American Journal of Physiology-Renal Physiology · 2000 · 35 citations · 58 references
PharmacyNephrologyPhysiologyBiological Transport PhenomenaExcretionRenal PathophysiologyAcid-base BalanceAcid-base RegulationPotassium HomeostasisRenal ExcretionTransport In CellsUrinary ExcretionBicarbonate Ion TransportBicarbonate TransportIntracellular Ph RegulationIon TransportRenal AmmoniagenesisRenal Bicarbonate ReabsorptionSodium-potassium-atpase RegulationUrinary Potassium Excretion
Both acidosis and hypokalemia stimulate renal ammoniagenesis, and both regulate urinary proton and potassium excretion. We hypothesized that ammonia might play an important role in this processing by stimulating H(+)-K(+)-ATPase-mediated ion transport. Rabbit cortical collecting ducts (CCD) were studied using in vitro microperfusion, bicarbonate reabsorption was measured using microcalorimetry, and intracellular pH (pH(i)) was measured using the fluorescent, pH-sensitive dye, 2', 7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein (BCECF). Ammonia caused a concentration-dependent increase in net bicarbonate reabsorption that was inhibited by luminal addition of either of the H(+)-K(+)-ATPase inhibitors, Sch-28080 or ouabain. The stimulation of net bicarbonate reabsorption was not mediated through apical H(+)-ATPase, basolateral Na(+)-K(+)-ATPase, or luminal electronegativity. Although ammonia caused intracellular acidification, similar changes in pH(i) induced by inhibiting basolateral Na(+)/H(+) exchange did not alter net bicarbonate reabsorption. We conclude that ammonia regulates CCD proton and potassium transport, at least in part, by stimulating apical H(+)-K(+)-ATPase.
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THE EXCRETION OF ACID IN RENAL DISEASE
Oliver Wrong, Helen Davies · QJM · 1959 · 686 citations
Gerhard Werner, Hanspaul Hagenmaier, Hannelore Drautz et al. · The Journal of Antibiotics · 1984 · 330 citations · Full text