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Am J Physiol Renal Physiol (July 13, 2004). doi:10.1152/ajprenal.00200.2004
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Submitted on June 1, 2004
Accepted on July 6, 2004

Urea May Regulate Urea Transporter Protein Abundance During Osmotic Diuresis

Dongun Kim1, Janet D. Klein2, Sandy Racine2, Brian P. Murrell2, and Jeff M. Sands3*

1 Renal Division, Department of Medcine, Emory University, Atlanta, GA, USA; Department of Physiology, Emory University School of Medicine, Atlanta, GA, USA
2 Renal Division, Department of Medcine, Emory University, Atlanta, GA, USA
3 Renal Division, Department of Medcine, Emory University, Atlanta, GA, USA; Department of Pediatrics, The Catholic University of Korea, Seoul, Republic of Korea

* To whom correspondence should be addressed. E-mail: jeff.sands{at}emory.edu.

Rats with diabetes mellitus have an increase in UT-A1 urea transporter protein abundance and absolute urea excretion, but the relative amount (percent) of urea in total urinary solute is actually decreased due to the marked glucosuria. Urea-specific signaling pathways have been identified in mIMCD3 cells and renal medulla, suggesting the possibility that changes in the percentage or concentration of urea could be a factor that regulates UT-A1 abundance. In this study, we tested the hypothesis that an increase of a urinary solute other than urea would increase UT-A1 abundance, similar to diabetes mellitus, while an increase in urine urea would not. In both inner medullary base and tip, UT-A1 protein abundance increased during NaCl or glucose-induced osmotic diuresis, but not during urea-induced osmotic diuresis. Next, rats undergoing NaCl or glucose diuresis were given supplemental urea to increase the percentage of urine urea to control values. UT-A1 abundance did not increase in these urea-supplemented rats, compared to control rats. Additionally, both UT-A2 and UT-B protein abundances in the outer medulla increased during urea-induced osmotic diuresis, but not in NaCl or glucose diuresis. We conclude that during osmotic diuresis: UT-A1 abundance increases when the percentage of urea in total urinary solute is low; and UT-A2 and UT-B abundances increase when the urea concentration in the medullary interstitium is high. These findings suggest that a reduction in urine or interstitial urea results in an increase in UT-A1 protein abundance in an attempt to restore inner medullary interstitial urea and preserve urine concentrating ability.




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