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1 UMR-CNRS 6548, University of Nice Sophia-Antipolis, Nice, France
* To whom correspondence should be addressed. E-mail: barbier{at}unice.fr.
This study investigates the effect in rats of acute CdCl2 (5µM) intoxication on renal function and characterizes the transport of Ca2+, Cd2+ and Zn2+ in the proximal tubule (PT), loop of Henle (LH) and terminal segments of the nephron (DT) using whole kidney clearance and nephron microinjection techniques. Acute Cd2+ injection resulted in renal losses of Na+, K+, Ca2+, Mg2+, PO42- and water, but glomerular filtration remained stable. 45Ca microinjections showed that Ca2+ permeability in the DT was strongly inhibited by Cd2+ (20µM), Gd3+ (100µM) and La3+ (1mM), whereas nifedipine (20µM) had no effect. 109Cd and 65Zn microinjections showed that each segment of nephron was permeable to these metals. 95% of injected amounts of 109Cd were taken up in the PT. 109Cd fluxes were inhibited by Gd3+ (90µM), Co2+ (100µM) and Fe2+ (100µM) in all nephron segments. Bumetanide (50µM) only inhibited 109Cd fluxes in LH; Zn2+ (50µM and 500µM) inhibited transport of 109Cd in DT. In conclusion, these results indicate that 1) the renal effects of acute Cd2+ intoxication are suggestive of proximal tubulopathy; 2) Cd2+ inhibits Ca2+ reabsorption possibly occurs through ECaC in the DT and this blockade could account for the hypercalciuria associated with Cd2+ intoxication; 3) the PT is the major site of Cd2+ reabsorption; 4) the paracellular pathway and DMT1 could be involved in Cd2+ reabsorption along the LH; 5) DMT1 may be one of the major transporters of Cd2+ in the DT; 6) Zn2+ is taken up along each part of the nephron and its transport in the terminal segments could occur via DMT1.
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