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Department of Physiology and Biophysics, Weill Medical College of Cornell University, New York, New York 10021
A mathematical model of the rat
collecting duct (CD) has been developed by concatenating previously
published models of cortical (Weinstein AM. Am J Physiol
Renal Physiol 280: F1072-F1092, 2001); outer medullary
(Weinstein AM. Am J Physiol Renal Physiol 279: F24-F45, 2000); and inner medullary segments (Weinstein AM.
Am J Physiol Renal Physiol 274: F841-F855, 1998).
Starting with end-distal tubular flow rate and composition, plus
interstitial solute profiles, the model predicts urinary solute flows,
including the buffer concentrations required to assess net acid
excretion. In the model CD, the interstitial corticomedullary osmotic
gradient provides the basis for the flow effect on the transport of
several solutes. For substances that have an interstitial accumulation
and that can have diffusive secretion (e.g., urea and
NH



1 · tubule
1,
with 6% of filtered Na+ entering the CD), the model cannot
achieve a urinary pH <5.5 unless the delivered HCO

potassium; ammonium; renal acid excretion; distal renal tubular acidosis
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