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1 Physiology & Pathophysiology, University of Witten/Herdecke, Witten, Germany; Faculty of Life Sciences, University of Manchester, Manchester, United Kingdom
2 Physiology & Pathophysiology, University of Witten/Herdecke, Witten, Germany
* To whom correspondence should be addressed. E-mail: frank.thevenod{at}uni-wh.de.
The nephrotoxic metal cadmium (Cd2+) causes mitochondrial damage and apoptosis of kidney proximal tubule cells. A potassium cycle involving a K+ uniporter and a K+/H+ exchanger in the inner mitochondrial membrane (IMM) is thought to contribute to the maintenance of the structural and functional integrity of mitochondria. Here we have investigated the effect of Cd2+ on K+ cycling in rat kidney cortex mitochondria. Cd2+ (EC50 ~19 µM) induced swelling of non-energized mitochondria suspended in isotonic salt solutions according to the sequence KCl = NaCl > LiCl >> choline-Cl. Cd2+-induced swelling of energized mitochondria had a similar EC50 and showed the same cation dependence but was followed by a spontaneous contraction. Mitochondrial Ca2+ uniporter (MCU) blockers abolished swelling, while permeability transition pore inhibitors had no effect. This suggests the need for Cd2+ influx through the MCU for swelling to occur. Complete loss of mitochondrial membrane potential (
m) induced by K+ influx did not affect contraction, but addition of the K+/H+ exchanger blocker, quinine (1 mM), or of the electroneutral protonophore, nigericin (0.4 µM), abolished contraction suggesting that mitochondrial pH gradient (
pHm) drives contraction. Accordingly, a quinine-inhibitable partial dissipation of mitochondrial pH gradient (
pHm) coincided with the swelling-contraction phase. The data indicate that Cd2+ enters the matrix through the MCU to activate a K+ cycle. Initial K+ load via a Cd2+-activated K+ uniporter in the IMM causes osmotic swelling, breakdown of 
m and triggers quinine-sensitive K+/H+ exchange and contraction. Thus Cd2+-induced activation of a K+ cycle contributes to dissipation of the mitochondrial protonmotive force.
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