Stone D K, Seldin D W, Kokko J P, Jacobson H R
J Clin Invest. 1983 May;71(5):1505-8. doi: 10.1172/jci110905.
Rabbit medullary collecting duct (MCD) acidification has been demonstrated to occur by means of a sodium-independent, aldosterone-stimulated mechanism. We have examined the anionic dependence of this process by means of the isolated perfused tubule technique. Total replacement of perfusate chloride with gluconate enhanced tubular bicarbonate reabsorption (JHCO3), from a basal rate of 10.7 +/- 1.0 pmol X mm-1 X min-1 to a rate of 15.01 +/- 1.0 pmol X mm-1 X min-1. Removal of bath chloride, with and without removal of perfusate chloride completely abolished acidification. Bath, but not luminal 4-acetamido-4' isothiocyano-2,2'-disulfonic stilbene provoked a marked decrease in JHCO3 from 10.1 +/- 1.2 pmol X mm-1 X min-1 to 2.3 +/- 0.3 pmol X mm-1 X min-1. Measurement of chloride reabsorptive rate (JCl) revealed colinearity between JHCO3 (9.18 +/- 0.9 pmol X mm-1 X min-1) and JCl (9.75 +/- 1.18 pmol X mm-1 X min-1). We propose a model of mammalian distal nephron acidification in which (a) cellular base exit is effected by means of a basolateral membrane Cl-base exchanger and (b) net electroneutrality of electrogenic proton secretion is maintained by the parallel movement of an anionic species, functionally chloride.
兔髓质集合管(MCD)酸化已被证明是通过一种不依赖钠、受醛固酮刺激的机制发生的。我们通过分离灌注小管技术研究了该过程对阴离子的依赖性。用葡萄糖酸盐完全替代灌注液中的氯离子可增强肾小管碳酸氢盐重吸收(JHCO3),从基础速率10.7±1.0 pmol·mm-1·min-1提高到15.01±1.0 pmol·mm-1·min-1。去除浴液中的氯离子,无论是否去除灌注液中的氯离子,都会完全消除酸化。浴液中而非管腔内的4-乙酰氨基-4'-异硫氰基-2,2'-二磺酸芪可使JHCO3从10.1±1.2 pmol·mm-1·min-1显著降低至2.3±0.3 pmol·mm-1·min-1。氯离子重吸收速率(JCl)的测量显示JHCO3(9.18±0.9 pmol·mm-1·min-1)与JCl(9.75±1.18 pmol·mm-1·min-1)之间呈共线性。我们提出了一种哺乳动物远端肾单位酸化模型,其中(a)细胞内碱的排出通过基底外侧膜Cl-碱交换体实现,(b)通过一种阴离子(在功能上为氯离子)的平行移动维持电生性质子分泌的净电中性。