The effect of uncomplicated potassium depletion on urine acidification

J Clin Invest. 1970 Apr;49(4):813-27. doi: 10.1172/JCI106295.

Abstract

Studies were performed on normal human subjects to determine the effects of potassium depletion on urine acidification. Depletion was induced by ingestion of a low potassium diet either alone or in combination with a potassium-binding resin, and the response of each subject to an acute ammonium chloride load in the potassium-depleted state was compared to his normal response. Urine pH was significantly higher during potassium deficiency if sufficient potassium depletion had been induced. No differences in blood acid-base parameters, urinary flow rate, or urinary fixed buffer excretion rate were found to account for this change; however, the increase in urine pH was accompanied by a concomitant increase in net acid and ammonium excretion. It is proposed that these changes during potassium depletion reflect an increase in ammonia diffusion into the urine, presumably as a result of increased renal ammonia production. In addition, it is speculated that changes in ammonia metabolism may be a physiologic control mechanism for potassium conservation.

MeSH terms

  • Acid-Base Equilibrium
  • Adult
  • Chlorides / urine
  • Creatinine / urine
  • Diet
  • Humans
  • Hydrogen-Ion Concentration*
  • Male
  • Phosphates / urine
  • Potassium / blood
  • Potassium / metabolism*
  • Potassium / urine
  • Potassium Deficiency / urine
  • Quaternary Ammonium Compounds / metabolism
  • Quaternary Ammonium Compounds / pharmacology
  • Quaternary Ammonium Compounds / urine
  • Sodium / urine
  • Urine / drug effects*
  • Water-Electrolyte Balance

Substances

  • Chlorides
  • Phosphates
  • Quaternary Ammonium Compounds
  • Sodium
  • Creatinine
  • Potassium