Kliger A S, Binder H J, Bastl C, Hayslett J P
J Clin Invest. 1981 Apr;67(4):1189-96. doi: 10.1172/jci110134.
The mechanism responsible for K transport in the mammalian colon is controversial. Experiments were performed to determine whether K secretion involves active as well as passive driving forces in controls and in animals with a marked increase in K secretion. In these experiments a steady-state solution was established in proximal and distal colon of both control rats and animals fed a K-enriched diet during in vivo luminal perfusion, to compare the observed luminal [K] with predicted equilibrium [K] when net water and electrolyte movement approached zero. Transmural potential difference was measured simultaneously. A difference between the predicted equilibrium and observed luminal [K] under this condition indicates active transport. In controls the observed [K] of 20 mmol/liter in proximal colon markedly exceeded the predicted value of 6.2 +/- 0.3, mean +/- SE, indicating active secretion. In contrast, the observed [K] in distal colon of 5 mmol/liter was less than predicted (10.0 +/- 1.0), suggesting active absorption. In K-loaded animals active K secretion was demonstrable and increase above control in both segments of colon. In proximal colon the observed [K] rose to 40 mmol/liter, compared to a predicted value of 7.2 +/- 0.3, whereas in distal colon the observed [K] was 50 mmol/liter vs. a predicted value of 7.0 +/- 0.8. These studies suggest active K secretion in proximal, but not in distal colon of control animals. Further, these data suggest that the increase in the capacity for K secretion that occurs in response to chronic K loading involves stimulation of an active mechanism in both proximal and distal colon.
哺乳动物结肠中钾离子转运的机制存在争议。进行了实验以确定在对照组以及钾分泌显著增加的动物中,钾分泌是否涉及主动驱动力和被动驱动力。在这些实验中,在体内管腔灌注期间,在对照大鼠和喂食高钾饮食的动物的近端和远端结肠中建立了稳态溶液,以便在净水和电解质移动接近零时,将观察到的管腔[K]与预测的平衡[K]进行比较。同时测量跨膜电位差。在这种情况下,预测平衡与观察到的管腔[K]之间的差异表明存在主动转运。在对照组中,近端结肠中观察到的[K]为20 mmol/升,明显超过预测值6.2±0.3(平均值±标准误),表明存在主动分泌。相比之下,远端结肠中观察到的[K]为5 mmol/升,低于预测值(10.0±1.0),表明存在主动吸收。在钾负荷动物中,可证明存在主动钾分泌,且结肠的两个节段中分泌均比对照增加。在近端结肠中,观察到的[K]升至40 mmol/升,而预测值为7.2±0.3,而在远端结肠中,观察到的[K]为50 mmol/升,预测值为7.0±0.8。这些研究表明,对照动物的近端结肠存在主动钾分泌,而远端结肠则不存在。此外,这些数据表明,对慢性钾负荷作出反应而发生的钾分泌能力的增加涉及刺激近端和远端结肠中的主动机制。