Muto S, Asano Y
Department of Nephrology, Jichi Medical School, Tochigi, Japan.
J Clin Invest. 1994 Nov;94(5):1846-54. doi: 10.1172/JCI117534.
Ureteral obstruction causes impaired salt wastage and K+ secretion in the distal nephron segments, including the cortical collecting duct (CCD). Recently, we demonstrated that conductances of Na+ and K+ in the apical membrane, as well as the electrogenic Na(+)-K+ pump activity and the relative K+ conductance in the basolateral membrane of the collecting duct cell, were inhibited in the obstructed kidney after unilateral ureteral obstruction (UUO). To examine whether the increased intrarenal pressure might be causally related to these abnormalities in the CCD, the effects of unilateral renal decapsulation, a maneuver that partially blocks the increase in renal pressure, were evaluated with microelectrode techniques in isolated CCDs from UUO and sham-operated (control) rabbits 24 h after operation. Renal decapsulation had no effects on barrier voltages and conductances in the CCD from control animals. The lumen-negative transepithelial (VT) and basolateral membrane (VB) voltages as well as the transepithelial (GT) and the apical membrane (GA) conductances were decreased in the CCD from UUO animals compared with control animals. Pretreatment of renal decapsulation partially corrected the decreases in VT, VB, GT, and GA seen in the CCD from UUO animals. The changes in apical membrane voltage and GT upon addition of luminal amiloride and Ba2+, and the changes in VB upon addition of bath ouabain, were also decreased in the CCD from UUO animals compared with control animals. Pretreatment of renal decapsulation also partially corrected the above abnormalities seen in UUO animals, whereas it had no effect in control animals. The transference numbers for Cl- (tCl) and K+ (tK) in the basolateral membrane were, respectively, increased and decreased in the CCD from UUO animals compared with control animals. Pretreatment of renal decapsulation also partially corrected the changes in tCl and tK seen in UUO animals, whereas it had no effect in control animals. We conclude that, in UUO animals, renal decapsulation partially corrects the inhibition of apical Na+ and K+ conductances as well as basolateral Na(+)-K+ pump activity and relative K+ conductance seen after UUO, whereas in control animals it has no effect. The increased renal pressure may partly contribute to the defects in Na+ and K+ transport in the CCD from obstructed kidneys. Renal decapsulation has protective effects on impaired Na+ and K+ transports in the CCD after ureteral obstruction.
输尿管梗阻会导致远端肾单位节段(包括皮质集合管,CCD)的盐排泄和钾分泌受损。最近,我们发现单侧输尿管梗阻(UUO)后,梗阻肾脏中集合管细胞顶膜的钠和钾电导、电生性钠钾泵活性以及基底外侧膜的相对钾电导均受到抑制。为了研究肾内压升高是否可能与CCD中的这些异常存在因果关系,我们采用微电极技术,对术后24小时的UUO和假手术(对照)兔分离的CCD进行评估,观察单侧肾被膜剥脱(一种部分阻断肾内压升高的操作)的影响。肾被膜剥脱对对照动物CCD的屏障电压和电导没有影响。与对照动物相比,UUO动物CCD的管腔负跨上皮电压(VT)和基底外侧膜电压(VB)以及跨上皮电导(GT)和顶膜电导(GA)均降低。肾被膜剥脱预处理部分纠正了UUO动物CCD中VT、VB、GT和GA的降低。与对照动物相比,UUO动物CCD中加入管腔阿米洛利和钡离子后顶膜电压和GT的变化,以及加入浴槽哇巴因后VB的变化也降低。肾被膜剥脱预处理也部分纠正了UUO动物中上述异常,而对对照动物没有影响。与对照动物相比,UUO动物CCD基底外侧膜中氯离子(tCl)和钾离子(tK)的迁移数分别增加和降低。肾被膜剥脱预处理也部分纠正了UUO动物中tCl和tK的变化,而对对照动物没有影响。我们得出结论,在UUO动物中,肾被膜剥脱部分纠正了UUO后观察到的顶膜钠和钾电导以及基底外侧钠钾泵活性和相对钾电导的抑制,而在对照动物中则没有影响。肾内压升高可能部分导致梗阻肾脏CCD中钠和钾转运的缺陷。肾被膜剥脱对输尿管梗阻后CCD中受损的钠和钾转运具有保护作用。