液中的氨浓度,以确定氨生成速率。所有节段都能从谷氨酰胺生成氨。在正常大鼠中,谷氨酰胺存在时,近曲小管(S-1)、近端直小管(S-3)和远曲小管的氨生成量最高(大于5 pmol/分钟·毫米),而皮质和髓质集合管以及细降支的氨生成量最低(小于或等于2)。代谢性酸中毒使近曲小管S-1节段的氨生成量增加60%,近端直小管S-2节段的氨生成量增加150%,而对其他任何节段均无显著影响。碳酸氢盐负荷使S-1节段的氨生成量减少,但对S-2或S-3节段无影响。因此,酸碱变化仅改变近端小管特定节段的氨生成。我们推断大部分氨生成发生在近端小管,并且集合管的氨生成仅占大鼠肾脏氨生成和排泄的百分之几。