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大鼠肾小管周围PCO2影响因素的分析。

Analysis of the factors influencing peritubular PCO2 in the rat.

作者信息

Atherton L J, Deen W M, Maddox D A, Gennari F J

出版信息

Am J Physiol. 1984 Jul;247(1 Pt 2):F61-72. doi: 10.1152/ajprenal.1984.247.1.F61.

Abstract

We have developed a mathematical model to assess the relative contributions of several factors to the high CO2 partial pressures observed in rat peritubular capillaries. This model is based on a single nephron and focuses specifically on the CO2 partial pressure differences (delta PCO2) between peritubular capillaries and the afferent arteriole. The model is formulated by writing steady-state mass balances for the glomerulus, proximal tubule, and peritubular capillaries in addition to equilibrium relationships for CO2, HCO3-, blood protein buffers, and hemoglobin carbamino compounds. Principal input parameters include glomerular blood flow rate, rates of HCO3- and water reabsorption, and the rate of metabolic CO2 production. Under conditions representative of normal Munich-Wistar rats, the model predicts delta PCO2 to be 4.1 mmHg, in approximate agreement with experimental observations reported elsewhere. Metabolic CO2 production is responsible for roughly half of this predicted delta PCO2, the remainder being attributable to reabsorption processes. In examining the sensitivity of delta PCO2 to changes in physiological conditions, we consistently found it to be inversely related to glomerular blood flow rate. The influence of changes in HCO3- reabsorption on delta PCO2 is variable and highly dependent on the arterial acid-base status and the ratio of HCO3- reabsorption to water reabsorption.

摘要

我们开发了一个数学模型,以评估多种因素对在大鼠肾小管周围毛细血管中观察到的高二氧化碳分压的相对贡献。该模型基于单个肾单位,特别关注肾小管周围毛细血管与入球小动脉之间的二氧化碳分压差异(ΔPCO2)。除了二氧化碳、碳酸氢根、血液蛋白质缓冲液和血红蛋白氨基甲酸盐化合物的平衡关系外,该模型还通过编写肾小球、近端小管和肾小管周围毛细血管的稳态质量平衡来构建。主要输入参数包括肾小球血流量、碳酸氢根和水的重吸收率以及代谢性二氧化碳产生率。在代表正常慕尼黑-威斯塔大鼠的条件下,该模型预测ΔPCO2为4.1 mmHg,与其他地方报道的实验观察结果大致相符。代谢性二氧化碳产生约占该预测ΔPCO2的一半,其余部分归因于重吸收过程。在研究ΔPCO2对生理条件变化的敏感性时,我们始终发现它与肾小球血流量呈负相关。碳酸氢根重吸收变化对ΔPCO2的影响是可变的,并且高度依赖于动脉酸碱状态以及碳酸氢根重吸收与水重吸收的比例。

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