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Am J Physiol Renal Physiol 277: F513-F523, 1999;
0363-6127/99 $5.00
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Vol. 277, Issue 4, F513-F523, October 1999

Real-time assessment of alpha -ketoglutarate effect on organic anion secretion in perfused rabbit proximal tubules

Apichai Shuprisha, Ronald M. Lynch, Stephen H. Wright, and William H. Dantzler

Department of Physiology, College of Medicine, University of Arizona, Tucson, Arizona 85724

To determine the quantitative roles of the basolateral and luminal Na+-dicarboxylate (Na-DC) cotransporters in establishing and maintaining the alpha -ketoglutarate (alpha KG) gradient required for renal tubular secretion of organic anions, we measured net steady-state transepithelial secretion of fluorescein (FL) in real time in isolated, perfused S2 segments of rabbit renal proximal tubules. Net "basal" FL secretion in the absence of exogenous alpha KG had a Kt of ~4 µM and a maximal transepithelial secretion rate (Jmax) of ~380 fmol · min-1 · mm-1 (where Kt is the FL concentration that produces one-half the Jmax). It could be almost completely inhibited by basolateral p-aminohippurate (PAH). Selective inhibition of the basolateral Na-DC cotransporter indicated that recycling via this transporter of alpha KG that had been exchanged for FL supports ~25% of the "basal" FL secretion. Physiological alpha KG concentrations of 10 µM in the bath or 50 µM in the perfusate stimulated net secretion of FL by ~30 or ~20%, respectively. These data indicate that the basolateral Na-DC cotransporter supports ~42% of the net FL secretion. The luminal and basolateral effects of physiological concentrations of alpha KG were additive, indicating that the combined function of the luminal and basolateral Na-DC cotransporters can support ~50% of the net FL secretion. This apparently occurs by their establishing and maintaining ~50% of the outwardly directed alpha KG gradient that is responsible for driving basolateral FL/alpha KG exchange. The remaining ~50% would be maintained by metabolic production of alpha KG in the cells.

fluorescein; sodium-dicarboxylate cotransporters; transepithelial transport in real time


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