C. Ledderhos et al., Temperature dependence of the K+ fluxes between cells and plasma in the whole blood of normotensive and primary hypertensive young men, NIEREN HOCH, 29(2), 2000, pp. 54-59
Samples of venous blood were taken from 24 sons of normotensive parents (SO
NT) and 24 sons of primary hypertensive parents (SOHT) aging 21 - 27 years.
The heparinized but otherwise untreated blood samples were stored for 3 ho
urs at 15 different temperatures between 1 degrees C and 37 degrees C. Ln t
he range 20 degrees C to 25 degrees C only negligible changes of plasma Koccurred. Below 20 degrees C plasma K+ increased without a plateau reaching
a maximum at 1 degrees C. Between 29 degrees C and 37 degrees C plasma Kdecreased. Only in the SOHT and only at 33 degrees C the K(+)fall in the pl
asma correlated significantly and negatively (r = -0.66, p < 0.001) with th
e renin content of the fresh blood. No significant differences could be obt
ained between the Ki-fluxes in the blood of SONT and in that of SOHT. The d
ata suggest that below 20 degrees C with falling temperature not only an in
creasingly effective cold-blockade of the Na+/K+-ATPase but also changes of
blood cell membrane fluidity and/or structure occcur. The fall of plasma p
otassium at temperatures between 29 degrees C and 37 degrees C could specul
atively be explained by the assumption that physiologically existing inhibi
tors of the Na+/K+-pump in the blood in vivo disappear in vitro which would
result in a transiently elevated activity of this ion transporter. The det
ermination of the temperature dependence of the K+-fluxes in the whole bloo
d does not support the diagnosis of primary hypertension in humans.