AMMONIAGENESIS BY THE ISOLATED PERFUSED RAT-KIDNEY - CRITICAL ROLE OF URINARY ACIDIFICATION

被引:47
作者
TANNEN, RL
ROSS, BD
机构
[1] UNIV VERMONT, COLL MED, DEPT MED, BURLINGTON, VT 05401 USA
[2] RADCLIFFE INFIRM, NUFFIELD DEPT CLIN BIOCHEM, OXFORD OX2 6HE, ENGLAND
关键词
D O I
10.1042/cs0560353
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
1. The effect of metabolic acidosis simulated in vitro on ammoniagenesis was investigated by using the isolated kidney of the rat perfused with an albumin Krebs-Henseleit medium containing glutamine and glucose. 2. Addition of HCl to a perfusate of normal bicarbonate concentration resulted in a prompt increase in urine flow rate, decrease in fractional sodium reabsorption and decrease in urine pH. 3. A minimum urine pH as low as 5.15 was achieved, with an average value of 5.92, indicating that this preparation has the capacity to acidify normally. 4. In contrast with studies in vitro with other preparations, with the functional perfused kidney a diminution in perfusate bicarbonate concentration resulted in a prompt increase in ammonia production, which was strikingly correlated with the decrease in urine pH. 5. The increase in ammonia production was diminished in studies carried out with a nonurinating kidney, in comparison with those that exhibited significant urine acidification. 6. These data suggest that a decrease in urine pH with trapping of ammonia in the urine may be a critical stimulus for increased ammonia production in acute metabolic acidosis.
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页码:353 / 364
页数:12
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