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1 Health Service Center and 2 Department of Internal Medicine, University of Tokyo, Tokyo 153-8902, Japan
The purpose of this study is to develop a numerical model that
simulates acid-base transport in rat distal tubule. We have previously
reported a model that deals with transport of Na+,
K+, Cl
, and water in this nephron segment
(Chang H and Fujita T. Am J Physiol Renal Physiol 276:
F931-F951, 1999). In this study, we extend our previous model by
incorporating buffer systems, new cell types, and new transport
mechanisms. Specifically, the model incorporates bicarbonate, ammonium,
and phosphate buffer systems; has cell types corresponding to
intercalated cells; and includes the Na/H exchanger, H-ATPase, and
anion exchanger. Incorporation of buffer systems has required the
following modifications of model equations: new model equations are
introduced to represent chemical equilibria of buffer partners [e.g.,
pH = pKa + log10 (NH3/NH4)], and the formulation of mass
conservation is extended to take into account interconversion of buffer
partners. Furthermore, finite rates of
H2CO3-CO2 interconversion (i.e.,
H2CO3
CO2 + H2O) are taken into account in modeling the bicarbonate
buffer system. Owing to this treatment, the model can simulate the
development of disequilibrium pH in the distal tubular fluid. For each
new transporter, a state diagram has been constructed to simulate its
transport kinetics. With appropriate assignment of maximal transport
rates for individual transporters, the model predictions are in
agreement with free-flow micropuncture experiments in terms of
HCO


bicarbonate transport; hydrogen ion transport; anion exchanger; hydrogen adenosinetriphosphatase; sodium-hydrogen exchanger
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