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Departments of 1 Pediatrics and 2 Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75235-9063
Urea transport in the proximal
tubule is passive and is dependent on the epithelial permeability. The
present study examined the maturation of urea permeability
(Purea) in in vitro perfused proximal convoluted tubules
(PCT) and basolateral membrane vesicles (BLMV) from rabbit renal
cortex. Urea transport was lower in neonatal than adult PCT at both 37 and 25°C. The PCT Purea was also lower in the neonates
than the adults (37°C: 45.4 ± 10.8 vs. 88.5 ± 15.2 × 10
6 cm/s, P < 0.05; 25°C: 28.5 ± 6.9 vs. 55.3 ± 10.4 × 10
6 cm/s;
P < 0.05). The activation energy for PCT
Purea was not different between the neonatal and adult
groups. BLMV Purea was determined by measuring vesicle
shrinkage, due to efflux of urea, using a stop-flow instrument.
Neonatal BLMV Purea was not different from adult BLMV
Purea at 37°C [1.14 ± 0.05 × 10
6 vs. 1.25 ± 0.05 × 10
6 cm/s;
P = not significant (NS)] or 25°C (0.94 ± 0.06 vs. 1.05 ± 0.10 × 10
6 cm/s; P = NS). There was no effect of 250 µM phloretin, an inhibitor of the
urea transporter, on Purea in either adult or neonatal BLMV. The activation energy for urea diffusion was also identical in
the neonatal and adult BLMV. These findings in the BLMV are in contrast
to the brush-border membrane vesicles (BBMV) where we have previously
demonstrated that urea transport is lower in the neonate than the
adult. Urea transport is lower in the neonatal proximal tubule than the
adult. This is due to a lower rate of apical membrane urea transport,
whereas basolateral urea transport is the same in neonates and adults.
The lower Purea in neonatal proximal tubules may play a
role in overall urea excretion and in developing and maintaining a high
medullary urea concentration and thus in the ability to concentrate the
urine during renal maturation.
apical membrane; transport; stop-flow kinetics; glycerol
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