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草酸盐的肾脏处理。大鼠的微穿刺研究。

Renal handling of oxalate. A micropuncture study in the rat.

作者信息

Hautmann R, Osswald H

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1978 Oct;304(3):277-81. doi: 10.1007/BF00507969.

Abstract

Clearance and micropuncture experiments were performed in rats to study the renal handling of oxalate. The 14C-oxalate to 3H-inulin clearance ratio (Cox/Cin) was 1.36 +/- 0.04 and was lowered by probenecid (200 mg/kg) to 1.11 +/- 0.03 (+/- S.E., n = 6, P less than 0.005). An attempt was made to localize the assumed secretion of oxalate in three different micropuncture protocols. In free flow micropuncture experiments single nephron clearance of oxalate was not different when obtained from proximal or distal tubular puncture sites. The fractional delivery of oxalate averaged 0.84 +/- 0.03 regardless of the puncture site from mid-proximal to late distal. This finding indicates a net outflux of oxalate in an early proximal loop since oxalate is freely ultrafilterable. In microperfusion experiments the mean recovery of oxalate ranged from 79--90%. The outflux of oxalate correlated linearly with the tubular load (r = 0.95). The results suggest that no net secretion occurs in superficial nephron segments accessible for micropuncture. Since whole kidney clearances of oxalate always exceeded glomerular filtration rate, it is concluded that net addition of oxalate into the tubular fluid can occur at sites beyond the superficial late distal tubules or is due to higher delivery of oxalate by deep cortical nephrons.

摘要

在大鼠身上进行了清除率和微穿刺实验,以研究草酸盐的肾脏处理情况。14C - 草酸盐与3H - 菊粉的清除率比值(Cox/Cin)为1.36±0.04,丙磺舒(200mg/kg)可使其降至1.11±0.03(±标准误,n = 6,P < 0.005)。我们尝试通过三种不同的微穿刺方案来定位推测的草酸盐分泌部位。在自由流微穿刺实验中,从近端或远端肾小管穿刺部位获得的草酸盐单肾单位清除率没有差异。无论穿刺部位是近端中段到远端晚期,草酸盐的分数输送平均为0.84±0.03。这一发现表明,由于草酸盐可自由超滤,在近端早期袢中草酸盐有净流出。在微灌注实验中,草酸盐的平均回收率在79% - 90%之间。草酸盐的流出与肾小管负荷呈线性相关(r = 0.95)。结果表明,在可进行微穿刺的浅表肾单位节段中没有净分泌发生。由于草酸盐的全肾清除率总是超过肾小球滤过率,得出的结论是,草酸盐向肾小管液中的净添加可能发生在浅表远端晚期肾小管以外的部位,或者是由于深部皮质肾单位输送了更多的草酸盐。

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