Stokes J B
J Clin Invest. 1984 Jul;74(1):7-16. doi: 10.1172/JCI111420.
The urinary bladder of the winter flounder absorbs NaCl by a process independent of the transepithelial voltage. In contrast to most other epithelia which have a neutral NaCl-absorptive system, the flounder bladder has a high transepithelial resistance. This feature simplifies analysis of the cellular transport system because the rate of ion transfer through the paracellular pathway is rather low. Experiments were designed to distinguish among three possible mechanisms of neutral NaCl absorption: (a) Na/K/2Cl cotransport; (b) parallel Na/H and Cl/OH exchange; (c) and simple NaCl cotransport. A clear interdependency of Na and Cl for net absorption was demonstrated. NaCl absorption was not dependent on mucosal K and was minimally sensitive to loop diuretics. Thus a Na/K/2Cl transport system was unlikely. The mechanism was not parallel exchange as evidenced by insensitivity to amiloride and to 4,4'-diisothiocyano-2,2'-disulfonic stilbene, an inhibitor of anion exchange. In addition, inhibitors of carbonic anhydrase had no effect. Net absorption was almost completely abolished by hydrochlorothiazide (0.1 mM). Its action was rapid, reversible, and effective only from the mucosal surface. Metolazone, a structurally dissimilar diuretic in the benzothiadiazide class had qualitatively similar actions. The mechanism of NaCl absorption in this tissue appears to be a simple interdependent process. Its inhibition by thiazide diuretics appears to be a unique feature. The flounder bladder may be a model for NaCl absorption in the distal renal tubule.
冬季比目鱼的膀胱通过一个独立于跨上皮电压的过程吸收氯化钠。与大多数具有中性氯化钠吸收系统的其他上皮细胞不同,比目鱼膀胱具有较高的跨上皮电阻。这一特性简化了对细胞转运系统的分析,因为通过细胞旁途径的离子转移速率相当低。实验旨在区分中性氯化钠吸收的三种可能机制:(a) Na/K/2Cl共转运;(b) 平行的Na/H和Cl/OH交换;(c) 简单的NaCl共转运。结果表明,钠和氯在净吸收方面存在明显的相互依赖性。氯化钠的吸收不依赖于黏膜钾,并且对襻利尿剂的敏感性最低。因此,Na/K/2Cl转运系统不太可能。该机制不是平行交换,这一点可通过对氨氯吡脒和阴离子交换抑制剂4,4'-二异硫氰基-2,2'-二磺酸芪不敏感得到证明。此外,碳酸酐酶抑制剂没有作用。氢氯噻嗪(0.1 mM)几乎完全消除了净吸收。其作用迅速、可逆,且仅从黏膜表面起作用。美托拉宗是苯并噻二嗪类中结构不同的一种利尿剂,其作用在性质上相似。该组织中氯化钠吸收的机制似乎是一个简单的相互依赖过程。噻嗪类利尿剂对其的抑制作用似乎是一个独特的特征。比目鱼膀胱可能是远端肾小管中氯化钠吸收的一个模型。