Articles in PresS. Am J Physiol Renal Physiol (January 28, 2015). doi:10.1152/ajprenal.00601.2014

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Regulation of Glomerulotubular Balance III: Implication of Cytosolic Calcium in Flow-

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dependent Proximal Tubule Transport

3 Zhaopeng Du1, Sheldon Weinbaum2, Alan M. Weinstein3 and Tong Wang1

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Department of Cellular and Molecular Physiology, Yale University, New Haven, CT

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Department of Biomedical Engineering, City College of New York, CUNY NY

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Department of Physiology and Biophysics, Weill Medical College of Cornell University, NY

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Running title: Flow-dependent Proximal Tubule Transport

Address correspondence and reprint requests: Dr. Tong Wang Department of Cellular and Molecular Physiology Yale School of Medicine 333 Cedar Street, P.O. Box 208026 New Haven, CT 06520-8026 Phone: 203-785-6435 Fax: 203-785-4951 E-mail: [email protected]

Key words: Calcium Signals, Tubule transport, flow-dependent, Sodium Bicarbonate, IP3 receptor, extracellular Ca2+.

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1 Copyright © 2015 by the American Physiological Society.

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ABSTRACT

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In proximal tubule, axial flow (drag on brush border microvilli) stimulates Na+ and HCO3-

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reabsorption by modulating both NHE3 and H-ATPase activity, a process critical to

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glomerulotubular balance. We have also demonstrated that blocking the angiotensin II receptor

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decreases baseline transport, but preserves the flow effect; dopamine leaves baseline fluxes

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intact, but abrogates the flow-effect. In the current work, we provide evidence implicating

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cytosolic calcium in flow-dependent transport. Mouse proximal tubules were microperfused in

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vitro at perfusion rates of 5 and 20 nl/min, and reabsorption of fluid (Jv) and HCO3- (JHCO3) were

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measured. We examined the effect of high luminal Ca2+ (5 mM), 0 mM Ca2+, the Ca2+ chelator

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BAPTA-AM, the IP3 receptor antagonist 2-APB, and the Ca-ATPase inhibitor thapsigargin. In

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control tubules, increasing perfusion rate from 5 to 20 nl/min increased Jv by 62% and JHCO3 by

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104%. With respect to Na+ reabsorption, high luminal Ca2+ decreased transport at low flow, but

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preserved the flow-induced increase; low lumen Ca2+ had little impact; both BAPTA and 2-APB

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had no effect on baseline flux, but abrogated the flow effect; thapsigargin decreased baseline

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flow, leaving the flow effect intact. With respect to HCO3- reabsorption, high luminal Ca2+

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decreased transport at low flow, and mildly diminished the flow-induced increase; low lumen

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Ca2+ had little impact; both BAPTA and 2-APB had no effect on baseline flux, but abrogated the

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flow effect. These data implicate IP3 receptor-mediated intracellular Ca2+ signaling as a critical

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step in transduction of microvillous drag to modulate Na+ and HCO3- transport.

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INTRODUCTION

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Glomerulotubular balance (GTB) was first established in rat kidney via micropuncture

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(18), where variation in glomerular filtration (over a range of flows from 15 to 60 nl/min) was

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accompanied by a constant fractional proximal reabsorption. We have studied the mechanism of

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axial flow induced changes in Na+ and HCO3- absorption by microperfusion of mouse proximal

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tubules in vitro under low and high flow rates. From these studies we have demonstrated that the

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underlying mechanism of GTB is the flow regulation of both NHE3 and H-ATPase activities.

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This modulation is torque-dependent (bending moment at the apical membrane due to fluid flow)

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and requires the intact actin cytoskeleton (2). In the studies of mouse proximal tubule cells, we

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have shown that fluid shear stress stimulates NHE3 and H-ATPase trafficking to the apical and

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Na/K-ATPase to the basolateral membrane surfaces (6); this observation is supported by the

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mathematical model that shows both apical and basolateral transporters are regulated by flow

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(25). Regulatory mechanisms of the GTB, including the role of dopamine and Ang II receptors

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and the role of cAMP-PKA have been examined. From these studies we have demonstrated that

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dopamine completely blocks flow-stimulated Na+ transport and partially abolishes flow-

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stimulated HCO3- absorption, and the remaining portion of the increment of JHCO3 by flow is

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blocked by the H-ATPase inhibitor bafilomycin. The effects of dopamine were completely

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abolished by the DA1 receptor antagonist Sch 23390 (5). We also demonstrated a dopamine-

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dependent decrease in the sensitivity of the renal brush border to a change in microvillous

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torque; a DA1 antagonist increased the transport sensitivity to torque. These results are

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consistent with the hypothesis that increased flow causes redistribution of NHE3 within the

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apical membrane, as we have reported, in the proximal tubule cells (6); this activation is essential

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for flow-stimulated Na+ and HCO3- absorption. The roles of Angiotensin II receptors (AT1a, 3

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AT2) in flow effects in the proximal tubule were studied in WT and AT1a knockout mice. We

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found that blocking the AT1 receptor by Losartan reduced absolute Na+ and HCO3- absorption at

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both low and high flows, but did not affect fractional flow-stimulated transport. Compared with

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WT control, in AT1a knockout (KO) mouse tubules, 53% of flow-stimulated Na+ absorption was

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abolished, but flow-stimulated HCO3- absorption was retained at similar levels. The remaining

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flow-stimulated HCO3- absorption was eliminated by the H-ATPase inhibitor bafilomycin.

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Inhibition of the AT2 receptor by PD123319 increased both Na+ and HCO3- absorption, but did

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not affect flow-mediated fractional changes. We also found that NHE3 expression at the protein

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level was reduced in AT1a KO mice kidneys. These results indicate that the AT1 receptor is

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important to maximize the NHE activity activated by flow; however, it is not critical for the flow

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stimulated HCO3- transport, which still exists when the inhibitors are present or when the AT1a

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receptor is knocked out (3).

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Calcium signals are the major second messenger mechanisms for primary cilium-

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mediated mechanosensation in MDCK cells (16) in cortical collecting duct (28) and in kidney

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epithelial cells (15). However, regulation of flow effect by calcium signals in the proximal

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tubule has never been studied. In the collecting duct, flow-stimulated K+ secretion is dependent

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on apical calcium entry; removal of Ca2+ from the luminal perfusate prevents luminal Ca2+ entry

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and abrogates flow stimulation of net K+ secretion (11). It is not known whether proximal tubule

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cells response of Ca2+ is similar to other cell types. In the proximal tubule, however, it is

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generally believed that an increase in cytosolic Ca2+ is associated with a decrease in NHE3-

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mediated Na+ reabsorption (23) . It has been suggested that in the proximal tubule, cytosolic Ca2+

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functions as a negative feedback signal at the luminal membrane to blunt Na+ entry (8, 27). In

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the current study, we examine the effect of low and high luminal Ca2+, the Ca2+ chelator

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BAPTA-AM, the IP3 receptor antagonist 2-APB, and the Ca-ATPase inhibitor thapsigargin on 4

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flow stimulated Na+ and HCO3- absorption to investigate the role of calcium signals in flow-

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activated proximal tubule transport. We demonstrate that the IP3 receptor-mediated Ca2+ signal is

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crucial to flow-mediated Na+ and HCO3- absorption in proximal tubules.

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METHODS Animals:

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All experiments from animal work were conducted according to an Institutional Animal

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Care and Use Committee-approved protocol at Yale School of Medicine. Mice, C57BL/6

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purchased from the Jackson Lab, were maintained on a normal diet and tap water until the day of

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the experiment and were anesthetized with intraperitoneal sodium pentobarbital (100 -150mg/kg)

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at the time of the experiment. Both age (5 to 8 weeks) and gender (female) were matched among

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control and all experimental groups.

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Microperfusion of proximal tubules:

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Kidneys were removed from the mouse after it was deeply anesthetized, and then

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sectioned into ~1 mm thick slices. The slices were transferred to a 4oC HEPES-buffered Ringer’s

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solution at pH of 7.4. Proximal convoluted tubules (S2 segments) were isolated by

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microdissection in cooled (4oC) Hanks' solution, then transferred to the stage of an inverted

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microscope, and cannulated using a series of concentric glass capillaries. The tubules were

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perfused with an ultrafiltrate-like solution as described previously (4). The bath solution contains

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similar electrolytes as the luminal solution, with added 3g/dl albumin. The perfusate and bath

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solutions were bubbled with 95%O2-5%CO2, the pH was adjusted to 7.4, and the osmolalities to

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300 mosmol/KgH2O in both solutions. All tubules were perfused at 37°C in a 1.2 ml

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temperature-controlled bath at a flow rate of either 5nl/min or 20 nl/min, followed by three

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sample collections for measuring 3H-inulin and HCO3- concentrations (4). The order of low or

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high flow rate was used randomly. Bath fluid was continuously changed at a rate of 0.5 ml/min

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to maintain the constancy of pH and bath osmolality. Extensively dialyzed [3H]-methoxy-inulin

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was added to the perfusate at a concentration of 30 μCi/ml as a volume marker.

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BAPTA-AM (10-7 M), the IP3 receptor antagonist 2-APB (10-7 M), and the Ca-ATPase 6

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inhibitor thapsigargin (10-7 M) were added to the luminal perfusate, and were all purchased from

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Sigma (St. Louis, MO).

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Sample measurement and analysis:

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The rates of fluid (Jv) and HCO3- (JHCO3 ) absorption were calculated by measuring the

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concentrations of 3H-inulin and total CO2, as described previously (4). A constant-bore glass

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capillary was used to obtain precise aliquots of initial perfusates and collection of samples to be

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analyzed for [3H]-methoxy-inulin by liquid scintillation spectroscopy. The total CO2

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concentration of both initial and collected fluids was measured by the nanoflow spectrometer

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(WPI). The rates of net fluid and HCO3- absorption was calculated as described previously and

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expressed per mm tubular length (4).

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The JNa was calculated according to the rate of fluid absorption ([Na] * Jv), since the ratio

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of fluid and Na+ absorption is 1 in the proximal tubule (24). The JCl was calculated as JCl = JNa –

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JHCO3. The cell volume is identified with epithelial volume, and is calculated as: [π•(OD/2)2 -

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π•(ID/2)2 ], where ID is inner tubular diameter, and OD is outer tubule diameter. In this

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estimate, it is assumed that lateral intercellular space volume is a negligible fraction of epithelial

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volume. In this regard, Tisher and Kokko (20) determined that in rabbit proximal tubule, the

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spacing between membranes of opposing cells is about 0.03 micron at baseline, and grows or

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shrinks 10% with changes in transport.

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proximal tubule, whose area is expanded 20-fold over a simple cylinder (26), interspace volume

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is estimated to be less than 5% of epithelial volume.

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Thus, even with the pleated lateral membrane of

The total torque (bending moment) T on the microvilli due to fluid flow was calculated by the equation which we have published previously (2).

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 L + δ L2   1+ + 2   T Rr2  R 2R  μ  Q = 2 Tr R  L + δ L2  μr  Qr + 2 1+ Rr 2Rr  

r—index to reference value R—inner tubule radius with brush border L— length of the microvilli (L = 2.5 μm) δ − microvilli tip interaction layer (δ=150 nm) μ —fluid viscosity Q— flow rate in the tubule

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Applying this formula to the experiments under consideration, variations in microvillous length,

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L, of 50% or less should produce inaccuracies in the torque ratio of less than 10%. That height is

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not measured in these experiments, and is assumed constant in the torque estimates.

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Statistics:

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Data are presented as means ± SE. Student’s t-test was used to compare control and experimental

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groups. ANOVA test was used for comparison of several experimental groups with a control

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group following by Dunnett’s test. The difference between the mean values of an experimental

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group and a control group was considered significant if P < 0.05.

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RESULTS Impact of extracellular and intracellular Ca2+ depletion on flow-mediated tubule transport:

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The effects of extracellular Ca2+ depletion on flow-induced changes in Na+ and HCO3-

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absorption were examined by microperfusion of proximal tubules with low and high flow rates.

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The extracellular Ca2+ depletion was achieved by using Ca2+ free solution plus 1mM of EGTA

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(cell-impermeant calcium chelator) in the luminal perfusate. Under this condition, the

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extracellular Ca2+ in the apical side is nearly 0 mM. We have compared the flow-induced

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changes in fluid (Jv), Na+ (JNa) and HCO3- (JHCO3) absorption between the luminal perfusate with

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1mM Ca2+ (control group) and with 0mM Ca2+ plus 1mM EGTA. As we previously observed, an

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increase in perfusion rate from 5 to 20 nl/min increased Jv , JNa by 62% and JHCO3 by 104% in

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control group (Fig. 1). Depletion of extracellular Ca2+ had no effect on Jv , JNa or JHCO3 under

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either low or high flow conditions. The fractional changes in fluid, Na+, HCO3- and calculated

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Cl- absorption (JCl) by flow are also the same in control and extracellular Ca2+ depletion groups

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(Figs. 1 and 3). This finding indicates that luminal Ca2+ influx does not mediate flow-stimulated

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proximal tubule transport.

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We next examined the effects of both intracellular and extracellular Ca2+ depletion on

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flow-induced changes in Na+ and HCO3- absorption. Complete Ca2+ depletion was achieved by

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using Ca2+ free solution plus EGTA and a cell-permeant Ca2+ chelator BAPTA-AM (10-7M) in

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the luminal perfusate (11). Under this condition, both extracellular and intracellular Ca2+ are

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depleted. We have compared the flow-induced changes in Jv, JNa JCl and JHCO3 between the

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luminal perfusate with 1mM Ca2+ and with 0 mM Ca2+ plus EGTA and BAPTA-AM. As shown

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in Fig. 2, an increase in perfusion rate from 5 to 20 nl/min JNa and Jv increased by 62% and JHCO3

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increased by 104% in control group. Depletion of both extracellular and intracellular Ca2+ did

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not change Na+ or HCO3- absorption at the low flow rate. In contrast, flow stimulated Na+ 9

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absorption was completely abrogated and flow stimulated HCO3- absorption was significantly

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reduced in the Ca2+depletion group compared with the control. The fractional change of JNa and

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Jv by flow was 62.3% and -22.7% (P

Regulation of glomerulotubular balance. III. Implication of cytosolic calcium in flow-dependent proximal tubule transport.

In the proximal tubule, axial flow (drag on brush-border microvilli) stimulates Na(+) and HCO3 (-) reabsorption by modulating both Na/H exchanger 3 (N...
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