Transport of carboxylic acids by renal membrane vesicles.
Transport of carboxylic acids by renal membrane vesicles.
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DOI:
10.1146/annurev.ph.47.030185.001015
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发表时间:
1985
影响因子:
18.2
通讯作者:
E. M. Wright
中科院分区:
文献类型:
--
作者:
E. M. Wright
The kidney avidly metabolizes Krebs-cycle intermediates, short-chain fatty acids, and ketone bodies (12, 41). These intermediates in plasma are filtered by the glomerulus and conserved in the proximal tubule. Unlike sugars and amino acids, relatively little was known about the renal handling of carboxylic acids until recently. One reason was the high rates of metabolism of these substrates and the lack of nonmetabolized analogs. With the advent of membrane vesicle preparations from the renal cortex (see 31), it became possible to examine membrane transport of the carboxylic acids in the absence of metabolism. In this review I will summarize work on the transport of carboxylic acids using vesicle preparations. In brush borders, two distinct Na-cotransport systems have been uncovered: one for monocarboxylic acids, and another for Krebs cycle intermediates. A Na-cotransport system for the diand tri-carboxylic acids is also found in renal basolateral membranes. On the other hand, the basolateral monocarboxylic-acid transport occurs simply by facilitated diffu SIOn. The plasma levels of Krebs-cycle intermediates, short-chain carboxylic acids, and ketone bodies range from 0.01 mM to 1.5 mM (17). However, the levels can vary widely with acid-base status, diet, diabetes, and starvation. For example, (3-hydroxybutyrate levels increase from 1 mM to 6 mM on starvation, and citrate varies between 0.09 mM and 0.15 mM with changes in acid-base status. All are freely filtered, but urinary excretion is only 3-35% of the filtered load. Reabsorption occurs in the proximal tubule (see 40,45). Marked excre-