Lucci M S, Pucacco L R, Carter N W, DuBose T D
Am J Physiol. 1982 Oct;243(4):F335-41. doi: 10.1152/ajprenal.1982.243.4.F335.
Previous micropuncture studies utilizing indirect methods to estimate bicarbonate transport in the rat superficial distal tubule have indicated that the distal bicarbonate reabsorptive process normally operates well below the saturation level. Recent studies from our laboratory failed to demonstrate a spontaneous acid disequilibrium pH in this segment, implying that the bicarbonate reabsorptive rate was less than previously estimated. The purpose of the present experiments were 1) to measure the rate of absolute bicarbonate reabsorption by the rat superficial distal tubule while controlling bicarbonate delivery, and 2) to examine the effects of alterations in acid-base status on the rate of bicarbonate reabsorption. Five groups of rats in different states of acid-base balance were studied. No significant bicarbonate reabsorption was detected in the control hydropenic, combined respiratory acidosis-metabolic alkalosis, acute respiratory acidosis, or acute metabolic acidosis groups. In contrast, metabolic acidosis of 3 days duration resulted in a significant bicarbonate reabsorptive rate of 52.6 +/- 13.9 pmol . mm-1 . min-1. The observation of significant bicarbonate reabsorption in the distal tubule only during chronic metabolic acidosis of 3 days duration is compatible with adaptation of this normally low-capacity segment to chronic changes in systemic acid-base states.
以往利用间接方法估计大鼠浅表远端小管中碳酸氢盐转运的微穿刺研究表明,远端碳酸氢盐重吸收过程通常在低于饱和水平下运作。我们实验室最近的研究未能在该节段证实自发的酸失衡pH,这意味着碳酸氢盐重吸收率低于先前估计。本实验的目的是:1)在控制碳酸氢盐输送的同时,测量大鼠浅表远端小管中绝对碳酸氢盐重吸收的速率;2)研究酸碱状态改变对碳酸氢盐重吸收率的影响。对处于不同酸碱平衡状态的五组大鼠进行了研究。在对照限水组、合并呼吸性酸中毒-代谢性碱中毒组、急性呼吸性酸中毒组或急性代谢性酸中毒组中未检测到明显的碳酸氢盐重吸收。相比之下,持续3天的代谢性酸中毒导致显著的碳酸氢盐重吸收率为52.6±13.9 pmol·mm-1·min-1。仅在持续3天的慢性代谢性酸中毒期间在远端小管中观察到显著的碳酸氢盐重吸收,这与这个通常低容量节段对全身酸碱状态慢性变化的适应性相符。