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首页> 外文期刊>Pediatric Research >The Renal Reabsorption of Glucose in the Developing Canine Kidney: A Study of Glomerulotubular Balance
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The Renal Reabsorption of Glucose in the Developing Canine Kidney: A Study of Glomerulotubular Balance

机译:发育中的犬肾脏中肾脏对葡萄糖的重吸收:肾小球小管平衡的研究

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Extract: Twenty puppies, 18 hr-40 days of age, were used to investigate the relation between maximal tubular reabsorption of glucose (TmG) and glomerular filtration rate (GFR) during maturation. The renal threshold for glucose was examined in an attempt to obtain information concerning functional heterogeneity. There was a slow increase in dry kidney weight (DKW) over the first 2 weeks of life, relative to the more rapid rate noted thereafter. Examination of the clearance of inulin (CIN) and TmG revealed a pattern of increase with age similar to that observed for the relation of DKW to age. The ratio of TmG to CIN initially was high (4.22), fell markedly over the first few days, and thereafter continued to decrease exponentially until levels were achieved that were similar to values found in adult animals (2.75–3.31). These data suggest that the documented anatomical glomerular preponderance in the infant kidney may not have a consistent functional correlate. Analysis of the glucose threshold as a function of age revealed a statistically significant positive regression; however, the increase with age was small (range 190–254 mg/100 ml), and all values fell within the 95% confidence limits for adult thresholds. A comparison of splay between the youngest and oldest puppies demonstrates an increase in splay and thus in functional heterogeneity of the younger animals, a finding which may reflect a population of nephrons with relative glomerular preponderance, despite the presence of glomerulotubular balance for the kidney as a whole.Speculation: Current evidence, including that of the present investigation, suggests that although functional tubular capacity at birth may be limited, glomerulotubular balance is maintained.
机译:提取物:20只幼犬(年龄在18小时40天以内)用于研究成熟过程中葡萄糖最大肾小管重吸收(TmG)与肾小球滤过率(GFR)之间的关系。检查葡萄糖的肾脏阈值,以获取有关功能异质性的信息。在出生后的前两周内,干肾重量(DKW)缓慢增加,相对于此后的较快速度。菊粉(CIN)和TmG清除率的检查表明,随着年龄的增长,增加的模式与DKW与年龄的关系类似。 TmG与CIN的比例最初很高(4.22),在最初几天显着下降,此后继续呈指数下降,直到达到与成年动物中发现的值相似的水平(2.75-3.31)。这些数据表明,婴儿肾脏中肾小球的解剖学优势可能与功能性相关性不一致。血糖阈值随年龄变化的分析显示出统计学上显着的正回归。然而,随着年龄的增长,其增加幅度很小(范围为190-254 mg / 100 ml),所有值均在成人阈值的95%置信范围内。比较最年轻和最老的幼犬的张开,可以显示年幼动物张开的增加,从而增加了功能异质性。这一发现可能反映了肾小球相对优势的肾单位,尽管肾脏存在肾小球平衡。推测:目前的证据,包括本研究的证据,表明尽管出生时的功能性肾小管容量可能受到限制,但肾小球-肾小管平衡得以维持。

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