HYPERTONIA ÉS NEPHROLOGIA - eLitMed.hu
HYPERTONIA ÉS NEPHROLOGIA - eLitMed.hu
HYPERTONIA ÉS NEPHROLOGIA - eLitMed.hu
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2002; 6 (1):3–15. ONTOGENY OF POTASSIUM TRANSPORT IN THE DISTAL NEPHRON 5<br />
at high rates (Fig. 1) (4; 10; 11). Transepithelial net K +<br />
secretion can be further stimulated as the tubular fluid flow<br />
rate increases (Fig. 2) (10), as has been reported by others (3;<br />
4; 9). In contrast, net K + transport is not detected in<br />
CCD<br />
K<br />
Cl -<br />
H<br />
NACl<br />
K<br />
-<br />
HCO3 Na +<br />
K +<br />
-<br />
HCO3 -<br />
Cl -<br />
K +<br />
microperfused CCDs from newborn rabbits until the third<br />
week of postnatal life (Fig. 1) and can not be elicited by<br />
increasing tubular fluid flow rate in the first month of life (Fig.<br />
2) (10).<br />
(ENaC)<br />
H +<br />
K +<br />
H +<br />
H +<br />
Cl -<br />
principal<br />
cell<br />
-intercalated<br />
cell<br />
-intercalated<br />
cell<br />
Figure 3. K + and Na + transport pathways in the fully differentiated CCD, a nephron segment comprised of principal<br />
and intercalated cells. The apical Na + (ENaC) and K + channel(s) in the principal cell are considered to represent the<br />
rate-limiting steps in transepithelial Na + absorption and K + secretion, respectively. Predicted from this model is that<br />
K + secretion will cease in the absence of Na + absorption<br />
Na +<br />
K +<br />
-<br />
HCO3 Cl -<br />
Cl -<br />
K +<br />
Cl -<br />
H +