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Articles in PresS, published online ahead of print August 21, 2001
Am J Physiol Renal Physiol, 10.1152/ajprenal.0141.2001
Submitted on May 8, 2001
Accepted on July 27, 2001
1 Internal Medicine, University of Texas Medical School at Houston, Houston, TX, USA
2 Laboratory of Kidney and Electrolyte Metabolism, National Heart, Lung and Blood Institute, Bethesda, MD, USA
* To whom correspondence should be addressed. E-mail: ajprenal{at}emory.edu.
In rat terminal inner medullary collecting duct (tIMCD), the Na,K-ATPase mediates NH4+ uptake, which increases secretion of net H+ equivalents. K+ and NH4+ compete for a common binding site on the Na,K-ATPase. Therefore, NH4+ uptake by the Na,K-ATPase should be augmented in hypokalemia because interstitial K+ concentration is reduced. We asked if the Na,K-ATPase is also upregulated during hypokalemia and if increased Na+ pump expression leads to increased NH4+ uptake across the basolateral membrane. To induce hypokalemia, rats ate a diet with low or normal K+ content for 3 or 7 days. In IMCD cells from rats given 3 days of dietary K+ restriction, ß1 subunit protein expression was increased, although changes in
1 subunit protein expression and Na,K-ATPase activity were not detected. However, after 7 days of the K+-restricted diet, an increase in both
1 and ß1 protein expression as well as Na,K-ATPase activity were observed. The magnitude of Na,K-ATPase-mediated NH4+ uptake across the basolateral membrane (JNH4+) was determined in tIMCD tubules perfused in vitro from rats eating either the normal or K+-restricted diet for 3 days. JNH4+ was the same in tubules from rats on diets with either low or normal K+ content when perfused at the same extracellular K+ concentration. However, JNH4++ was reduced > 60% when K+ concentration was increased from 10 to 30 mM in tubules from rats in either treatment group. In conclusion, while hypokalemia upregulates expression of the
1 and ß1 subunits of the Na,K-ATPase and Na,K-ATPase activity in rat IMCD, with 3 days of K+ restriction, NH4+ uptake by the Na,K-ATPase is increased to a greater extent because of the reduced K+ concentration observed in the interstitium of the inner medulla in vivo.
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