Jacobson H R, Kokko J P
J Clin Invest. 1976 Apr;57(4):818-25. doi: 10.1172/JCI108357.
Until recently it has not been possible to compare directly the function of superficial and juxtamedullary nephrons. The present studies, using in vitro microperfusion, were designed to examine whether functional differences exist between proximal convoluted tubule segments of superficial and juxtamedullary nephrons. Electrophysiological studies showed that major differences exist between the relative chloride and sodium permeabilities of these segments. In the 1st mm of the superficial proximal convoluted tubule, the permeability to sodium was greater than that to chloride, whereas in the 2nd mm of the superficial proximal convoluted tubule and all later segments, the permeability to chloride was greater than that to sodium. The juxtamedullary proximal convoluted tubule was found to differ from the superficial proximal convoluted tubule in two respects: first, the relative permeabilities to chloride and sodium did not differ in the various segments of the juxtamedullary proximal convoluted tubule; second, the permeability to sodium was greater than to chloride throughout. When perfused with a solution lacking glucose and amino acids, the superficial and juxtamedullary convolutions exhibited the same transepithelial potential change, a reversible decrease to less than -- 1 mV. It thus appears that in both convolutions there exists electrogenic sodium transport coupled to the transport of these organic solutes. This differs from pars recta of both of these nephrons, which have been shown to exhibit electrogenic sodium transport independent of organic solutes. However, when perfused with a solution lacking glucose and amino acids but also containing high chloride and low bicarbonate concentrations, the superficial convolution developed a significantly more positive potential than the juxtamedullary. This difference reflects greater relative chloride permeability in the superficial proximal convolution. These studies show that intrinsic functional differences exist between proximal convoluted tubules obtained from the superficial and juxtamedullary nephron populations.
直到最近,才有可能直接比较浅表肾单位和近髓肾单位的功能。目前的研究采用体外微灌注技术,旨在研究浅表肾单位和近髓肾单位的近端曲管段之间是否存在功能差异。电生理研究表明,这些段的相对氯和钠通透性存在主要差异。在浅表近端曲管的第1毫米处,对钠的通透性大于对氯的通透性,而在浅表近端曲管的第2毫米及所有后续段中,对氯的通透性大于对钠的通透性。发现近髓近端曲管在两个方面与浅表近端曲管不同:第一,近髓近端曲管各段对氯和钠的相对通透性没有差异;第二,整个过程中对钠的通透性大于对氯的通透性。当用缺乏葡萄糖和氨基酸的溶液灌注时,浅表和近髓曲管表现出相同的跨上皮电位变化,可逆性降低至小于-1 mV。因此,似乎在这两个曲管中都存在与这些有机溶质转运偶联的电生性钠转运。这与这两种肾单位的直部不同,后者已被证明表现出与有机溶质无关的电生性钠转运。然而,当用缺乏葡萄糖和氨基酸但也含有高氯和低碳酸氢盐浓度的溶液灌注时,浅表曲管产生的电位明显比近髓曲管更正。这种差异反映了浅表近端曲管中相对氯通透性更高。这些研究表明,从浅表和近髓肾单位群体获得的近端曲管之间存在内在功能差异。