Shideman J R, Evans R L, Bierer D W, Quebbemann A J
Am J Physiol. 1981 Jan;240(1):F46-53. doi: 10.1152/ajprenal.1981.240.1.F46.
The contributions of the renal venous portal and the renal arterial circulations to the renal clearance of p-aminohippuric acid (PAH) and uric acid were determined in the unanesthetized chicken by the simultaneous use of the urinary clearance technique and the Sperber preparation. The [3H]PAH apparent tubular excretion fraction (ATEF) and the clearance of inulin (CIn) were used as indicators of the renal portal and renal arterial contributions, respectively, in a planar equation for total PAH clearance. This equation accurately reflects the renal clearance of PAH as well as the renal venous portal and renal arterial contributions to the total renal clearance of PAH. The equation suggests that under normal conditions approximately 50% of the renal clearance of PAH or uric acid comes from the renal venous portal circulation, with the remaining 50% coming from the arterial circulation. An inverse hyperbolic relationship between the filtration fraction (CIn/CPAH) and the [3H]PAH ATEF was found, demonstrating that the filtration fraction in the chicken decreases from a value of 18 to approximately 6% as the renal portal plasma flow increases from zero to a maximum value. Our equation for total clearance was also used with results of experiments on inhibition of uric acid excretory transport by L- and D-dopa and by probenecid to locate the probable sites of action of those inhibitors.
通过同时使用尿清除技术和斯珀伯制备法,在未麻醉的鸡身上确定了肾静脉门循环和肾动脉循环对对氨基马尿酸(PAH)和尿酸肾清除率的贡献。在一个用于计算PAH总清除率的平面方程中,[³H]PAH表观肾小管排泄分数(ATEF)和菊粉清除率(CIn)分别被用作肾门静脉和肾动脉贡献的指标。该方程准确反映了PAH的肾清除率以及肾静脉门循环和肾动脉循环对PAH总肾清除率的贡献。该方程表明,在正常情况下,PAH或尿酸肾清除率的约50%来自肾静脉门循环,其余50%来自动脉循环。发现滤过分数(CIn/CPAH)与[³H]PAH ATEF之间呈反双曲线关系,表明随着肾门静脉血浆流量从零增加到最大值,鸡的滤过分数从18%降至约6%。我们的总清除率方程还与L-和D-多巴以及丙磺舒抑制尿酸排泄转运的实验结果一起使用,以确定这些抑制剂可能的作用位点。