Transport of gentamicin in rat proximal tubule.

Transport of gentamicin in rat proximal tubule.
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庆大霉素在大鼠近曲小管中的转运。

DOI:
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发表时间:
1983
期刊:
Laboratory investigation; a journal of technical methods and pathology
影响因子:
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通讯作者:
H. Sobel
H. Sobel
中科院分区:
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文献类型:
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作者:
R. Wedeen;Batuman;C. Cheeks;E. Marquet;H. Sobel

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通过组合免疫荧光和切片冷冻干燥放射自显影技术确定氚庆大霉素(GM)在大鼠体内的肾内分布,这些技术允许在扩散再分布之前和之后进行亚细胞定位。还通过电子显微镜检查了这些肾脏的组织。胃肠外给予 4 至 100 mg/kg 后,GM 在近曲小管的 S1 和 S2 段积聚,但不在 S3 段积聚。 10 分钟内,放射自显影显示近端和远端肾小管腔内存在 3H-GM;在许多近端细胞中,与胞饮摄取一致的亚顶端分布是显着的。 1小时后,在冷冻干燥放射自显影切片中,3H-GM广泛分布在细胞质内,细胞内隔离的证据极少。此时,3H-GM 可能位于内吞液泡内,电子显微镜仅显示出含有单髓体的罕见液泡。随后,切片冷冻干燥放射自显影显示氨基糖苷的隔离,但在注射后长达 6 小时的荧光显微镜组织处理过程中,这种细胞内定位丢失。 6小时时,含有多个组织良好的髓鞘质的大细胞质空泡首先出现在S1和S2节段中。到 48 小时,3H-GM 牢固地结合在这些空泡中,并在冷冻干燥放射自显影切片和免疫荧光制剂中保持在原位,并与电子显微镜下含有多髓体的空泡数量增加相关。因此,这些研究证明了细胞内可扩散的 3H-Gm 可在给药后 1 至 6 小时引发肾毒性。
The intrarenal distribution of tritiated gentamicin (GM) was determined in rat by combined immunofluorescence and section freeze-dry autoradiography, techniques that permit subcellular localization before and after diffusional redistribution. Tissue from these kidneys was also examined by electron microscopy. After parenteral administration of 4 to 100 mg/kg, GM accumulates in S1 and S2 but not S3 segments of proximal tubules. Within 10 minutes, autoradiography demonstrates 3H-GM in the lumina of proximal and distal tubules; a subapical distribution consistent with pinocytotic uptake is prominent in many proximal cells. After 1 hour, 3H-GM is diffusely distributed within the cytoplasm in section freeze-dry autoradiographs with minimal evidence of intracellular sequestration. At this time, 3H-GM is presumably within endocytotic vacuoles, and electron microscopy reveals only rare vacuoles containing single myeloid bodies. Subsequently, section freeze-dry autoradiography shows sequestration of the aminoglycoside, but this intracellular localization is lost during tissue processing for fluorescent microscopy up to 6 hours after injection. At 6 hours large cytoplasmic vacuoles containing multiple well-organized myelin figures first appear in S1 and S2 segments. By 48 hours, 3H-GM is firmly bound in these vacuoles and is maintained in situ in both section freeze-dry autoradiographs and immunofluorescent preparations in association with increased numbers of vacuoles containing multiple myeloid bodies by electron microscopy. These studies thus demonstrate diffusible 3H-Gm within the cell which is available to initiate nephrotoxicity 1 to 6 hours after administration.