Tabei K, Muto S, Furuya H, Sakairi Y, Ando Y, Asano Y
Department of Medicine, Jichi Medical School, Tochigi, Japan.
Am J Physiol. 1995 Mar;268(3 Pt 2):F490-5. doi: 10.1152/ajprenal.1995.268.3.F490.
The role of metabolic acidosis in the regulation of transepithelial potassium transport was examined in rabbit cortical collecting ducts (CCD) using in vitro isolated tubular microperfusion and conventional microelectrode techniques. Basolateral metabolic acidosis, created by reduction of bicarbonate concentration from 25 to 5 meq/l, pH 7.40 to 6.80, depolarized the transepithelial voltage significantly (-6.5 +/- 1.0 to -2.7 +/- 1.3 mV). Basolateral acidosis also suppressed net potassium secretion (-14.3 +/- 2.1 to -9.0 +/- 1.7 pmol.min-1.mm-1). Electrophysiological study in CCD cells demonstrated that basolateral metabolic acidosis depolarized transepithelial voltage and apical and basolateral membrane voltage with an increase of transepithelial and fractional apical resistance. Basolateral acidosis did not affect the 22Na efflux nor 86Rb efflux. The inhibitory action of basolateral acidosis on net potassium secretion remained in the presence of luminal barium and in the absence of bicarbonate. Ouabain could not abolish the effect of basolateral acidosis on transepithelial voltage completely. These data lead us to conclude that basolateral acidosis affects multiple transport pathways, and it inhibits mainly apical barium-sensitive potassium transport. Additionally, it inhibits apical sodium conductance, barium-insensitive potassium transport, and stimulates a ouabain-insensitive electrogenic transport pathway to some degree.
利用体外分离肾小管微灌注和传统微电极技术,在兔皮质集合管(CCD)中研究了代谢性酸中毒在跨上皮钾转运调节中的作用。通过将碳酸氢盐浓度从25 meq/l降至5 meq/l(pH从7.40降至6.80)产生的基底侧代谢性酸中毒,使跨上皮电压显著去极化(从-6.5±1.0 mV降至-2.7±1.3 mV)。基底侧酸中毒还抑制了净钾分泌(从-14.3±2.1 pmol·min⁻¹·mm⁻¹降至-9.0±1.7 pmol·min⁻¹·mm⁻¹)。对CCD细胞的电生理研究表明,基底侧代谢性酸中毒使跨上皮电压以及顶端和基底侧膜电压去极化,同时跨上皮和顶端分数电阻增加。基底侧酸中毒不影响²²Na外流和⁸⁶Rb外流。在管腔存在钡且无碳酸氢盐的情况下,基底侧酸中毒对净钾分泌的抑制作用仍然存在。哇巴因不能完全消除基底侧酸中毒对跨上皮电压的影响。这些数据使我们得出结论,基底侧酸中毒影响多种转运途径,主要抑制顶端对钡敏感的钾转运。此外,它还抑制顶端钠电导、钡不敏感的钾转运,并在一定程度上刺激一种对哇巴因不敏感的电生转运途径。