THE PROXIMAL RENAL TUBULAR TRANSPORT OF α-KETOGLUTARIC ACID
The transport of α-ketoglutaric acid along the length of the renal tubule was studied by the stop-flow method in the dog during infusion of sodium α-ketoglutarate. No deliberate attempts to change the acid–base balance were made. Under these conditions this acid was found to be excreted by a combined process of glomerular filtration and tubular reabsorption. This reabsorption was confined only to the proximal tubule. No tubular secretion was seen in any part of the nephron. The concentration gradients between the luminal urine, cell water and the plasma were measured. It was seen that the gradients between the lumen and the cell and between the lumen and the plasma were against the direction of the transport. The gradient between the plasma and the cell was favorable to the uptake of the acid by the cell. Upon consideration of these gradients, the spontaneous pH changes and the physicochemical characteristics of the molecule, the hypothesis was forwarded that an active reabsorption of α-ketoglutarate must occur in the proximal tubule from the lumen into the cell. The possibility of active transfer of this acid from the blood into the cell was also suggested.