BICARBONATE TRANSPORT ALONG THE LOOP OF HENLE .2. EFFECTS OF ACID-BASE, DIETARY, AND NEUROHUMORAL DETERMINANTS

被引:50
作者
CAPASSO, G
UNWIN, R
CIANI, F
DESANTO, NG
DETOMMASO, G
RUSSO, F
GIEBISCH, G
机构
[1] YALE UNIV, SCH MED, DEPT CELLULAR & MOLEC PHYSIOL, NEW HAVEN, CT 06520 USA
[2] UNIV NAPLES 1, FAC MED, CHAIR NEPHROL, NAPLES, ITALY
[3] UNIV NAPLES 1, DEPT BIOL STRUCT & FUNCT, NAPLES, ITALY
[4] UNIV NAPLES 2, NAPLES, ITALY
[5] UCL, SCH MED, DEPT NEPHROL, LONDON W1N 8AA, ENGLAND
[6] UCL, SCH MED, DEPT MED, LONDON W1N 8AA, ENGLAND
[7] UCL, SCH MED, DEPT PHYSIOL, LONDON W1N 8AA, ENGLAND
[8] YALE UNIV, DEPT CELLULAR & MOLEC PHYSIOL, NEW HAVEN, CT 06520 USA
基金
英国惠康基金;
关键词
LOOP OF HENLE; HIGH SODIUM DIET; ANGIOTENSIN II; DUP; 753; RENAL DENERVATION;
D O I
10.1172/JCI117403
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
The loop of Henle contributes to renal acidification by reabsorbing about 15% of filtered bicarbonate. To study the effects on loop of Henle bicarbonate transport (JHCO(3)) of acid-base disturbances and of several factors known to modulate sodium transport, these in vivo microperfusion studies li;ere carried out in rats during: (a) acute and chronic metabolic acidosis, (b) acute and chronic (hypokalemic) metabolic alkalosis, (c) a control sodium diet, (d) a high-sodium diet, (e) angiotensin II (AII) intravenous infusion, (f) simultaneously intravenous infusion of both AII and the ATI receptor antagonist DuP 753, (g) acute ipsilateral mechanico-chemical renal denervation. Acute and chronic metabolic acidosis increased JHCO(3); acute metabolic alkalosis significantly reduced JHCO(3), whereas chronic hypokalemic alkalosis did not alter JHCO(3). Bicarbonate transport increased in animals on a high-sodium intake and following AII administration, and the latter was inhibited by the AII (AT(1)) receptor antagonist DuP 753; acute renal denervation lowered bicarbonate transport. These data indicate that bicarbonate reabsorption along the loop of Henle in vivo is closely linked to systemic acid-base status and to several factors known to modulate sodium transport.
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页码:830 / 838
页数:9
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