Hall D A, Varney D M
J Clin Invest. 1980 Oct;66(4):792-802. doi: 10.1172/JCI109917.
Medullary thick ascending limbs of Henle's loop of the Swiss-Webster mouse were perfused in vitro with an isotonic perfusate and a Ringer's bathing medium. In five studies, addition of a supramaximal concentration of synthetic arginine vasopressin (AVP) to the bathing medium resulted in an increase in electrical potential difference (PD) from 5.0 +/- 1.5 mV, lumen positive, to 10.7 +/- 1.4 mV (P < 0.001). When AVP was removed, the PD returned to 2.6 +/- 0.9 mV (P < 0.001), then increased again to 6.9 +/- 1.7 mV (P < 0.01) when AVP was added a second time. A significant, but submaximal, increase in PD of 2.3 +/- 0.6 MV (P < 0.05) was observed in five medullary thick ascending limbs when AVP was added to the bathing medium at a concentration of 10 microunits/ml. This increase was approximately one-third of the response observed at a concentration of 100 microunits/ml in the same tubule. No further increment in PD was observed in five medullary thick ascending limbs when the AVP concentration was increased from 100 to 1,000 microunits/ml. In seven thick ascendcing limbs, the effect of AVP on PD was reproduced by the addition of 8-[p-chlorophenylthio]-cyclic 3',5'-adenosine monophosphate to the bathing medium at a final concentration of 0.1 mM. AVP increased unidirectional chloride flux from lumen to bath from 29.3 +/- 3.2 to 69.8 +/- 6.2 peq/cm per s (P < 0.001) in spite of an increase in the lumen positive PD from 1.6 +/- 0.5 mV to 7.0 +/- 0.6 mV (P < 0.001). Unidirectional chloride flux from bath to lumen was not affected by AVP. In another series of experiments, net chloride flux increased from 15.6 +/- 3.0 to 41.7 +/- 5.3 peq/cm per s (P < 0.05) after addition of AVP. The effect of AVP on hydraulic water permeability (Lp) was examined by adding raffinose to the bathing medium in both the presence and the absence of AVP. The calculated Lp of 16 +/- 2 nm/s per atm in the absence of AVP, although very low, was significantly different from zero (P < 0.01). However, the Lp did not increase significantly when AVP was added to the bathing medium. These results suggest that AVP has a second site of action in the kidney to increase chloride transport by the medullary thick ascending limb in addition to its well-known effect on the water permeability of the collecting tubule. The former effect would contribute to urinary concentrating ability by increasing the axial osmotic gradient in the renal medulla.
用等渗灌流液和林格氏浴液对瑞士 Webster 小鼠髓袢升支粗段进行体外灌流。在五项研究中,向浴液中添加超最大浓度的合成精氨酸加压素(AVP)后,电位差(PD)从管腔正性的 5.0±1.5 mV 增加到 10.7±1.4 mV(P<0.001)。去除 AVP 后,PD 恢复到 2.6±0.9 mV(P<0.001),再次添加 AVP 时又增加到 6.9±1.7 mV(P<0.01)。当以 10 微单位/毫升的浓度向浴液中添加 AVP 时,在五个髓袢升支粗段中观察到 PD 显著但未达最大值地增加了 2.3±0.6 mV(P<0.05)。该增加量约为在同一肾小管中 100 微单位/毫升浓度下观察到的反应的三分之一。当 AVP 浓度从 100 增加到 1000 微单位/毫升时,在五个髓袢升支粗段中未观察到 PD 进一步增加。在七个升支粗段中,通过向浴液中添加终浓度为 0.1 mM 的 8 - [对氯苯硫基] - 环 3',5' - 腺苷单磷酸再现了 AVP 对 PD 的作用。尽管管腔正性 PD 从 1.6±0.5 mV 增加到 7.0±0.6 mV(P<0.001),但 AVP 使从管腔到浴液的单向氯通量从 29.3±3.2 增加到 69.8±6.2 皮克/厘米每秒(P<0.001)。从浴液到管腔的单向氯通量不受 AVP 影响。在另一系列实验中,添加 AVP 后净氯通量从 15.6±3.0 增加到 41.7±5.3 皮克/厘米每秒(P<0.05)。通过在有和没有 AVP 的情况下向浴液中添加棉子糖来研究 AVP 对水力水通透性(Lp)的影响。在没有 AVP 的情况下计算出的 Lp 为 16±2 纳米/秒·大气压,尽管非常低,但与零有显著差异(P<0.01)。然而,当向浴液中添加 AVP 时,Lp 没有显著增加。这些结果表明,AVP 在肾脏中有第二个作用位点,除了其对集合管水通透性的众所周知的作用外,还可增加髓袢升支粗段的氯转运。前一种作用将通过增加肾髓质中的轴向渗透梯度来促进尿液浓缩能力。