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大鼠浅表肾单位和深部肾单位酸化参数的比较。

Comparison of acidification parameters in superficial and deep nephrons of the rat.

作者信息

DuBose T D, Lucci M S, Hogg R J, Pucacco L R, Kokko J P, Carter N W

出版信息

Am J Physiol. 1983 May;244(5):F497-503. doi: 10.1152/ajprenal.1983.244.5.F497.

Abstract

The purpose of this study was to determine and compare pH, PCO2, and fractional bicarbonate delivery in both superficial and juxtamedullary nephrons by microelectrode techniques and microcalorimetry in the rat in vivo in order to define more clearly the role of deeper nephron segments in urinary acidification. Values for pH and total CO2 concentration ([tCO2]) at the bend of Henle's loop (LOH) (7.39 +/- 0.04 units and 20.5 +/- 1.5 mM) were significantly greater and the PCO2 was significantly less (36.6 +/- 1.5 mmHg) than values for these same parameters in the superficial late proximal tubule (LPT) (6.78 +/- 0.03 units, 8.1 +/- 1.2 mM, and 63.2 +/- 1.0 mmHg, P less than 0.001). The fraction of filtered bicarbonate delivered to the LPT and LOH did not differ, however (12.2 +/- 2.5 vs. 9.0 +/- 0.8%). The pH and PCO2 values in the late distal tubule (6.59 +/- 0.04 units and 64.0 +/- 1.3 mmHg) were significantly greater than at the base (6.24 +/- 0.07 units and 34.5 +/- 1.5 mmHg) and tip (6.12 +/- 0.03 units and 35.2 +/- 1.2 mmHg) of the papillary collecting duct. The [tCO2] in the LOH and an adjacent vasa recta was compared and did not differ significantly (20.5 +/- 1.5 vs. 21.2 +/- 1.3 mM, P greater than 0.05). In summary, we have demonstrated significant alkalinization of tubule fluid in the deep LOH as a result of water abstraction and CO2 diffusion from the nephron. Our results suggest that a spontaneous disequilibrium pH may not exist in the LOH. Furthermore, similar values for [tCO2] in vasa recta and the LOH suggest that passive HCO-3 reabsorption in the thin ascending limb of Henle would be unlikely and does not contribute to the "loop" component of bicarbonate reabsorption.

摘要

本研究的目的是通过微电极技术和微量热法,在大鼠体内测定并比较浅表肾单位和近髓肾单位中的pH值、二氧化碳分压(PCO₂)以及碳酸氢盐的分数转运,以便更清楚地界定更深层肾单位节段在尿液酸化中的作用。亨氏袢(LOH)弯曲处的pH值和总二氧化碳浓度([tCO₂])(分别为7.39±0.04单位和20.5±1.5 mM)显著高于浅表性晚期近端小管(LPT)中这些相同参数的值(分别为6.78±0.03单位、8.1±1.2 mM和63.2±1.0 mmHg,P<0.001),而PCO₂则显著更低(36.6±1.5 mmHg)。然而,输送到LPT和LOH的滤过碳酸氢盐分数并无差异(分别为12.2±2.5%和9.0±0.8%)。晚期远端小管中的pH值和PCO₂值(分别为6.59±0.04单位和64.0±1.3 mmHg)显著高于乳头集合管底部(分别为6.24±0.07单位和34.5±1.5 mmHg)和顶部(分别为6.12±0.03单位和35.2±1.2 mmHg)的值。对LOH和相邻直小血管中的[tCO₂]进行了比较,二者无显著差异(分别为20.5±1.5 mM和21.2±1.3 mM,P>0.05)。总之,我们已经证明,由于水的重吸收和二氧化碳从肾单位的扩散,深层LOH中的小管液出现了显著碱化。我们的结果表明,LOH中可能不存在自发的不平衡pH值。此外,直小血管和LOH中[tCO₂]的相似值表明,亨氏袢细升支中不太可能存在被动的HCO₃⁻重吸收,且对碳酸氢盐重吸收的“袢”部分没有贡献。

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