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远端和近端肾小管的肾单位滤过测量。

Measurement of nephron filtration from distal and proximal tubules.

作者信息

Romano G, Favret G, Federico E, Bartoli E

机构信息

Department of Internal Medicine, and DPMSC University of Udine, Medical School, Italy.

出版信息

J Nephrol. 1998 Jul-Aug;11(4):211-5.

PMID:9702873
Abstract

Nephron filtration rate (SNGFR), measured proximally by micropuncture using the technique of total collection of tubular fluid, may be spuriously high as the fall in intratubular pressure during collection may increase the net filtration pressure. Alternatively, the interrupted distal delivery of tubular fluid during proximal collection may up-regulate SNGFR by activating the tubulo-glomerular feedback. The accuracy of nephron filtration measurements was tested in 65 rats, by sampling from the distal and then from the proximal tubule of the same nephrons. Collections were also made in the presence of high concentrations of furosemide at the dose of 10 mg/kg i.v. In 290 nephrons, distal SNGFR was not significantly different from the paired measurements obtained from the proximal tubule (39+/-1 vs 39+/-1 nl/min, p > 0.83). During furosemide, the paired data were 42+/-2 vs 41+/-2 nl/min, p > 0.82, n=92. Different hydration conditions did not influence the results. The correlation between distally and proximally measured filtration rates held for the whole range of measurements (R=0.56; p < 0.0001). Under the present experimental conditions, SNGFR is not spuriously high when measured by total blockade of the proximal tubule. The accuracy of measurements and their reproducibility is not influenced by the site of sampling.

摘要

肾单位滤过率(SNGFR),通过微穿刺技术在近端进行测量,采用肾小管液全收集法,可能会出现假性升高,因为收集过程中肾小管内压力下降可能会增加净滤过压。另外,近端收集过程中肾小管液远端输送的中断可能会通过激活管球反馈上调SNGFR。通过对65只大鼠同一肾单位的远端小管和近端小管进行采样,测试了肾单位滤过测量的准确性。还在静脉注射10mg/kg高浓度呋塞米的情况下进行了收集。在290个肾单位中,远端SNGFR与从近端小管获得的配对测量值无显著差异(39±1对39±1nl/min,p>0.83)。在使用呋塞米期间,配对数据为42±2对41±2nl/min,p>0.82,n=92。不同的水合条件不影响结果。在整个测量范围内,远端和近端测量的滤过率之间存在相关性(R=0.56;p<0.0001)。在当前实验条件下,通过近端小管完全阻断进行测量时,SNGFR不会出现假性升高。测量的准确性及其可重复性不受采样部位的影响。

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