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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 +

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