Yu H L, Giammarco R, Goldstein M B, Stinebaugh D J, Halperin M L
J Clin Invest. 1976 Sep;58(3):557-64. doi: 10.1172/JCI108501.
The purpose of this study was to clarify the mechanism (s) responsible for regulation of ammonia production and excretion in the rabbit. The normally low ammonia excretion rate during acute metabolic acidosis was stimulated acutely and increased approximately ninefold after infusion of sodium phosphate, but remained low if sodium sulphate or Tris was substituted for phosphate. Ammonia production was increased significantly by phosphate in rabbit renal cortex slices and in isolated renal cortex mitochondria. In isolated mitochondria, mersalyl, an inhibitor of both the phosphate/hydroxyl and phosphate/dicarboxylate mitochondrial carriers, inhibited the phosphate-induced stimulation, indicating that phosphate must enter the mitochondrion for stimulation. A malate/phosphate exchange seemed to be involved since N-ethylmaleimide, an inhibitor of the phosphate/hydroxyl exchange, did not inhibit phosphate-stimulated ammonia production, whereas there was inhibition by 2-n-butylmalonate, a competitive inhibitor of the dicarboxylate carrier. Phosphate itself was not essential since malonate stimulated ammoniagenesis in the absence of added phosphate. Similarly, citrate stimulated ammoniagenesis in isolated mitochondria in the absence of inorganic phosphate provided that it induced L-malate exit on the citrate transporter associated with inhibition of citrate oxidation by fluoroacetate. Similar results were also seen in mitochondria from rat renal cortex. A fall in mitochondrial alpha-ketoglutarate level resulted in an increase in ammonia production. This could be achieved directly with malonate or indirectly via L-malate exit. Simultaneous measurements of glutamate showed that the rate of ammonia production was reciprocally related to the glutamate content. We conclude that phosphate-induced stimulation of ammoniagenesis in the rabbit kidney is mediated by removal of glutamate, the feedback inhibitor of phosphate-dependent glutaminase. Glutamate removal is linked to phosphate-induced dicarboxylate exit across the mitochondrial membrane.
本研究的目的是阐明家兔体内氨生成和排泄调节的机制。急性代谢性酸中毒期间通常较低的氨排泄率在输注磷酸钠后被急性刺激,排泄率增加了约九倍,但如果用硫酸钠或三羟甲基氨基甲烷替代磷酸盐,氨排泄率仍保持较低水平。在兔肾皮质切片和分离的肾皮质线粒体中,磷酸盐可显著增加氨的生成。在分离的线粒体中,汞撒利(一种磷酸盐/羟基和磷酸盐/二羧酸线粒体载体的抑制剂)可抑制磷酸盐诱导的刺激作用,这表明磷酸盐必须进入线粒体才能发挥刺激作用。似乎涉及苹果酸/磷酸盐交换,因为N-乙基马来酰亚胺(一种磷酸盐/羟基交换的抑制剂)并不抑制磷酸盐刺激的氨生成,而2-正丁基丙二酸(一种二羧酸载体的竞争性抑制剂)则有抑制作用。磷酸盐本身并非必需,因为在未添加磷酸盐的情况下,丙二酸可刺激氨生成。同样,在没有无机磷酸盐的情况下,柠檬酸盐可刺激分离线粒体中的氨生成,前提是它通过柠檬酸盐转运体诱导L-苹果酸流出,并伴随着氟乙酸对柠檬酸盐氧化的抑制。在大鼠肾皮质的线粒体中也观察到了类似结果。线粒体α-酮戊二酸水平的下降导致氨生成增加。这可以通过丙二酸直接实现,也可以通过L-苹果酸流出间接实现。同时对谷氨酸的测量表明,氨生成速率与谷氨酸含量呈反比关系。我们得出结论,磷酸盐诱导的家兔肾脏氨生成刺激是通过去除谷氨酸来介导的,谷氨酸是磷酸依赖性谷氨酰胺酶的反馈抑制剂。谷氨酸的去除与磷酸盐诱导的二羧酸跨线粒体膜流出有关。