Dantzler W H
Fed Proc. 1982 Jun;41(8):2371-6.
Controls for glomerular filtration (GFR) and tubular transport of solutes and water are interrelated. GFR changes with hydration, apparently as a result of changes in the number of filtering nephrons under the control of antidiuretic hormone. The resulting alterations in volume flow rate through the collecting ducts may be as important as changes in epithelial permeability in determining urine osmolarity. Tubular transport of sodium and potassium may be controlled in part by antidiuretic hormone and aldosterone but considerable variation occurs among species, and intrinsic regulation of distal tubular sodium absorption in response to the delivered load of sodium may also occur. Net tubular secretion of phosphate, under control of parathyroid hormone, occurs in some species, but no hormonal control of tubular calcium transport has been demonstrated. Net tubular urate secretion that is influenced by potassium occurs in uricotelic reptiles. Complexing of inorganic cations, especially sodium and potassium, with urate precipitates in tubular urine permits excretion of cations without their contributing to urine osmolarity. This process also may keep the distal tubule sodium concentration low enough to permit maximum dilution but may require absorption of filtered water without sodium. Such an absorptive process may exist in reptilian proximal tubules.
肾小球滤过(GFR)以及溶质和水的肾小管转运的调控是相互关联的。GFR会随着水合作用而变化,这显然是在抗利尿激素的控制下,滤过肾单位数量改变的结果。在决定尿渗透压方面,通过集合管的体积流速的相应变化可能与上皮通透性的变化同样重要。钠和钾的肾小管转运可能部分受抗利尿激素和醛固酮的控制,但不同物种之间存在相当大的差异,并且远端肾小管对钠负荷的内在调节也可能发生。在甲状旁腺激素的控制下,一些物种会出现磷酸盐的净肾小管分泌,但尚未证明肾小管钙转运存在激素控制。受钾影响的净肾小管尿酸盐分泌发生在排尿酸的爬行动物中。无机阳离子,尤其是钠和钾,与尿酸盐在肾小管尿液中形成复合物沉淀,使得阳离子得以排出而不增加尿渗透压。这个过程也可能使远端小管钠浓度保持足够低,以允许最大程度的稀释,但可能需要在不吸收钠的情况下吸收滤过水。这样的吸收过程可能存在于爬行动物的近端小管中。