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1Division of Pediatric Nephrology, Department of Pediatrics Mount Sinai School of Medicine, New York 10029; 2Division of Nephrology and Hypertension, Department of Medicine, Winthrop University Hospital, Mineola, New York 11501; and 3Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213
Submitted 19 May 2003 ; accepted in final form 13 June 2003
High urinary flow rates stimulate K secretion in the fully differentiated
but not neonatal or weanling rabbit cortical collecting duct (CCD). Both
small-conductance secretory K and high-conductance
Ca2+/stretch-activated maxi-K channels have been
identified in the apical membrane of the mature CCD by patch-clamp analysis.
We reported that flow-stimulated net K secretion in the adult rabbit CCD is
1) blocked by TEA and charybdotoxin, inhibitors of intermediate- and
high-conductance (maxi-K) Ca2+-activated K channels, and
2) associated with increases in net Na absorption and intracellular
Ca2+ concentration
([Ca2+]i). The present study examined whether
the absence of flow-stimulated K secretion early in life is due to a
1) limited flow-induced rise in net Na absorption and/or
[Ca2+]i and/or 2) paucity of apical
maxi-K channels. An approximately sixfold increase in tubular fluid flow rate
in CCDs isolated from 4-wk-old rabbits and microperfused in vitro led to an
increase in net Na absorption and [Ca2+]i,
similar in magnitude to the response observed in 6-wk-old tubules, but it
failed to generate an increase in net K secretion. By 5 wk of age, there was a
small, but significant, flow-stimulated rise in net K secretion that increased
further by 6 wk of life. Luminal perfusion with iberiotoxin blocked the flow
stimulation of net K secretion in the adult CCD, confirming the identity of
the maxi-K channel in this response. Maxi-K channel
-subunit message
was consistently detected in single CCDs from animals
4 wk of age by
RT-PCR. Indirect immunofluorescence microscopy using antibodies directed
against the
-subunit revealed apical labeling of intercalated cells in
cryosections from animals
5 wk of age; principal cell labeling was
generally intracellular and punctate. We speculate that the postnatal
appearance of flow-dependent K secretion is determined by the
transcriptional/translational regulation of expression of maxi-K channels.
Furthermore, our studies suggest a novel function for intercalated cells in
mediating flow-stimulated K secretion.
maxi-K channel; iberiotoxin; in vitro microperfusion; intracellular calcium concentration; mechanoregulation; development
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