title: Preincubation in acid medium increases Na/H antiporter activity in cultured renal proximal tubule cells.
abstract: Chronic acidosis in vivo leads to an increase in proximal tubule Na/H antiporter activity that persists when the transporter is studied out of the acidotic environment. It is presently not clear whether a decrease in extracellular fluid pH alone is sufficient to elicit this adaptation. The present studies examined the effect of acid preincubation on Na/H antiporter activity in cultured proximal tubule cells. Antiporter activity was examined after a 2-day preincubation in control or acid medium, 1 hr after removal from the preincubation fluid. Na/H antiporter activity was assayed as the initial rate of Na-dependent alkalinization after cell acidification in the absence of CO2/HCO3. Preincubation in low [HCO3] acid medium or in high PCO2 acid medium led to increases in amiloride-sensitive Na/H antiporter activity. This adaptation was inhibited by addition of cycloheximide to the preincubation medium. Preincubation of fibroblasts in low [HCO3] acid medium did not lead to increased Na/H antiporter activity but rather caused a small inhibition. These studies demonstrate an adaptation in Na/H antiporter activity elicited by a low pH of the extracellular fluid, which is dependent on protein synthesis, and may be unique to certain H/HCO3-transporting epithelia.
authors.affiliation: Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235-8856.
authors.forename: S
authors.initials: S
authors.lastname: Horie
authors.forename: O
authors.initials: O
authors.lastname: Moe
authors.forename: A
authors.initials: A
authors.lastname: Tejedor
authors.forename: R J
authors.initials: RJ
authors.lastname: Alpern
mesh_terms: D000584:Amiloride / Q000494:pharmacology; D000818:Animals; D001639:Bicarbonates / Q000494:pharmacology; D002352:Carrier Proteins / Q000378:metabolism*; D002478:Cells, Cultured; D003513:Cycloheximide / Q000494:pharmacology; D006863:Hydrogen-Ion Concentration; D007687:Kidney Tubules, Proximal / Q000187:drug effects / Q000378:metabolism*; D007700:Kinetics; D008297:Male; D011817:Rabbits; D017923:Sodium-Hydrogen Exchangers
chemical_list: D001639:Bicarbonates; D002352:Carrier Proteins; D017923:Sodium-Hydrogen Exchangers; D000584:Amiloride; D003513:Cycloheximide