Verlander J W, Madsen K M, Tisher C C
Laboratory of Experimental Morphology, University of Florida, College of Medicine, Gainesville, USA.
Kidney Int Suppl. 1996 Dec;57:S137-47.
Recent studies have suggested that less than 10% of intercalated cells in the rabbit outer cortical collecting duct (CCD) [1, 2] and less than 3% in the connecting segment (CNT) [3] are identifiable by functional criteria as acid-secreting (type A or alpha) intercalated cells. Other studies, using peanut lectin-binding and the absence of apical endocytic activity to identify bicarbonate-secreting (type B or beta) intercalated cells, have suggested that acid-loading increases the percentage of alpha intercalated cells in the CCD. Because our preliminary observations of band 3 immunoreactivity suggest that the percentages of alpha intercalated cells in the rabbit outer CCD and the CNT are underestimated by physiologic studies and are not altered by chronic acid-loading, we quantified the percentage of alpha intercalated cells in various segments of the collecting duct using light microscopic immunohistochemistry in kidneys of rabbits receiving tap water (control) or 75 mM NH4Cl for 12 days plus 8 daily gavages of 2 to 6 mEq NH4Cl/kg body wt. Mean urine pH values were 5.96 in acid-loaded animals versus 8.47 in controls. Kidneys were preserved by in vivo perfusion with periodatelysine-paraformaldehyde fixation and processed for immunohistochemical colocalization using sequential labeling with monoclonal antibodies and peanut lectin, followed by immunoperoxidase detection. Colocalization of band 3 and carbonic anhydrase II immunoreactivity revealed the following percentages of band 3-positive intercalated cells in control versus NH4Cl rabbits: CNT, 49.0 versus 52.8; initial collecting tubule (ICT), 27.2 versus 34.5; outer CCD, 33.5 versus 30.3; inner CCD, 38.2 versus 41.8; corticomedullary CD, 67.9 versus 58.8. There were no differences between the groups for all comparisons. Similar results were obtained using band 3 protein immunoreactivity and peanut lectin-binding to identify intercalated cell subtypes. However, in NH4Cl-loaded rabbits, peanut lectin-binding was observed in band 3 positive intercalated cells in the outer medullary CD. We conclude that: (1) the percentage of alpha intercalated cells in rabbit CCD subsegments are approximately 50% in the CNT, 30% in the ICT and the outer CCD, 40% in the inner CCD, and 60% in the corticomedullary CD; (2) the percentage of alpha intercalated cells is not altered by chronic NH4Cl-loading; (3) peanut lectin is not a specific marker of beta intercalated cells.
近期研究表明,兔肾外皮质集合管(CCD)中,按功能标准可识别为泌酸(A型或α型)闰细胞的比例不到10%[1,2],而在连接段(CNT)中这一比例不到3%[3]。其他研究利用花生凝集素结合以及顶端内吞活性的缺失来识别泌碳酸氢盐(B型或β型)闰细胞,结果显示酸负荷增加了CCD中α闰细胞的比例。由于我们对带3免疫反应性的初步观察表明,兔肾外CCD和CNT中α闰细胞的比例被生理学研究所低估,且不受慢性酸负荷的影响,因此我们使用光学显微镜免疫组织化学方法,对饮用自来水(对照)或接受12天75 mM氯化铵处理并每日灌胃2至6 mEq氯化铵/千克体重共8天的兔肾集合管各段中α闰细胞的比例进行了量化。酸负荷动物的平均尿pH值为5.96,而对照组为8.47。通过体内灌注过碘酸赖氨酸-多聚甲醛固定保存肾脏,并使用单克隆抗体和花生凝集素的顺序标记进行免疫组织化学共定位处理,随后进行免疫过氧化物酶检测。带3和碳酸酐酶II免疫反应性的共定位显示,对照兔和氯化铵处理兔中带3阳性闰细胞的比例如下:CNT,49.0%对52.8%;初始集合小管(ICT),27.2%对34.5%;外CCD,33.5%对30.3%;内CCD,38.2%对41.8%;皮质髓质集合管,67.9%对58.8%。所有比较组间均无差异。使用带3蛋白免疫反应性和花生凝集素结合来识别闰细胞亚型也获得了类似结果。然而,在氯化铵处理的兔中,在外髓集合管的带3阳性闰细胞中观察到了花生凝集素结合。我们得出以下结论:(1)兔CCD各亚段中α闰细胞的比例在CNT中约为50%,在ICT和外CCD中约为30%,在内CCD中约为40%,在皮质髓质集合管中约为60%;(2)慢性氯化铵负荷不会改变α闰细胞的比例;(3)花生凝集素不是β闰细胞的特异性标志物。