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1 Physiology and Biophysics, USC Keck Medical Sch, Los Angeles, CA, USA
2 Physiology, New York Medical College, Valhalla, NY, USA
* To whom correspondence should be addressed. E-mail: mcdonoug{at}usc.edu.
Extracellular [K+] is closely regulated by the concerted regulatory responses of kidney and muscle. This study aimed to define the responses activated when dietary K+ was moderately reduced from control (1.0% K+) diet to 0.33% K+ diet for 15 days. Although body weight and baseline plasma [K+] (4.0 mM) was not reduced in the 0.33%K+ group, regulatory responses to conserve plasma [K+] were evident in both muscle and kidney. Insulin stimulated clearance of K+ from the plasma was estimated in vivo in conscious rats with tail venous and arterial cannulas. During infusion of insulin (50 mU kg-1 min-1) plasma [K+] fell to 3.2 ± 0.1 mM in 1.0% K+ group and to only 3.5 ± 0.1 mM in the 0.33% K+ group (p<0.01)with no reduction in urinary K+ excretion, evidence for insulin resistance to cellular K+ uptake. The insulin stimulated cellular K+ uptake was quantitated by measuring K+ infusion necessary to clamp plasma K+ at baseline (Kinf, µmol/(kg.min)) during insulin (5mU kg-1 min-1) infusion: 9.7 ±1.5 in 1% K+ diet blunted to 5.2 ± 1.7 in 0.33% K+ diet (p<0.001). Muscle [K+] and Na,K-ATPase activity and abundance were unchanged during 0.33%K+ diet. Renal excretion, measured overnight in metabolic cages, was reduced 80%: 117.6 ± 10.5 µmol/hr per animal (1% K+ diet) to 24.2 ± 1.7 µmol/hr per animal (0.33% K+ diet)(p<0.001). There was no significant change in total abundance of key renal K+ transporters but a 50% increases in both renal protein tyrosine kinase cSrc abundance and ROMK phosphorylation in the 0.33% K+ vs 1% K+ diet group, previously established to be associated with internalization of ROMK. These results indicate that plasma [K+] can be maintained during modest K+ restriction due to a decrease in insulin-stimulated cellular K+ uptake as well as renal K+ conservation mediated by inactivation of ROMK, both without a detectable change in plasma [K+]. The error signals inciting and maintaining these responses remain to be identified.
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