Renal potassium transport: mechanisms and regulation

1998 ◽  
Vol 274 (5) ◽  
pp. F817-F833 ◽  
Author(s):  
Gerhard Giebisch
Keyword(s):  
Driving Forces ◽  
Extracellular Fluid ◽  
Potassium Transport ◽  
Transport Mechanisms ◽  
Single Nephron ◽  
Potassium Secretion ◽  
Fluid Compartments ◽  
Principal And Intercalated Cells ◽  
Renal Potassium Excretion

The regulation of potassium metabolism involves mechanisms for the appropriate distribution between the intra- and extracellular fluid compartments and for the excretion by the kidney. Clearance and single-nephron studies show that renal excretion is determined by regulated potassium secretion and potassium reabsorption, respectively, in principal and intercalated cells of the distal nephron. Measurement of the electrochemical driving forces acting on potassium transport across individual cell membranes and characterization of several ATPases and potassium channels provide insights into the transport and regulation of renal potassium excretion.

scholarly journals Renal potassium transport: the pioneering studies of Gerhard Giebisch

2010 ◽  
Vol 298 (2) ◽  
pp. F233-F234 ◽  
Author(s):  
Bruce A. Stanton
Keyword(s):  
Rat Kidney ◽  
Distal Tubule ◽  
Potassium Transport ◽  
Historical Significance ◽  
Potassium Adaptation ◽  
Micropuncture Study ◽  
On Line ◽  
Potassium Secretion ◽  
Distal Tubules ◽  
Renal Potassium Excretion

This essay looks at the historical significance of six APS Classic Papers that are freely available on line: Malnic G, Klose RM, Giebisch G. Micropuncture study of renal potassium excretion in the rat. Am J Physiol 206: 674–686, 1964 ( http://ajplegacy.physiology.org/cgi/reprint/206/4/674 ). Malnic G, Klose RM, Giebisch G. Micropuncture study of distal tubular potassium and sodium transport in rat nephron. Am J Physiol 211: 529–547, 1966 ( http://ajplegacy.physiology.org/cgi/reprint/211/3/529 ). Malnic G, Klose RM, Giebisch G. Microperfusion study of distal tubular potassium and sodium transfer in rat kidney. Am J Physiol 211: 548–559, 1966 ( http://ajplegacy.physiology.org/cgi/reprint/211/3/548 ). Duarte CG, Chomety F, Giebisch G. Effect of amiloride, ouabain, and furosemide on distal tubular function in the rat. Am J Physiol 221: 632–640, 1971 ( http://ajplegacy.physiology.org/cgi/reprint/221/2/632 ). Malnic G, De Mello Aires M, Giebisch G. Potassium transport across renal distal tubules during acid-base disturbances. Am J Physiol 221: 1192–1208, 1971 ( http://ajplegacy.physiology.org/cgi/reprint/221/4/1192 ). Wright FS, Strieder N, Fowler NB, Giebisch G. Potassium secretion by distal tubule after potassium adaptation. Am J Physiol 221: 437–448, 1971 ( http://ajplegacy.physiology.org/cgi/reprint/221/2/437 ).

Characterization of Complex Systems by Aperiodic Driving Forces

1989 ◽  
Author(s):  
Daniel Bensen ◽  
Michael Welge ◽  
Alfred Huebler ◽  
Norman Packard
Keyword(s):  
Complex Systems ◽  
Driving Forces

scholarly journals Extracellular fluid, cerebrospinal fluid and plasma biomarkers of axonal and neuronal injury following intracerebral hemorrhage

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lovisa Tobieson ◽  
Henrik Zetterberg ◽  
Kaj Blennow ◽  
Niklas Marklund
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracerebral Hemorrhage ◽  
Brain Tissue ◽  
Single Molecule ◽  
Tissue Injury ◽  
Extracellular Fluid ◽  
Neurofilament Light ◽  
Aβ Peptides ◽  
Post Surgery ◽  
Fluid Compartments

AbstractSpontaneous intracerebral hemorrhage (ICH) is the most devastating form of stroke. To refine treatments, improved understanding of the secondary injury processes is needed. We compared energy metabolic, amyloid and neuroaxonal injury biomarkers in extracellular fluid (ECF) from the perihemorrhagic zone (PHZ) and non-injured (NCX) brain tissue, cerebrospinal fluid (CSF) and plasma. Patients (n = 11; age 61 ± 10 years) undergoing ICH surgery received two microdialysis (MD) catheters, one in PHZ, and one in NCX. ECF was analysed at three time intervals within the first 60 h post- surgery, as were CSF and plasma samples. Amyloid-beta (Aβ) 40 and 42, microtubule associated protein tau (tau), and neurofilament-light (NF-L) were analysed using Single molecule array (Simoa) technology. Median biomarker concentrations were lowest in plasma, higher in ECF and highest in CSF. Biomarker levels varied over time, with different dynamics in the three fluid compartments. In the PHZ, ECF levels of Aβ40 were lower, and tau higher when compared to the NCX. Altered levels of Aβ peptides, NF-L and tau may reflect brain tissue injury following ICH surgery. However, the dynamics of biomarker levels in the different fluid compartments should be considered in the study of pathophysiology or biomarkers in ICH patients.

Effect of acid lumen pH on potassium transport in renal cortical collecting tubules

1976 ◽  
Vol 230 (1) ◽  
pp. 239-244 ◽  
Author(s):  
JF Boudry ◽  
LC Stoner ◽  
MB Burg
Keyword(s):  
Mean Value ◽  
Potassium Transport ◽  
Sodium Absorption ◽  
Positive Voltage ◽  
Tubule Lumen ◽  
Potassium Secretion ◽  
Transepithelial Voltage ◽  
Renal Tubular ◽  
Collecting Tubules

In order to determine the effect of acid lumen pH on renal tubular potassium transport, cortical collecting tubules were dissected from rabbit kidneys and perfused in vitro. When the pH of the perfusate was lowered from 7.4 to 6.8, potassium secretion into the tubule lumen decreased by an average of 47%. The transepithelial voltage increased from a mean value of -32 mV (lumen negative) at pH 7.4 to -51 mV at PH 6.8. Net sodium absorption from the tubule lumen was essentially unchanged (5% mean decrease). Transepithelial voltage and potassium secretion returned to control values when the pH of the perfusate was raised to 7.4. Alterations in pH of the bath had no comparable effect on the transepithelial voltage, whether the bath pH was increased or decreased. We conclude that a decrease in the pH of the tubule fluid of itself inhibits active potassium secretion in this tubule segment, providing an additional explanation for the decrease in potassium excretion found in acidosis. The negative voltage (presumably caused by sodium absorption out of the lumen) is increased under these conditions, possibly because of reduction of a smaller counterbalancing positive voltage caused by potassium secretion into the lumen.

Studies on the characterization of the sodium-potassium transport adenosinetriphosphatase

1969 ◽  
Vol 131 (1) ◽  
pp. 253-262 ◽  
Author(s):  
Arthur Kahlenberg ◽  
Norman C. Dulak ◽  
John F. Dixon ◽  
Peter R. Galsworthy ◽  
Lowell E. Hokin
Keyword(s):  
Potassium Transport ◽  
Sodium Potassium

scholarly journals Studies on the Characterization of the Sodium-Potassium Transport Adenosine Triphosphatase

1971 ◽  
Vol 246 (2) ◽  
pp. 531-543 ◽  
Author(s):  
Shiro Useugi ◽  
Norman C. Dulak ◽  
John F. Dixon ◽  
Terry D. Hexum ◽  
June L. Dahl ◽  
...  
Keyword(s):  
Adenosine Triphosphatase ◽  
Potassium Transport ◽  
Sodium Potassium

Regulation of body fluid compartments during short-term spaceflight

1996 ◽  
Vol 81 (1) ◽  
pp. 105-116 ◽  
Author(s):  
C. S. Leach ◽  
C. P. Alfrey ◽  
W. N. Suki ◽  
J. I. Leonard ◽  
P. C. Rambaut ◽  
...  
Keyword(s):  
Body Fluid ◽  
Extracellular Fluid ◽  
Plasma Renin ◽  
Capillary Membranes ◽  
Urinary Cortisol Excretion ◽  
Hormone Responses ◽  
Body Fluid Compartments ◽  
Cortisol Excretion ◽  
Fluid Compartments ◽  
Total Body

The fluid and electrolyte regulation experiment with seven subjects was designed to describe body fluid, renal, and fluid regulatory hormone responses during the Spacelab Life Sciences-1 (9 days) and -2 (14 days) missions. Total body water did not change significantly. Plasma volume (PV; P < 0.05) and extracellular fluid volume (ECFV; P < 0.10) decreased 21 h after launch, remaining below preflight levels until after landing. Fluid intake decreased during weightlessness, and glomerular filtration rate (GFR) increased in the first 2 days and on day 8 (P < 0.05). Urinary antidiuretic hormone (ADH) excretion increased (P < 0.05) and fluid excretion decreased early in flight (P < 0.10). Plasma renin activity (PRA; P < 0.10) and aldosterone (P < 0.05) decreased in the first few hours after launch; PRA increased 1 wk later (P < 0.05). During flight, plasma atrial natriuretic peptide concentrations were consistently lower than preflight means, and urinary cortisol excretion was usually greater than preflight levels. Acceleration at launch and landing probably caused increases in ADH and cortisol excretion, and a shift of fluid from the extracellular to the intracellular compartment would account for reductions in ECFV. Increased permeability of capillary membranes may be the most important mechanism causing spaceflight-induced PV reduction, which is probably maintained by increased GFR and other mechanisms. If the Gauer-Henry reflex operates during spaceflight, it must be completed within the first 21 h of flight and be succeeded by establishment of a reduced PV set point.

Effects of pH on potassium transport by renal distal tubule

1982 ◽  
Vol 242 (5) ◽  
pp. F544-F551 ◽  
Author(s):  
B. A. Stanton ◽  
G. Giebisch
Keyword(s):  
Metabolic Acidosis ◽  
Distal Tubule ◽  
Potassium Transport ◽  
Free Flow ◽  
Acid Base Balance ◽  
Acid Base ◽  
Solution Ph ◽  
Fluid Delivery ◽  
Urinary Potassium ◽  
Potassium Secretion

To determine the relative importance of plasma and luminal pH changes as factors regulating potassium secretion by rat distal tubule, superficial tubules were continuously microperfused in vivo. The effects of changes in plasma pH were examined by producing acute systemic metabolic acidosis or alkalosis and holding luminal flow rate, solute composition, and pH constant by microperfusion. Alternatively, the effect of luminal solution pH was evaluated by microperfusing tubules with solutions buffered to either pH 6.5 or 8.0 at constant systemic acid-base balance. Net transport of Na and K and the pH of the luminal fluid were measured. Results showed that metabolic acidosis inhibited and metabolic alkalosis stimulated potassium secretion. Increased luminal fluid pH, in contrast, did not stimulate potassium transport. In experiments in which metabolic acidosis produced a diuresis, urinary potassium excretion was enhanced compared with hydropenic controls. Free-flow micropuncture studies revealed that the rate of fluid delivery to the distal tubule was 45% greater during acidosis compared with control and that potassium secretion increased in both the distal and collecting tubule. Since the rate of fluid delivery is a potent stimulus of potassium secretion in the distal tubule, it is concluded that the stimulus of increased delivery of fluid, observed in free-flow conditions, masked the inhibitory effect of acidosis on potassium transport. Potassium transport by the distal tubule, during acid-base disorders, is regulated by plasma pH and the rate of delivery of fluid but is not stimulated by alkalinization of the luminal fluid.

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