Mechanisms of H+/HCO3- transport in the medullary thick ascending limb of rat kidney

Kidney Int Suppl. 1991 Jul:33:S43-6.

Abstract

The rat MTAL secretes protons into the tubular fluid and thus absorbs bicarbonate at substantial rates. Yet the cellular mechanisms of H+/HCO3- transport in the rat MTAL remain largely unsettled. We have performed intracellular pH recovery studies with use of the fluorescent probe BCECF in suspensions of rat MTAL fragments. Luminal H+ secretion occurs by two mechanisms (each responsible for 50% of the normal pHi recovery rate): (1) an electroneutral Na+/H+ antiporter that has an Na-Km of about 11 mM and is inhibited by amiloride (Ki = 2.8 x 10(-5) M); (2) a primary H+ pump that is inhibited by 10(-4) M NEM and 10(-4) M omeprazole, but not by 10(-4) M vanadate or removal of external K. These results suggest the presence of a vacuolar H(+)-ATPase rather than a H(+)-K(+)-ATPase. Basolateral HCO3 exit occurs predominantly by a Cl(-)- and Na(+)-independent electroneutral K+/HCO3- symporter, that has an HCO3-Km of about 17 mM, and is partially inhibited by 10(-4) M DIDS. Basolateral HCO3- efflux was not accompanied by variations of membrane potential monitored with the Em-sensitive fluorescent probe DIS-C3-5, and was not affected by maneuvers that depolarize the cells. It was strongly inhibited by cellular K depletion and dependent on transmembrane K gradient. We conclude that the rat MTAL should secrete protons through both Na+/H+ antiporter and H(+)-ATPase, and that basolateral HCO3- exit should occur through an electroneutral K+/HCO3- symporter.

MeSH terms

  • Bicarbonates / metabolism*
  • Biological Transport
  • Carrier Proteins / metabolism*
  • Electrochemistry
  • Hydrogen-Ion Concentration
  • In Vitro Techniques
  • Kidney Medulla
  • Loop of Henle / metabolism*
  • Proton-Translocating ATPases / metabolism
  • Sodium-Hydrogen Exchangers

Substances

  • Bicarbonates
  • Carrier Proteins
  • Sodium-Hydrogen Exchangers
  • Proton-Translocating ATPases