Abstract
The proximal tubules of newborn and adult animals reabsorb a similar fraction of the filtered load of Na+ and H2O (65%–70%). In tubules from adult animals, transcellular, active Na+ reabsorption accounts for one-third of the total, while two-thirds occur passively through the paracellular pathway, driven by hydrostatic and oncotic forces (one-third) and by cell-generated effective osmotic and ionic gradients (one-third). Since two-thirds of the Na+ is reabsorbed passively and does not require energy, the mature proximal tubule has a high Na+/O2 molar ratio (48 Eq of Na+/mol of O2). Measurements of ouabain-sensitive oxygen consumption in suspensions of proximal tubules indicate that in newborn, aerobic metabolism can support about 50% of the net Na+ transport rate compared with the 33% in tubules from adult animals. Independent confirmation of the direct and proportional relationship between active Na+ transport and ouabain-sensitive O2 consumption exists for the adult but not for the newborn. However, measurements of epithelial conductances and of transepithelial hydrostatic and oncotic pressure differences indicate that passive paracellular fluxes can account for the remaining 50% of the proximal Na+ reabsorption in newborn. The high permeability of the proximal tubules of newborn animals to small molecular weight solutes suggests that cell-generated osmotic and ionic transepithelial gradients are minimal in the tubules of newborn animals. Yet in the newborn, the osmolality of the end proximal tubule fluid was found to exceed that in plasma. This indicates that osmotic gradients due to differences in reflection coefficients for preferentially reabsorbed solutes and Cl− do exist across the proximal tubules of the newborn and suggests that these gradients may contribute to Na+ and H2O reabsorption. If this is indeed the case, then the contribution of active and of hydrostatic and oncotic pressure-driven flows to the overall reabsorption of Na+ and fluid has been overestimated. Resolution of this discrepancy requires measurements of the reflection coefficients for HCO −3 and Cl− in the proximal tubule of the newborn. The metabolic processes by which energy is supplied to renal proximal cells during development are also incompletely characterized. There is evidence that maturation of aerobic metabolism, Krebs cycle enzymes activity, and of the mitochondrial membrane surface area precede the development of net reabsorptive transport (Na+, H2O, HCO3, glucose). By contrast, maturation of Na+−K+-ATPase activity at the basolateral cell membrane follows that in reabsorptive transport and does not limit its development. The extent to which age-related changes in reabsorptive fluxes are due to the development of luminal membrane transport systems, to the decrease in paracellular permeability, or both remains to be determined. The high activity of enzymes in the hexosemonophosphate pathway and the high NADH/NAD ratio present during the first few weeks of extrauterine life poise the proximal tubules for high rates of biosynthesis of membrane lipids, glycoproteins, nucleic acids, and transporter proteins necessary for final differentiation.
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References
Knox FG, Fleming JS, Rennie DW (1966) Effect of osmotic diuresis on sodium reabsorption and oxygen consumption of kidney. Am J Physiol 210: 751–759
Zerhan K (1956) Oxygen consumption and active sodium transport in the isolated short-circuited frog skin. Acta Physiol Scand 36: 300–318
Labarca P, Canessa M, Leaf A (1977) Metabolic cost of sodium transport in the toad bladder. J Membr Biol 32: 383–401
Kinne R (1979) Metabolic correlates of tubular transport. In: Giebish G, Tosteson DC, Ussing HH (eds) Membrane transport in biology, 4B. Springer, Berlin Heidelberg New York, pp 529–562
Mathisen O, Montclair T, Kiil F (1980) Oxygen requirement of bicarbonate dependent sodium reabsorption in the dog kidney. Am J Physiol 238: F175–180
Harris SI, Balaban RS, Mandel LJ (1980) Oxygen consumption and cellular ion transport: Evidence for adenosine triphosphate to O2 ratio near 6 in intact cell. Science 208: 1146–1148
Jorgensen PL (1986) Structure, function and regulation of Na−K-ATPase in the kidney. Kidney Int 29: 10–20
Oschman JL (1978) Morphological correlates of transport. In: Giebish G, Tosteson DC, Ussing HH (eds) Membrane transport in biology III. Springer, Berlin Heidelberg New York, pp 55–93
Boulpaep EL, Seely JF (1971) Electrophysiology of proximal and distal tubules in the autoperfused dog kidney. Am J Physiol 221: 1084–1096
Boulpaep EL (1976) Electrical phenomena in the nephron. Kidney Int 9: 88–102
Schafer JA (1984) Mechanisms coupling the absorption of solutes, and water in the proximal nephron. Kidney Int 25: 708–716
Frömter E, Rumrich G, Ulrich KJ (1973) Phenomenologic description of Na+, Cl−, and HCO −3 absorption from the proximal tubules of rat kidneys. Pflügers Arch 343: 189–220
Murer H, Hopfer U, Kinne R (1985) Sodium/proton antiport in brush border membrane vesicles isolated from small intestine and kidney. Biochem J 154: 597–604
Kinne R, Murer H, Kinne-Saffran E, Thees M, Sachs G (1975) Sugar transport by renal plasma membrane vesicles: characteristics of the systems in brush-border microvilli and basolateral plasma membranes. J Membr Biol 21: 275–395
Evers J, Murer H, Kinne R (1976) Phenylalanine uptake by isolated renal brush border vesicles. Biochim Biophys Acta 426: 598–615
Barac-Nieto M, Murer H, Kinne R (1980) Lactate sodium cotransport in rat renal brush border membranes. Am J Physiol 239: F496–506
Hoffman N, Thees M, Kinne R (1976) Phosphate transport by isolated renal brush border vesicles. Pflügers Archiv 362: 147–156
Neumann KH, Rector FC (1976) Mechanism of NaCl and water reabsorption in the proximal convoluted tubule of rat kidney: Role of chloride concentration gradients. J Clin Invest 58: 1110–1118
Andreoli TE, Schafer JA, Troutman SL, Watkins ML (1979) Solvent drag component of Cl− flux in superficial straight tubules: evidence for a paracellular component of isotonic fluid reabsorption. Am J Physiol 237: F455–462
Haberle DA, Von Baeyer H (1983) Characteristics of glomerulotubular balance. Am J Physiol 244: F355–366
Boulpaep EL (1972) Permeability changes of the proximal tubule of Necturus during saline loading. Am J Physiol 222: 517–531
Berry CA, Cogan MG (1981) Influence of peritubular protein on solute absorption in the rabbit proximal tubule. J Clin Invest 68: 506–516
Spitzer A, Brandis M (1974) Functional and morphologic maturation of the superficial nephrons. Relationship to total kidney functions. J Clin Invest 53: 279–287
Schwartz GJ, Evans AP (1983) Development of solute transport in rabbit proximal tubule. I HCO −3 and glucose absorption. Am J Physiol 245: F382–390
Celsi G, Larsson L, Aperia A (1986) Proximal tubular reabsorption and Na−K-ATPase activity in remnant kidney of young rats. Am J Physiol 20: F588–593
Horster M, Larsson L (1976) Mechanism of fluid absorption during proximal tubule development. Kidney Int 10: 348–363
Kaskel FJ, Kumar AM, Lockhart EA, Evan A, Spitzer A (1987) Factors affecting proximal tubular reabsorption during development. Am J Physiol 252: F188–197
Horster M, Valtin H (1971) Postnatal development of renal function. Micropuncture and clearance studies in the dogs. J Clin Invest 50: 779–795
Schafer JA, Troutman SL, Watkins ML, Andreoli TE (1981) Flow dependence of fluid transport in the isolated superficial pars recta: evidence that osmotic disequilibrium between external solutions drives isotonic fluid transport. Kidney Int 20: 588–597
Schmidt U, Horster M (1977) Na−K-activated ATPase: activity maturation in rabbit nephron segments dissected in vitro. Am J Physiol 233: F55–60
Schwartz GJ, Evan AP (1984) Development of solute transport in rabbit proximal tubule. III. Na−K-ATPase activity. Am J Physiol 246: F845–852
Evan AP, Gattone II VH, Schwartz GJ (1983) Development of solute transport in rabbit proximal tubule. II. Morphologic segmentation. Am J Physiol 245: F391–407
Turner RJ, Silverman M (1978) Sugar uptake into brush border vesicles from dog kidney. II. Kinetics. Biochim Biophys Acta 511: 470–486
Seigle R, Kinne R, Spitzer A (1982) Glucose transport in newborn guinea pig brush border membrane fragments. Kidney Int 21: 287
Roth KS, Hwang SM, Yudkoff M, Segal S (1978) The ontogeny of sugar transport in kidney. Pediatr Res 12: 1127–1131
Dicker SE, Shirley DG (1971) Rates of oxygen consumption and anaerobic glycolysis in renal cortex and medulla of adult and newborn rats and guinea pigs. J Physiol (Lond) 212: 235–243
Caldwell T, Solomon S (1975) Changes in oxygen consumption of kidney during maturation. Biol Neonate 25: 1–9
Burch HB, Kuhlman AM, Skerjance J, Lowry O (1971) Changes in patterns of enzymes of carbohydrate metabolism in the developing rat kidney. Pediatrics 47: 199–206
Yoshitomi K, Fromter E (1985) How big is the electrochemical potential difference for Na+ across rat renal proximal tubular cell membranes in vivo? Pflügers Arch 405: S121–126
Zorzoli A (1968) Gluconeogenesis in the mouse kidney cortex. II. Glucose production and enzyme activities in newborn and early postnatal animals. Dev Biol 17: 400–412
Wacker G, Kissane JM (1962) Quantitative histochemistry of the developing rat kidney. Lab Invest 11: 690–691
Novakova J, Capek K, Bass A, Teisinger J, Vitek V, Popp M (1980) Posinatal changes of some enzymatic activities of energy supplying metabolism in the cortex, inner and outer medulla of rat kidney. Physiol Bohemoslov 29: 289–298
Cohen JJ, Barac-Nieto M (1973) Renal metabolism of substrates in relationship to renal function. In: Orloff J, Berliner RW (eds) Handbook of physiology, section 8. American Physiological Society, Bethesda, pp 909–1001
Waldman RH, Burch HB (1963) Rapid method of study of enzyme distribution in rat kidney. Am J Physiol 204: 749–752
Horster M, Schmidt U (1978) In vitro electrolyte transport and enzyme activity of single dissected and perfused nephron segments during differentiation. In: Current problems in clinical biochemistry, vol 7. Huber, Bern, pp 98–106
Burch HB, Lowry OH, Perry SG, Fan L, Fagioli S (1974) Effect of age on pyruvate kinase and lactate dehydrogenase distribution in rat kidney. Am J Physiol 226: 1227–1231
Fisher JH, Isselhard H (1975) Metabolic patterns in several tissues of newborn rabbits during ischemia. Biol Neonate 27: 235–250
Gronow GHJ, Cohen JJ (1984) Substrate support for renal functions during hypoxia in the perfused rat kidney. Am J Physiol 247: F618–631
Goldstein L, Harley-DeWitt S (1973) Renal gluconeogenesis and mitochondrial NAD/NADH ratios in nursing and adult rats. Am J Physiol 224: 752–757
Zorzoli A, Turkenkopf IJ, Mueller VL (1969) Gluconeogenesis in developing rat kidney cortex. Biochem J 111: 181–185
Dawkins MJ (1968) Changes in glucose 6 P'tase activity in kidney and liver after birth. Nature 191: 72
Fine LH, Kaplan NO, Kuftinee D (1963) Developmental changes in mammalian lactic dehydrogenase. Biochemistry 2: 116–121
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Barac-Nieto, M., Spitzer, A. The relationship between renal metabolism and proximal tubule transport during ontogeny. Pediatr Nephrol 2, 356–367 (1988). https://doi.org/10.1007/BF00858693
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DOI: https://doi.org/10.1007/BF00858693