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Am J Physiol Renal Physiol (May 23, 2007). doi:10.1152/ajprenal.00427.2006
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Submitted on October 27, 2006
Accepted on May 9, 2007

Evidence for Gut Factor in K+ Homeostasis

Felix N. Lee1, Gisuk Oh1, Alicia A. McDonough1, and Jang H. Youn1*

1 Physiology and Biophysics, University of Southern California Keck School of Medicine, Los Angeles, California, United States

* To whom correspondence should be addressed. E-mail: youn{at}usc.edu.

We tested the hypothesis that K+ intake is sensed by putative K+ sensors in the splanchnic areas, and renal K+ handling is regulated by this signal. K+ was infused for 2 h into overnight-fasted rats via the jugular vein (systemic infusion), hepatic portal vein (intraportal infusion), or stomach (intragastric infusion) (n=5 each), and plasma [K+] and renal K+ excretion were measured during the 2-h pre-infusion, 2-h K+ infusion, and 3-h washout periods. During systemic K+ infusion, plasma [K+] increased by ~1.3 mM (P<0.05), and, upon cessation of the K+ infusion, plasma [K+] fell to the pre-infusion level within 1-2 hours. Renal K+ excretion changed in proportion to the changes in plasma [K+]. During intraportal or intragastric K+ infusion, plasma [K+] and renal K+ excretion profiles were similar to those with systemic infusion. The effects of K+ infusions via the different routes (n=5 or 6 each) were also studied during simultaneous feeding of overnight-fasted rats with a K+-deficient diet. During the meal, intraportal infusion resulted in increases in plasma [K+] similar to those with the systemic K+ infusion, while intragastric K+ infusion did not significantly increase plasma [K+]. Thus, when the intragastric K+ infusion was combined with a meal, there was marked enhancement of clearance of the K+ infused, which was associated with an apparent increase in renal efficiency of K+ excretion. These data suggest that there may be a gut factor that enhances renal efficiency of K+ excretion during meal (or dietary K+) intake.




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