Arar M, Levi M, Baum M
Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas 75235-9063.
Pediatr Res. 1994 Apr;35(4 Pt 1):474-8.
Previous studies have implicated glucocorticoids as an important factor in the postnatal maturational increase in proximal tubule volume absorption, Na+/H+ antiporter, Na(HCO3)3 symporter, and Na(+)-K(+)-ATPase activity. The present study examined whether glucocorticoids are also a potentially important factor in the maturational decrease in proximal tubule phosphate transport. Renal BBMs were prepared from neonatal rabbits who received dexamethasone (10 micrograms/100 g body weight) or vehicle. Brush-border membrane vesicles from dexamethasone-treated neonates had a lower rate of Na-phosphate cotransport than controls (50.8 +/- 3.6 versus 29.2 +/- 2.6 pmol 32P(i)/10 s/mg protein, p < 0.001). This decrease was due to a decrease in the Vmax with no change in the affinity of the transporter for phosphate. The dexamethasone-induced decrease in BBM Na-phosphate transport was not due to a reduction in transporters as assayed by phosphate-protectable Na-dependent equilibrium binding of phosphonoformic acid. Dexamethasone treatment caused an increase in the fluorescence anisotropy of 1,6-diphenyl-1,3,5-hexatriene and trimethylammonium-1,6-diphenyl-1,3,5-hexatriene (i.e. a decrease in membrane fluidity). Brush-border membranes from dexamethasone-treated neonates had a decrease in sphingomyelin and an increase in phosphatidylcholine and phosphatidylinositol content but no change in cholesterol or total phospholipid content. These data are consistent with glucocorticoids playing a role in the postnatal maturational decrease in proximal tubule phosphate transport by altering membrane characteristics.
以往的研究表明,糖皮质激素是出生后近端小管容积吸收、Na+/H+ 反向转运体、Na(HCO3)3 同向转运体以及 Na(+)-K(+)-ATP 酶活性成熟性增加的一个重要因素。本研究检测了糖皮质激素是否也是近端小管磷酸盐转运成熟性降低的一个潜在重要因素。从接受地塞米松(10 微克/100 克体重)或赋形剂的新生兔制备肾刷状缘膜小泡(BBMs)。地塞米松处理的新生兔的刷状缘膜小泡的 Na-磷酸盐共转运速率低于对照组(50.8±3.6 对 29.2±2.6 皮摩尔 32P(i)/10 秒/毫克蛋白,p<0.001)。这种降低是由于 Vmax 降低,而转运体对磷酸盐的亲和力没有变化。地塞米松诱导的 BBM Na-磷酸盐转运降低不是由于转运体减少,这通过膦甲酸的磷酸盐保护的 Na 依赖性平衡结合测定。地塞米松处理导致 1,6-二苯基-1,3,5-己三烯和三甲基铵-1,6-二苯基-1,3,5-己三烯的荧光各向异性增加(即膜流动性降低)。地塞米松处理的新生兔的刷状缘膜中鞘磷脂减少,磷脂酰胆碱和磷脂酰肌醇含量增加,但胆固醇或总磷脂含量没有变化。这些数据与糖皮质激素通过改变膜特性在近端小管磷酸盐转运的出生后成熟性降低中起作用一致。