Battilana C A, Dobyan D C, Lacy F B, Bhattacharya J, Johnston P A, Jamison R L
J Clin Invest. 1978 Nov;62(5):1093-103. doi: 10.1172/JCI109215.
Recently we demonstrated potassium secretion by the pars recta or by the descending limb of the juxtamedullary nephron. The purpose of this present investigation is to study the effect of a chronic high-potassium intake on this phenomenon. Fractional reabsorption of water and sodium by the juxtamedullary proximal nephron was decreased when compared to that in normal hydropenic rats. There was a striking increase in the fraction of filtered potassium at the end of the juxtamedullary descending limb from 94+/11% to 180+/18%, which was principally a result of enhanced potassium secretion. When the concentration of potassium in the collecting tubule fluid of potassium-loaded rats was reduced after the administration of amiloride, a sharp fall was observed in the amount of potassium which reached the end of the descending limb (64+/8%). A direct correlation was observed between the fraction of filtered potassium at the descending limb and the potassium concentration in the final urine (P less than 0.001). The findings suggest that potassium, like urea, normally undergoes medullary recycling, which is enhanced by chronic potassium loading.
最近我们证实了直部或近髓肾单位降支存在钾分泌现象。本次研究的目的是探讨长期高钾摄入对该现象的影响。与正常禁水大鼠相比,近髓近端肾单位对水和钠的分数重吸收降低。近髓降支末端滤过钾的分数显著增加,从94±11%增至180±18%,这主要是钾分泌增强的结果。给予氨氯吡咪后,钾负荷大鼠集合管液中钾浓度降低,降支末端到达的钾量急剧下降(64±8%)。降支滤过钾的分数与终尿中钾浓度之间存在直接相关性(P<0.001)。这些发现表明,钾与尿素一样,通常会进行髓质循环,长期钾负荷会增强这种循环。