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/base
exchange
1 Departments of Pediatrics and 2 Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75235
The present in vitro microperfusion study
examined the maturation of
Na+/H+
antiporter and Cl
/base
exchanger on the basolateral membrane of rabbit superficial proximal
straight tubules (PST). Intracellular pH
(pHi) was measured with the
pH-sensitive fluorescent dye
2',7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein in
neonatal and adult superficial PST.
Na+/H+
antiporter activity was examined after basolateral
Na+ addition in tubules initially
perfused and bathed without Na+.
Neonatal
Na+/H+
antiporter activity was ~40% that of adult segment (9.7 ± 1.5 vs. 23.7 ± 3.2 pmol · mm
1 · min
1;
P < 0.001). The effect of bath
Cl
removal on
pHi was used to assess the rates of
basolateral Cl
/base
exchange. In both neonatal and adult PST, the
Cl
/base exchange activity
was significantly higher in the presence of 25 mM
HCO
3 than in the absence of
HCO
3 and was inhibited by cyanide and
acetazolamide, consistent with Cl
/HCO
3
exchange. The proton flux rates in the presence of bicarbonate in
neonatal and adult tubules were 14.1 ± 3.6 and 19.5 ± 3.5 pmol · mm
1min
1,
respectively (P = NS), consistent with
a mature rate of
Cl
/HCO
3
exchanger activity in neonatal tubules. Basolateral
Cl
/base exchange activity
in the absence of CO2 and
HCO
3, with luminal and bath cyanide
and acetazolamide, was greater in adult than in neonatal PST and
inhibited by bath DIDS consistent with a maturational increase in
Cl
/OH
exchange. We have previously shown that the rates of the apical membrane
Na+/H+
antiporter and Cl
/base
exchanger were approximately fivefold lower in neonatal compared with
adult rabbit superficial PST. These data demonstrate that neonatal PST
basolateral membrane
Na+/H+
antiporter and Cl
/base
exchanger activities are relatively more mature than the Na+/H+
antiporter and Cl
/base
exchangers on the apical membrane.
Cl
/HCO
3
exchanger; Cl
/OH
exchanger; Na+-bicarbonate
cotransporter; renal development; intracellular pH; microperfusion
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