S. Eiamong et al., EFFECT OF RESPIRATORY-ACIDOSIS AND RESPIRATORY ALKALOSIS ON RENAL TRANSPORT ENZYMES, The American journal of physiology, 267(3), 1994, pp. 60000390-60000399
We studied the effect of respiratory acidosis and respiratory alkalosi
s on acid-base composition and on microdissected renal adenosinetripho
sphatase (ATPase) enzymes. Rats were subjected to hypercapnia or hypoc
apnia of 6, 24, and 72 h duration. After 6 h of hypercapnia, collectin
g tubule (CT) ATPases were not changed. At 24 h, plasma bicarbonate wa
s 35 +/- 1 meq/l (P < 0.01) and CT H-ATPase and H-K-ATPase activities
were 90% greater than controls (P < 0.01). By 72 h, plasma bicarbonate
was 37 +/- 1 meq/l (P < 0.005 vs. control) and CT enzyme activity had
increased even more, averaging similar to 130% of control (P < 0.05).
Significant increases in enzyme activities were also observed in the
proximal convoluted tubule and medullary thick ascending limb. Plasma
aldosterone was three to four times that of control at all three time
periods. In hormone-replete adrenalectomized rats, acid-base parameter
s and ATPase activities were the same as those seen in adrenal intact
animals. After 6 h of hypocapnia, plasma bicarbonate was not significa
ntly changed, but H-ATPase and Na-K-ATPase activities were decreased b
y 35% along the entire nephron (P < 0.05). H-K-ATPase activity in CT a
lso decreased by 35%. At 24 h, plasma bicarbonate was 20.5 +/- 0.5 meq
/l (P < 0.05 vs. control) and CT H-ATPase and H-K-ATPase activities we
re 60% less than control (P < 0.01). By 72 h, plasma bicarbonate was 1
8.5 +/- 0.5 meq/l (P < 0.05); however, only CT H-ATPase activity conti
nued to fall, averaging 75% less than control (P < 0.005). Hypocapnia
had no effect on plasma aldosterone or potassium. These results demons
trate that chronic, but not acute, respiratory acidosis stimulates act
ivity of both renal proton ATPases. By contrast, both acute and chroni
c respiratory alkalosis decrease the two renal proton pumps. The stimu
latory effect of hypercapnia and the inhibitory effect of hypocapnia o
n the renal ATPases appear to be potassium and aldosterone independent
. Although the precise mechanisms for these results are not known, a d
irect effect of PCO2, pH, or changes in bicarbonate delivery may be in
volved.