Hanley M J, Kokko J P
J Clin Invest. 1978 Jul;62(1):39-44. doi: 10.1172/JCI109111.
Recent micropuncture studies have suggested that the collecting tubule may be involved in the regulation of extracellular fluid volume. The present studies were designed to evaluate chloride transport across the in vitro-perfused rabbit cortical collecting tubule inasmuch as chloride ion would ultimately affect extracellular fluid volume. The tubules were perfused and bathed with artificial solutions simulating ultrafiltrate. Four groups of studies were conducted. In groups one and two, tubules from rabbits not receiving desoxycorticosterone (DOCA) were compared to tubules from rabbits which had received DOCA (5 mg/day) for 1 wk. In groups three and four, tubules were obtained only from rabbits not receiving DOCA. In group one, sequential bidirectional chloride fluxes were measured. The ratio of chloride efflux to influx was 0.99+/-0.04 in tubules obtained from rabbits not receiving DOCA whereas it was 1.28+/-0.09 in tubules obtained from rabbits receiving DOCA, suggesting stimulation of net chloride flux under these conditions. In group 2, chemical chloride concentration and osmolality of the collected fluid were measured. Neither the chemical chloride concentration nor the osmolality of the collected fluid decreased significantly below their respective perfusion fluid values in tubules from non-DOCA-treated rabbits but there was a significant decrease in the chemical chloride concentration (10-42 meq/liter) and osmolality (10-42 mosmol/kg H(2)O of the collected fluid in tubules from DOCA-treated rabbits. In group three, unidirectional chloride permeabilities from lumen-to-bath were determined during the passage of current down the perfusion pipette. The alterations of the average lumen potential, -35+/-4 and +28+/-2 mV, did not influence unidirectional chloride movement suggesting that the cortical collecting tubule is quite impermeable to chloride. In group four, unidirectional chloride permeability from lumen-to-bath was measured before and after substitution of NaCH(3)SO(4) for sodium chloride in the bath. Replacement of chloride by CH(3)SO(4) reversibly decreased the apparent chloride permeability from 2.41+/-0.50 to 0.69+/-0.08 (x10(-5) cm/s) demonstrating that (36)Cl permeability is dependent on the chemical concentration of chloride.THE CURRENT STUDIES DEMONSTRATE THAT: (a) the cortical collecting tubule is able to reabsorb salt under the modulation of circulating mineralocorticoids and, thus, may participate in overall volume homeostasis; (b) the chloride permeability and the major portion of isotopic chloride flux across the cortical collecting tubule is via exchange diffusion; and (c) under certain circumstances the cortical collecting tubule may act as a diluting segment.
近期的微穿刺研究表明,集合管可能参与细胞外液量的调节。本研究旨在评估氯离子跨体外灌注兔皮质集合管的转运情况,因为氯离子最终会影响细胞外液量。用模拟超滤液的人工溶液灌注并浸泡这些小管。进行了四组研究。在第一组和第二组中,将未接受脱氧皮质酮(DOCA)的兔的小管与接受DOCA(5毫克/天)1周的兔的小管进行比较。在第三组和第四组中,仅从未接受DOCA的兔获取小管。在第一组中,测量了氯离子的顺序双向通量。未接受DOCA的兔的小管中氯离子外流与内流的比率为0.99±0.04,而接受DOCA的兔的小管中该比率为1.28±0.09,这表明在这些条件下净氯离子通量受到刺激。在第二组中,测量了收集液中的化学氯离子浓度和渗透压。未接受DOCA治疗的兔的小管中,收集液的化学氯离子浓度和渗透压均未显著低于其各自的灌注液值,但接受DOCA治疗的兔的小管中,收集液的化学氯离子浓度(10 - 42毫当量/升)和渗透压(10 - 42毫摩尔/千克H₂O)显著降低。在第三组中,在电流通过灌注吸管时,测定了从管腔到浴液的单向氯离子通透性。平均管腔电位的改变,即 - 35±4和 + 28±2毫伏,并未影响单向氯离子移动,这表明皮质集合管对氯离子相当不通透。在第四组中,在浴液中用甲磺酸钠(NaCH₃SO₄)替代氯化钠前后,测量了从管腔到浴液的单向氯离子通透性。用CH₃SO₄替代氯离子后,表观氯离子通透性从2.41±0.50可逆地降低至0.69±0.08(×10⁻⁵厘米/秒),这表明³⁶Cl通透性取决于氯离子的化学浓度。当前研究表明:(a)皮质集合管能够在循环盐皮质激素的调节下重吸收盐分,因此可能参与总体容量稳态;(b)氯离子通透性以及跨皮质集合管的大部分同位素氯离子通量是通过交换扩散;(c)在某些情况下,皮质集合管可能充当稀释段。