Time-course of sodium transport along the nephron in nephrotic syndrome: The role of potassium.
Details
Serval ID
serval:BIB_110FC301F4D4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Time-course of sodium transport along the nephron in nephrotic syndrome: The role of potassium.
Journal
FASEB journal
ISSN
1530-6860 (Electronic)
ISSN-L
0892-6638
Publication state
Published
Issued date
02/2020
Peer-reviewed
Oui
Volume
34
Number
2
Pages
2408-2424
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
The mechanism of sodium retention and its location in kidney tubules may vary with time in nephrotic syndrome (NS). We studied the mechanisms of sodium retention in transgenic POD-ATTAC mice, which display an inducible podocyte-specific apoptosis. At day 2 after the induction of NS, the increased abundance of NHE3 and phosphorylated NCC in nephrotic mice compared with controls suggest that early sodium retention occurs mainly in the proximal and distal tubules. At day 3, the abundance of NHE3 normalized, phosphorylated NCC levels decreased, and cleavage and apical localization of γ-ENaC increased in nephrotic mice. These findings indicate that sodium retention shifted from the proximal and distal tubules to the collecting system. Increased cleavage and apical localization of γ-ENaC persisted at day 5 in nephrotic mice when hypovolemia resolved and steady-state was reached. Sodium retention and γ-ENaC cleavage were independent of the increased plasma levels of aldosterone. Nephrotic mice displayed decreased glomerular filtration rate and urinary potassium excretion associated with hyperkaliemia at day 3. Feeding nephrotic mice with a low potassium diet prevented hyperkaliemia, γ-ENaC cleavage, and led to persistent increased phosphorylation of NCC. These results suggest that potassium homeostasis is a major determinant of the tubular site of sodium retention in nephrotic mice.
Keywords
ENaC, SRAA, aldosterone paradox, edema, hyperkalemia, proteinuria
Pubmed
Web of science
Open Access
Yes
Create date
17/01/2020 15:43
Last modification date
10/10/2020 5:21