[STUDY OF RENAL POTASSIUM EXCRETION].
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Biomedical subjects
Publications and source records attributed to G GIEBISCH.
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Using perfusion techniques in single proximal tubule segments of rat kidney, the relationship between net sodium movement and active transport of ions, as measured by the short-circuit method, has been studied. In addition, the role of the colloid-osmotic pressure gradient in proximal transtubular fluid and sodium movement has been considered. Furthermore, the limiting concentration gradient against which sodium movement can occur and the relationship between intratubular sodium concentration and fluid transfer have been investigated. Comparison of the short-circuit current with the reabsorptive movement of sodium ions indicates that this process is largely, perhaps exclusively, active in nature. No measurable contribution of the normally existing colloid-osmotic pressure gradient to transtubular water movement was detected. On the other hand, fluid movement across the proximal tubular epithelium is dependent upon the transtubular sodium gradient and is abolished when a mean concentration difference of 50 mEq/liter is exceeded.
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Stable electrical potential differences can be measured by means of conventional glass microelectrodes across the cell membrane of renal tubule cells and across the epithelial wall of single tubules in the doubly perfused kidney of Necturus. These measurements have been carried out with amphibian Ringer's solution, and with solutions of altered ionic composition. The proximal tubule cell has been found to be electrically asymmetrical inasmuch as a smaller potential difference is maintained across the luminal cell membrane than across the peritubular cell boundary. The tubule lumen is always electrically negative with respect to the peritubular extracellular medium. Observations on the effectiveness of potassium ions in depolarizing single tubule cells indicate that the transmembrane potential is essentially an inverse function of the logarithm of the external potassium concentration. The behavior of the peritubular transmembrane potential resembles more closely an ideal potassium electrode than that of the luminal transmembrane potential. From these results, and the effects of various ionic substitutions on the electrical profile of the renal tubular epithelium, a thesis concerning the origin of the observed potential differences is presented. A sodium extrusion mechanism is considered to be located at the peritubular cell boundary, and reasons are given for the hypothesis that the electrical asymmetry across the proximal renal tubule cell could arise as a consequence of differences in the relative sodium and potassium permeability at the luminal and peritubular cell boundaries.
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