Bishop J H, Green R
J Physiol. 1983 Mar;336:131-42. doi: 10.1113/jphysiol.1983.sp014572.
Reabsorption of glucose, salt and water was measured in 7-8 day pregnant and virgin rats by micropuncturing distal nephrons during saline and glucose infusions. Unidirectional fluxes of glucose were measured in loops of Henle and collecting ducts. There were no significant differences in single nephron glomerular filtration rate (S.N.G.F.R.) between virgin and pregnant animals during saline infusion. During glucose infusion S.N.G.F.R. was higher in pregnant animals than in virgins. There is no evidence of a failure of reabsorption of glucose by the proximal tubule in pregnant animals. More glucose is reabsorbed from the loop of Henle in virgin animals than in pregnant animals during saline infusion but during glucose infusion the converse is true. During both saline and glucose infusion there is less reabsorption of glucose from the collecting duct in pregnant animals than in virgin animals. It is concluded that the increased excretion of glucose during pregnancy can be attributed to alteration of glucose handling by distal segments of the nephron.
在给7 - 8日龄的怀孕大鼠和未孕大鼠输注生理盐水和葡萄糖期间,通过微穿刺远端肾单位来测量葡萄糖、盐和水的重吸收。在髓袢和集合管中测量葡萄糖的单向通量。在输注生理盐水期间,未孕动物和怀孕动物的单肾单位肾小球滤过率(S.N.G.F.R.)没有显著差异。在输注葡萄糖期间,怀孕动物的S.N.G.F.R.高于未孕动物。没有证据表明怀孕动物近端小管存在葡萄糖重吸收障碍。在输注生理盐水期间,未孕动物从髓袢重吸收的葡萄糖比怀孕动物多,但在输注葡萄糖期间情况相反。在输注生理盐水和葡萄糖期间,怀孕动物从集合管重吸收的葡萄糖都比未孕动物少。得出的结论是,怀孕期间葡萄糖排泄增加可归因于肾单位远端节段对葡萄糖处理的改变。