Altered renal proximal tubule cell ion homeostasis during diabetes
A major characteristic of human and experimental diabetes mellitus is enhanced urinary excretion of electrolytes (e.g. Na, K, Mg, Ca). The increased urinary electrolyte excretion can lead to low serum electrolyte concentrations (e.g. hypomagnesemia, hyponatremia, hypocalcemia, hypokalemia), although this issue remains controversial. Ultimately, elevated urinary electrolyte excretion can result in mineral deficiencies which have important consequences such as retinopathies, convulsions, osteoporosis, arrhythmias, and sudden death ischemia. The increased urinary electrolyte excretion could be due to osmotic diuresis and/or altered renal tubule cell ion homeostasis; however, few studies have addressed whether diabetes alters specific tubule cell ion homeostasis. In this study, we used electron probe x-ray microanalysis (EPXMA) to obtain quantitative microchemical images of proximal tubule cells from diabetic rats so that we could define how subcellular ion homeostasis is altered during diabetes.Adult male Sprague-Dawley rats were housed in individual metabolic cages and urine output was measured daily; peri-orbital plasma samples were collected every 3 days. Urine and plasma ion concentrations (Na, K, Ca, Mg) were assayed by atomic absorption spectroscopy, blood glucose was measured with a commercial glucometer, and urine glucose and ketones were detected with commercial strips.