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Medical Department, The Heart Centre, Rigshospitalet, National University Hospital, University of Copenhagen, 2100 Copenhagen, Denmark
Muscular K uptake depends on
skeletal muscle Na-K-ATPase concentration and activity. Reduced
K uptake is observed in vitro in K-depleted rats. We evaluated skeletal
muscle K clearance capacity in vivo in rats K depleted for 14 days.
[3H]ouabain binding,
1 and
2 Na-K-ATPase isoform abundance, and K, Na, and Mg
content were measured in skeletal muscles. Skeletal muscle K, Na, and
Mg and plasma K were measured in relation to intravenous KCl infusion
that continued until animals died, i.e., maximum KCl dose was
administered. In soleus, extensor digitorum longus (EDL), and
gastrocnemius muscles K depletion significantly reduced K content by
18%, 15%, and 19%, [3H]ouabain binding by 36%, 41%,
and 68%, and
2 isoform abundance by 34%, 44%, and
70%, respectively. No significant change was observed in
1 isoform abundance. In EDL and gastrocnemius muscles K
depletion significantly increased Na (48% and 59%) and Mg (10% and
17%) content, but only tendencies to increase were observed in soleus
muscle. K-depleted rats tolerated up to a fourfold higher KCl dose.
This was associated with a reduced rate of increase in plasma K and
increases in soleus, EDL, and gastrocnemius muscle K of 56%, 42%, and
41%, respectively, but only tendencies to increase in controls.
However, whereas K uptake was highest in K-depleted animals, the K
uptake rate was highest in controls. In vivo K depletion is associated
with markedly increased K tolerance and K clearance despite
significantly reduced skeletal muscle Na-K-ATPase concentration. The
concern of an increased risk for K intoxication during K repletion
seems unwarranted.
sodium-potassium-adenosinetriphosphatase; magnesium
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