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Departments of 1 Physiology and 2 Nephrology, Göteborg University, Göteborg SE-405 30, Sweden
Puromycin aminonucleoside
(PAN) has been suggested to reduce glomerular charge density, to create
large glomerular "leaks," or not to affect the glomerular barrier.
Therefore, we analyzed glomerular charge and size selectivity in vivo
and in isolated kidneys perfused at 8°C (cIPK) in control and
PAN-treated rats. The fractional clearances (
) for albumin and
Ficoll of similar hydrodynamic size were 0.0017 ± 0.0004 and
0.15 ± 0.02, respectively, in control cIPKs. Two-pore analysis
gave similar results in vivo and in vitro, with small- and large-pore
radii of 47-52 and 85-105 Å, respectively, in controls.
Puromycin increased the number of large pores 40-50 times, the
total pore area over diffusion distance decreased by a factor of
25-30, and the small-pore radius increased by 33%
(P < 0.001 for all comparisons of size selectivity and
). The effect of PAN was less dramatic on the estimated wall charge
density, which was 73% of that of controls. We conclude that puromycin
effectively destroys the glomerular size barrier with minimal effects
on charge density.
proteinuria; two-pore model; capillary permeability
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