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Am J Physiol Renal Physiol 281: F819-F825, 2001. First published August 9, 2001; doi:10.1152/ajprenal.0075.2001
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Vol. 281, Issue 5, F819-F825, November 2001

NO decreases thick ascending limb chloride absorption by reducing Na+-K+-2Clminus cotransporter activity

Pablo A. Ortiz, Nancy J. Hong, and Jeffrey L. Garvin

Division of Hypertension and Vascular Research, Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan 48202

First published August 9, 2001; 10.1152/ajprenal.0075.2001.---We have reported that nitric oxide (NO) inhibits thick ascending limb (THAL) chloride absorption (JCl-). NaCl transport in the THAL depends on apical Na+-K+-2Cl- cotransporters, apical K+ channels, and basolateral Na+-K+-ATPase. However, the transporter inhibited by NO is unknown. We hypothesized that NO decreases THAL JCl- by inhibiting the Na+-K+-2Cl- cotransporter. THALs from Sprague-Dawley rats were isolated and perfused. Intracellular sodium ([Na+]i) and chloride concentrations ([Cl-]i) were measured with sodium green and SPQ, respectively. The NO donor spermine NONOate (SPM) decreased [Na+]i from 13.5 ± 1.2 to 9.6 ± 1.6 mM (P < 0.05) and also decreased [Cl-]i (P < 0.01). We next tested whether NO decreases Na+-K+-2Cl- cotransporter activity by measuring the initial rate of Na+ transport. In the presence of SPM in the bath, initial rates of Na+ entry were 49.6 ± 6.0% slower compared with control rates (P < 0.05). To determine whether NO inhibits apical K+ channel activity, we measured the change in membrane potential caused by an increase in luminal K+ from 1 to 25 mM using a potential-sensitive fluorescent dye. In the presence of SPM, increasing luminal K+ concentration depolarized THALs to the same extent as it did in control tubules. We then tested whether a change in apical K+ permeability could affect NO-induced inhibition of THAL JCl-. In the presence of luminal valinomycin, which increases K+ permeability, addition of SPM decreased THAL JCl- by 41.2 ± 10.4%, not significantly different from the inhibition observed in control tubules. We finally tested whether NO alters the affinity or maximal rate of Na+-K+-ATPase by measuring oxygen consumption rate (QO2) in THAL suspensions in the presence of nystatin in varying concentrations of Na+. In the presence of 10.5 mM Na+, nystatin increased QO2 to 119.1 ± 19.2 and 125.6 ± 23.4 nmol O2 · mg protein-1 · min-1 in SPM- and furosemide-treated tubules, respectively. In the presence of 145 mM extracellular Na+, nystatin increased QO2 by 104 ± 7 and 94 ± 20% in NO- and furosemide-treated tubules, respectively. We concluded that NO decreases THAL JCl- by inhibiting Na+-K+-2Cl- cotransport rather than inhibiting apical K+ channels or the sodium pump.

nitric oxide; chloride transport; sodium-potassium-2 chloride cotransporter; natriuresis; sodium-potassium-adenosinetriphosphatase


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