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1Department of Medicine, Emory University, Atlanta, Georgia; 2Department of Medicine, University of Florida College of Medicine, Gainesville, Florida; 5The Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, United Kingdom; 6Genome Technology Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland; 7The Water and Salt Research Center, Aarhus University, Aarhus, Denmark; 3Division of Nephrology, University California School of Medicine, Los Angeles, California; and 4Nephrology and Hypertension Section, North Florida/South Georgia Veterans Health System, Gainesville, Georgia
Submitted 18 May 2005 ; accepted in final form 9 August 2005
Slc26a4 (Pds) encodes pendrin, a Cl/HCO3 exchanger expressed in the apical region of type B and non-A, non-B cells, which mediates secretion of OH equivalents. Thus genetic disruption of Slc26a4 leads to systemic alkalosis in some treatment models. However, humans and mice with genetic disruption of Slc26a4 have normal acid-base balance under basal conditions. Thus we asked: 1) Is net acid excretion altered in Slc26a4 (/) mice under basal conditions? 2) In the absence of pendrin-mediated OH secretion, are increases in intracellular and systemic pH minimized through changes in intercalated cell subtype abundance or intercalated cell H+/OH transporter expression? To answer these questions, net acid excretion and H+/OH transporter expression were examined in Slc26a4 (/) and Slc26a4 (+/+) mice using balance studies, immunolocalization, and immunoblotting. Excretion of ammonium, titratable acid, and citrate were the same in Slc26a4 null and wild-type mice. However, urinary pH and PCO2 were much lower in Slc26a4 null relative to wild-type mice due to reduced urinary buffering of secreted H+ by HCO3. Abundance of non-A, but not type A intercalated cells, was reduced within the cortical collecting ducts of Slc26a4 null mice. Moreover, kidneys from Slc26a4 null mice had reduced H+-ATPase, NBC3 and RhBG total protein expression, particularly within type B and non-A, non-B intercalated cells, although RhCG protein expression was unchanged. Reduced intercalated cell H+/OH transporter expression is observed in Slc26a4 null mice, which likely attenuates the rise in intracellular and systemic pH expected with genetic disruption of Slc26a4.
NBC3; AE1; acid-base balance
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