Sullivan L P, Welling D J, Rome L A
Am J Physiol. 1981 Feb;240(2):F127-37. doi: 10.1152/ajprenal.1981.240.2.F127.
We have studied the effect on K transport of reductions in the Na and Cl concentrations of solutions perfusing the isolated bullfrog kidney. We used recently developed techniques for estimating the unidirectional reabsorptive and secretory K fluxes. Reduction of Na and Cl concentrations in the arterial perfusate from 112 and 100 mM to 22 and 10 mM, respectively, inhibited K secretion 82% and K reabsorption 97%. Reduction of only the Na concentration inhibited K secretion 42% but did not affect K reabsorption. Arterial and portal perfusion with 37 mM Na, 23 mM Cl reduced urine Na concentration to 6 mM and Na reabsorption by 59%. However, K secretion rose 88% and reabsorption fell 76%. Arterial and portal perfusates with 37 mM Na, 100 mM Cl reduced urine Na concentration to 2 mM and Na reabsorption by 46%. Still, K secretion was elevated 57% by an increase in urine flow rate. K reabsorption was not reduced. Arterial and portal perfusates with 112 mM Na, 23 mM Cl, and containing SO4 also stimulated K secretion 26% and inhibited K reabsorption 91%. Thus, reduction of perfusate Na concentration to 22 mM inhibited secretion but 37 mM was sufficient to permit stimulation of secretion by low Cl concentrations and by increased tubular fluid flow rate. Reduction of the perfusate Cl concentration stimulated secretion and inhibited reabsorption. We conclude that a minimum level of Na reabsorption is required to maintain K secretion, but above that minimum level changes in the rate of Na reabsorption do not affect the rate of K secretion. The tubular fluid Cl concentration or the rate of Cl reabsorption affects both reabsorption and secretion of K and, therefore, may be an important regulator of the rate of K excretion.
我们研究了灌注离体牛蛙肾脏的溶液中钠和氯浓度降低对钾转运的影响。我们使用了最近开发的技术来估计单向重吸收性和分泌性钾通量。将动脉灌注液中的钠和氯浓度分别从112 mM和100 mM降至22 mM和10 mM,抑制了82%的钾分泌和97%的钾重吸收。仅降低钠浓度抑制了42%的钾分泌,但不影响钾重吸收。用37 mM钠、23 mM氯进行动脉和门静脉灌注,使尿钠浓度降至6 mM,钠重吸收降低59%。然而,钾分泌增加了88%,重吸收下降了76%。用37 mM钠、100 mM氯的动脉和门静脉灌注液使尿钠浓度降至2 mM,钠重吸收降低46%。尽管如此,钾分泌因尿流率增加而升高了57%。钾重吸收未降低。含有硫酸根的112 mM钠、23 mM氯的动脉和门静脉灌注液也刺激了26%的钾分泌,并抑制了91%的钾重吸收。因此,将灌注液钠浓度降至22 mM抑制了分泌,但37 mM足以允许低氯浓度和肾小管液流速增加刺激分泌。灌注液氯浓度降低刺激了分泌并抑制了重吸收。我们得出结论,维持钾分泌需要最低水平的钠重吸收,但高于该最低水平时,钠重吸收速率的变化不会影响钾分泌速率。肾小管液氯浓度或氯重吸收速率影响钾的重吸收和分泌,因此可能是钾排泄速率的重要调节因子。