Effros R M, Nioka S
J Clin Invest. 1983 May;71(5):1418-30. doi: 10.1172/jci110895.
The transit of 14CO2 and H14CO3- through the renal vasculature was studied in rabbit kidneys perfused without erythrocytes and in an in vivo preparation in which erythrocytes were present. In the absence of erythrocytes, the transit of 14CO2 from the renal artery to renal vein was much more rapid than that of H14CO3-. This suggests that (a) there is insufficient carbonic anhydrase (c.a.) in the vasculature between the renal artery and the exchange vessels of the kidney to ensure equilibration between CO2 and HCO3- and (b) CO2 can diffuse directly between arterial and venous vessels in the kidney. Following infusions of carbonic anhydrase, the renal venous outflow patterns of 14CO2 and H14CO3- became the same in the perfused kidneys. Although the initial recovery of 14CO2 remained greater than that of H14CO3- after infusions of acetazolamide (a c.a. inhibitor), arteriovenous diffusion of 14CO2 was diminished by this agent. This is attributed to inhibition of renal tubular c.a. The outflow patterns of H14CO3- and 14CO2 were nearly the same in the presence of erythrocytes, indicating that erythrocyte c.a. is sufficiently accessible to permit virtual equilibration of these radionuclides during the interval required for transit between the renal artery and exchange vessels. However, addition of carbonic anhydrase to the plasma seemed to accelerate transit of both 14CO2 and H14CO3- through the kidneys, and a small disequilibrium between CO2 and HCO3- may therefore normally be present in the renal interstitium and capillaries.
在无红细胞灌注的兔肾以及存在红细胞的体内制备物中,研究了(^{14}CO_2)和(H^{14}CO_3^-)通过肾血管系统的转运情况。在无红细胞时,(^{14}CO_2)从肾动脉到肾静脉的转运比(H^{14}CO_3^-)快得多。这表明:(a)在肾动脉与肾交换血管之间的血管系统中,碳酸酐酶(c.a.)不足,无法确保(CO_2)与(HCO_3^-)之间达到平衡;(b)(CO_2)可在肾动脉和静脉血管之间直接扩散。注入碳酸酐酶后,在灌注肾中(^{14}CO_2)和(H^{14}CO_3^-)的肾静脉流出模式变得相同。尽管注入乙酰唑胺(一种碳酸酐酶抑制剂)后,(^{14}CO_2)的初始回收率仍高于(H^{14}CO_3^-),但该药物减少了(^{14}CO_2)的动静脉扩散。这归因于肾小管碳酸酐酶受到抑制。在有红细胞存在时,(H^{14}CO_3^-)和(^{14}CO_2)的流出模式几乎相同,表明红细胞碳酸酐酶易于发挥作用,能使这些放射性核素在肾动脉与交换血管之间的转运间隔期内实现近乎平衡。然而,向血浆中添加碳酸酐酶似乎加速了(^{14}CO_2)和(H^{14}CO_3^-)通过肾脏的转运,因此在肾间质和毛细血管中,(CO_2)与(HCO_3^-)之间可能通常存在小的不平衡。