Hsu C H, Chen P S, Caldwell R M
Kidney Int. 1984 May;25(5):785-95. doi: 10.1038/ki.1984.91.
Renal tubular reabsorption of phosphate was studied in unanesthetized spontaneously hypertensive (SHR) and normotensive Wistar Kyoto rats (WKY). Three-hour-urinary phosphate excretions of 12-week-old-male SHR (53.0 +/- 13.1 micrograms/mg creatinine, N = 7) and 14-week-old female SHR (81.8 +/- 12.8, N = 8) were significantly lower than those of age sex-matched WKY (12 week, 435.8 +/- 73.2, N = 8, P less than 0.01; 14 week, 423.3 +/- 75.9, N = 8, P less than 0.01). Renal clearances were performed in 14-week-old female rats after an overnight fast. The serum phosphate concentration of SHR (4.61 +/- 0.25 mg/dl) was lower than that of WKY (5.44 +/- 0.14, P less than 0.02). Urinary phosphate excretion (U Pi V = 6.85 +/- 1.83 micrograms/min) and fractional phosphate excretion (FE Pi = 13.7 +/- 2.3%) of SHR were lower than those of WKY (U Pi V = 15.9 +/- 1.87 micrograms/min, P less than 0.01, FE Pi 22.8 +/- 2.6%, P less than 0.02). Acute hyperventilation could not account for the lower excretion of phosphate in SHR, since arterial pH and PCO2 were not different between WKY and SHR. The low renal phosphate clearance of SHR was noted at a very early age; the U Pi V of 5-week-old SHR was already lower than that of WKY. Maximum tubular phosphate reabsorption (TmPi) was studied in the 12-week-old SHR and WKY after acute thyroparathyroidectomy. TmPi of SHR (241 +/- 3.0 micrograms/ml GFR/100 g, N = 7) was greater than that of WKY (204 +/- 7.0, N = 8, P less than 0.01). However, the differences in 3-hr urinary phosphate excretion and clearances of phosphate were abolished between SHR and WKY after their blood pressures were lowered by chronic hydralazine treatment. The results indicate that hypertension is responsible for the lower renal phosphate clearances in SHR.
在未麻醉的自发性高血压大鼠(SHR)和正常血压的Wistar Kyoto大鼠(WKY)中研究了肾小管对磷酸盐的重吸收。12周龄雄性SHR(53.0±13.1微克/毫克肌酐,N = 7)和14周龄雌性SHR(81.8±12.8,N = 8)的3小时尿磷酸盐排泄量显著低于年龄和性别匹配的WKY(12周,435.8±73.2,N = 8,P<0.01;14周,423.3±75.9,N = 8,P<0.01)。对14周龄雌性大鼠禁食过夜后进行肾清除率测定。SHR的血清磷酸盐浓度(4.61±0.25毫克/分升)低于WKY(5.44±0.14,P<0.02)。SHR的尿磷酸盐排泄量(U Pi V = 6.85±1.83微克/分钟)和磷酸盐排泄分数(FE Pi = 13.7±2.3%)低于WKY(U Pi V = 15.9±1.87微克/分钟,P<0.01,FE Pi 22.8±2.6%,P<0.02)。急性过度通气不能解释SHR中磷酸盐排泄降低的原因,因为WKY和SHR之间的动脉pH值和PCO2没有差异。SHR在非常早期就出现肾磷酸盐清除率降低;5周龄SHR的U Pi V已经低于WKY。在急性甲状腺甲状旁腺切除术后,对12周龄的SHR和WKY进行了最大肾小管磷酸盐重吸收(TmPi)研究。SHR的TmPi(241±3.0微克/毫升肾小球滤过率/100克,N = 7)大于WKY(204±7.0,N = 8,P<0.01)。然而,在用慢性肼屈嗪治疗降低SHR和WKY的血压后,它们之间3小时尿磷酸盐排泄和磷酸盐清除率的差异消失了。结果表明,高血压是SHR肾磷酸盐清除率降低的原因。