G. Capasso et al., A DECREASE IN RENAL MEDULLARY TONICITY STIMULATES ANION TRANSPORT IN HENLES LOOP OF RAT KIDNEYS, American journal of physiology. Renal, fluid and electrolyte physiology, 43(4), 1998, pp. 693-699
To investigate the effect of reduction in renal medulla osmolality on
loop of Henle (LOH) net bicarbonate reabsorption, clearance and microp
erfusion experiments were performed on Sprague-Dawley rats. The decrea
se of renal medulla osmolality was induced by intravenous infusion of
either a large dose of mannitol (mannitol protocol) or a hypotonic sol
ution (hypotonic protocol) delivered at a rate to match the sodium and
bicarbonate load of the control period. During the mannitol protocol,
clearance data demonstrated a rise in glomerular filtration rate (GFR
), renal plasma flow, urine pH, and fractional bicarbonate excretion.
On the contrary, microperfusion experiments, performed in the absence
of mannitol in the tubular perfusate, revealed a significant increase
both in the absolute and fractional LOH bicarbonate transport. During
the hypotonic protocol, there was a decrease in GFR, associated with a
n increase in fractional excretion of bicarbonate. In the microperfusi
on experiments, hypotonic saline, similar to mannitol, stimulated abso
lute and fractional LOH bicarbonate transport. Net reabsorption of chl
oride, measured under the same experimental conditions, was also found
to be activated. Therefore, the intravenous infusion of hypotonic sol
ution affected the LOH transepithelial net reabsorption of both bicarb
onate and chloride. We hypothesize that the increase in the transport
rate of these two anions, along the same segment and in similar experi
mental conditions, may be mediated, at least in part, by decreased med
ullary tonicity, which is one factor common both to hypertonic mannito
l and hypotonic saline infusion.