Ke. Lindstrom et al., GLOMERULAR CHARGE SELECTIVITY FOR PROTEINS LARGER THAN SERUM-ALBUMIN AS REVEALED BY LACTATE-DEHYDROGENASE ISOFORMS, Acta Physiologica Scandinavica, 162(4), 1998, pp. 481-488
it is well known that macromolecules like albumin are markedly restric
ted in their passage across the glomerular capillary wall. However, th
e relative importance of solute size, charge and shape is currently de
bated since much of the previous work is based on dextran in neutral o
r charge-modified forms. These polymers have certain drawbacks that ma
ke them less suitable for analysis of capillary permeability and the n
otion of a glomerular charge barrier has therefore been questioned. Mo
reover, macromolecules larger than albumin (mol. wt. 69 000) have been
suggested to pass through nonselective 'shunt' pathways. In order to
study glomerular permeability, isolated rat kidneys were perfused with
albumin solutions containing trace amounts of two differently radiola
belled isoenzymes of lactate dehydrogenase (LDH) at low temperature to
inhibit tubular function. The isoenzymes have similar size (mol. wt.
140 000) and shape but differ in charge, one carrying a negative net s
urface charge (LDH1, -19) and the other being slightly cationic (LDH5,
+ 2). The urine and perfusate samples were subjected to high pressure
liquid chromatography (HPLC) gel-filtration to allow for measurements
of intact LDH. The fractional clearance was 0.11% +/- 0.04% for the a
nionic LDH1 and 0.56% +/- 0.07% for LDH5, whereas that for albumin was
0.21% +/- 0.03% at a glomerular filtration rate of 0.11 +/- 0.01 mt m
in(-1) g(-1) kidney wet weight. The results were analysed using a homo
genously charged membrane model and are compatible with a charge densi
ty of 35 mEq L-1, with 95% confidence interval of 26-41 mEq L-1. These
findings suggest a significant glomerular charge selectivity for prot
eins substantially larger than albumin. The charge density is, however
, far less than estimated from dextran studies.