Levine D Z, Byers M K, McLeod R A, Luisello J A, Raman S
J Clin Invest. 1979 Jan;63(1):59-66. doi: 10.1172/JCI109278.
We have carried out perfusion studies on hydropenic and bicarbonate-loaded rats to provide direct in vivo observations on bicarbonate accumulation in the short loops of Henle. Analysis of early distal tubular fluid was made during bicarbonate-free saline perfusion from the end proximal to the early distal site, documenting accumulation of "new" bicarbonate. During perfusion in hydropenic rats, steady-state bicarbonate concentrations were suggested by early distal values of approximately equal to mM, which were independent of perfusion rate and virtually indistinguishable from bicarbonate concentration measured during free flow when filtered bicarbonate was allowed to enter the loop. Thus, loop bicarconate accumulation was apparently sufficient to allow new bicarbonate to enter at a rate comparable to that delivered to the early distal site during free flow, recognizing of course that free-flow delivery rates are the result of complex components of filtration and bidirectional fluxes. In bicarbonate-loaded rats, however, bicarbonate accumulation rates although higher than in hydropenia, were much lower than free-flow delivery rates. Furthermore, early distal bicarbonate concentrations during bicarbonate loading fell as perfusion rate increased, presumably because of a limitation to increasing ionic bicarbonate entry.
我们对禁水和碳酸氢盐负荷的大鼠进行了灌注研究,以直接在体内观察亨氏短袢中碳酸氢盐的蓄积情况。在从近端末端到早期远端部位进行无碳酸氢盐生理盐水灌注期间,对早期远端肾小管液进行了分析,记录了“新”碳酸氢盐的蓄积情况。在禁水大鼠的灌注过程中,早期远端的值表明稳态碳酸氢盐浓度约为 mM,该浓度与灌注速率无关,并且与自由流动期间测量的碳酸氢盐浓度几乎没有区别,此时滤过的碳酸氢盐可进入髓袢。因此,袢内碳酸氢盐的蓄积显然足以使新的碳酸氢盐以与自由流动期间输送到早期远端部位的速率相当的速度进入,当然要认识到自由流动输送速率是滤过和双向通量等复杂因素的结果。然而,在碳酸氢盐负荷的大鼠中,碳酸氢盐的蓄积速率虽然高于禁水状态,但远低于自由流动输送速率。此外,在碳酸氢盐负荷期间,早期远端碳酸氢盐浓度随着灌注速率的增加而下降,这可能是由于离子型碳酸氢盐进入增加受到限制。