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1 Division of Nephrology, Hannover Medical School, Hannover, Germany; Children's Hospital, Hannover Medical School, Hannover, Germany
2 Department of Physiology, Gothenburg University, Gothenburg, Sweden
3 Children's Hospital, Bonn University, Bonn, Germany
4 Division of Nephrology, Hannover Medical School, Hannover, Germany
5 Department of Nephrology, Gothenburg University, Gothenburg, Sweden
* To whom correspondence should be addressed. E-mail: clara.hjalmarsson{at}kidney.med.gu.se.
In a previous paper, we found that low ionic strength (I) reversibly reduced the glomerular charge density, suggesting increased volume of the charge-selective barrier. Since glutaraldehyde makes most structures rigid, we considered the isolated perfusion-fixed rat kidney to be an ideal model for further analysis. The fixed kidneys were perfused with albumin solutions containing FITC-Ficoll at two different ionic strengths (I = 151 and 34 mM).
At normal I, the fractional clearance,
, for albumin was 0.0049 (SEM -0.0017, +0.0027, n=6) while
for neutral Ficoll 35.5A of similar size was significantly higher 0.104 (SEM 0.010, n = 5, p<0.001). At low ionic strength
for albumin was 0.0030 (SEM -0.0011, + 0.0018, n=6, n.s. from
albumin at normal I) and
for Ficoll35.5A was identical to that at normal I, 0.104 (SEM 0.015, n=6, p<0.01 compared to
albumin at low I). According to a heterogeneous charged fiber model, low ionic strength reduced the fiber density from 0.056 to 0.0315 suggesting a 78 % gel volume expansion.
We conclude that (1) there is a significant glomerular charge barrier. (2) Solutions with low ionic strength increase the volume of the charge barrier even in kidneys fixed with glutaraldehyde. Our findings suggest that polysaccharide-rich structures, such as the endothelial cell coat, are key components in the glomerular charge barrier.
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