McKinney T D, Burg M B
J Clin Invest. 1978 Jun;61(6):1421-7. doi: 10.1172/JCI109061.
We previously reported that rabbit renal cortical collecting tubules can secrete bicarbonate in vitro (i.e., there can be net transport from bath to lumen, causing the concentration in the lumen to increase). Net bicarbonate secretion was observed most often when rabbits had been pretreated with NaHCO(3) and were excreting alkaline urine before being killed for experiments. The purpose of the present studies was to elucidate the mechanism involved by testing the effects of ion substitutions and drugs on collecting tubules that were secreting bicarbonate. Acetazolamide inhibited net bicarbonate secretion, suggesting that the process is dependent upon carbonic anhydrase. Net bicarbonate secretion also decreased when sodium in the perfusate and bath was replaced by choline, but not when chloride was replaced by nitrate or methylsulfate. Ouabain had no significant effect. Amiloride caused net bicarbonate secretion to increase. The rate of net secretion did not correlate with transepithelial voltage. The results are compared to those in turtle urinary bladders that also secrete bicarbonate. There are no direct contradictions between the results in the two tissues, i.e., in turtle bladders acetazolamide also inhibited bicarbonate secretion and ouabain had no effect. Nevertheless, it seems unlikely that net secretion of bicarbonate by collecting tubules involves specific exchange for chloride, as has been proposed for turtle bladders, because replacement of chloride by other anions did not inhibit bicarbonate secretion by collecting tubules. It was previously shown that the collecting tubules in vitro also may absorb bicarbonate, especially when the rabbits have been treated with NH(4)Cl and are excreting acid urine before being killed. The effects of drugs on net bicarbonate secretion found in the present studies are compared to their previously reported effects on net bicarbonate absorption and the possibility is discussed that bicarbonate absorption and secretion are independent processes, as was previously proposed for turtle bladders.
我们之前报道过,兔肾皮质集合小管在体外能够分泌碳酸氢盐(即存在从浴液到管腔的净转运,导致管腔内浓度升高)。当兔在处死用于实验前预先用碳酸氢钠处理并排出碱性尿液时,最常观察到净碳酸氢盐分泌。本研究的目的是通过测试离子替代和药物对分泌碳酸氢盐的集合小管的影响来阐明其中涉及的机制。乙酰唑胺抑制净碳酸氢盐分泌,提示该过程依赖碳酸酐酶。当灌注液和浴液中的钠被胆碱替代时,净碳酸氢盐分泌也减少,但当氯被硝酸盐或甲硫酸盐替代时则不然。哇巴因无显著影响。氨氯吡咪使净碳酸氢盐分泌增加。净分泌速率与跨上皮电压无关。将这些结果与同样分泌碳酸氢盐的龟膀胱的结果进行了比较。两种组织的结果之间没有直接矛盾,即乙酰唑胺在龟膀胱中也抑制碳酸氢盐分泌,哇巴因无作用。然而,集合小管净分泌碳酸氢盐似乎不太可能像对龟膀胱所提出的那样涉及与氯的特异性交换,因为用其他阴离子替代氯并不抑制集合小管的碳酸氢盐分泌。先前已表明,体外的集合小管也可能吸收碳酸氢盐,尤其是当兔在处死前用氯化铵处理并排出酸性尿液时。将本研究中发现的药物对净碳酸氢盐分泌的影响与其先前报道的对净碳酸氢盐吸收的影响进行了比较,并讨论了碳酸氢盐吸收和分泌是独立过程的可能性,这也是先前对龟膀胱所提出的。