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1 Division of Nephrology, Department of Internal Medicine, Jichi Medical School, Tochigi, Japan 329-0498; and 2 University of Texas Southwestern Medical Center, Dallas, Texas 75235-8856
Chronic
hypokalemia increases the activity of proximal tubule apical membrane
Na+/H+
antiporter NHE3. The present study examined the effect of
the incubation of OKP cells (an opossum kidney, clone P cell line) in
control medium {K+ concn
([K+]) = 5.4 mM} or low-K+ medium
([K+] = 2.7 mM) on
NHE3. The activity of an ethylisopropyl amiloride-resistant Na+/H+
antiporter, whose characteristics were consistent with those of
NHE3, was increased in
low-K+ cells beginning at 8 h.
NHE3 mRNA and NHE3 protein abundance were increased 2.2-fold and 62%,
respectively, at 24 h but not at 8 h. After incubation in
low-K+ medium, intracellular pH
(pHi) decreased by 0.27 pH units
(maximum at 27 min) and then recovered to the control level.
Intracellular acidosis induced by 5 mM sodium propionate increased
Na+/H+
antiporter activity at 8 and 24 h. Herbimycin A, a tyrosine kinase inhibitor, blocked low-K+- and
sodium propionate-induced activation of the
Na+/H+
antiporter at 8 and 24 h. Our results demonstrate that
low-K+ medium causes an early
decrease in pHi, which leads to an
increase in NHE3 activity via a tyrosine kinase pathway.
sodium/hydrogen antiporter; tyrosine kinase; low potassium; proximal tubule; opossum kidney, clone P cells
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