Buerkert J, Martin D, Trigg D
Am J Physiol. 1983 Apr;244(4):F442-54. doi: 10.1152/ajprenal.1983.244.4.F442.
Papillary and surface micropuncture in Munich-Wistar rats was used to assess the role of proximal segments of superficial and juxtamedullary (JM) nephrons, the distal tubule of superficial nephrons, and the terminal collecting duct in acid excretion. The relative role of these segments in ammonium production, bicarbonate reclamation, and net acid formation was assessed under hydropenic conditions and after a chronic acid load. In these two settings the proximal segment of both kinds of nephrons is the major site of ammonium production and bicarbonate reclamation. However, this segment's contribution to net acid formation was only significant during acidosis. On the other hand, segments beyond the distal tubule appear to be the major site of acid formation. In situ pH measurements were lower in these nephron segments and fell even more after the induction of an acidosis. Ammonia appears to enter fluid between the end of the distal tubule and the base of the collecting duct. In vivo pH measurements made near the bend of Henle's loop of JM nephrons were more alkaline than near the end of the proximal tubule of superficial nephrons. It is postulated that this difference in pH allows ammonium to dissociate, permitting the movement of ammonia out of the tubule lumen and into collecting duct fluid where it is protonated and, therefore, reentrapped. This process is enhanced by the ingestion of a chronic acid load.
在慕尼黑-威斯塔大鼠中采用乳头及表面微穿刺技术,以评估浅表肾单位和近髓肾单位的近端节段、浅表肾单位的远端小管以及终末集合管在酸排泄中的作用。在禁水条件下以及慢性酸负荷后,评估了这些节段在铵生成、碳酸氢盐重吸收和净酸生成中的相对作用。在这两种情况下,两类肾单位的近端节段都是铵生成和碳酸氢盐重吸收的主要部位。然而,该节段对净酸生成的贡献仅在酸中毒时显著。另一方面,远端小管之后的节段似乎是酸生成的主要部位。这些肾单位节段的原位pH测量值较低,在诱发酸中毒后下降得更多。氨似乎在远端小管末端与集合管基部之间进入液体。近髓肾单位亨氏袢弯曲处附近的体内pH测量值比浅表肾单位近端小管末端附近的更偏碱性。据推测,这种pH差异使铵解离,从而使氨从小管腔中移出并进入集合管液,在其中质子化并因此被截留。摄入慢性酸负荷会增强这一过程。