title: Depressed distal tubule acidification corrects chloride-deplete alkalosis in rats.
abstract: We investigated the relative contributions made by the proximal and distal tubule to the correction of Cl-deplete metabolic alkalosis induced by systemic administration of NaCl. Free-flow micropuncture was used to examine net bicarbonate reabsorption in superficial proximal and distal tubules of anesthetized Munich-Wistar rats during maintenance and correction of chronic furosemide-induced Cl-deplete metabolic alkalosis. The distal tubule of animals with correcting vs. maintained alkalosis had a lower fractional reabsorption of bicarbonate (38 vs. 75%, P less than 0.001) and a lower slope of the linear regression comparing absorption to delivered load (0.48 vs. 0.99, P less than 0.02). By contrast, proximal tubule of animals with correcting vs. maintained alkalosis had fractional reabsorption (85 vs. 90%, P = 0.07) and slopes of the regression comparing reabsorption to filtered load (1.09 vs. 0.98, P = 0.48) that were not different. The data indicate that correction of Cl-deplete metabolic alkalosis induced by NaCl administration involves a qualitative decreased in bicarbonate reabsorption in distal tubule with maintenance of the same load-dependent relationship for bicarbonate reabsorption in proximal tubule.
authors.affiliation: Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas 77030.
authors.forename: D E
authors.initials: DE
authors.lastname: Wesson
mesh_terms: D000042:Absorption; D000143:Acids / Q000378:metabolism; D000471:Alkalosis / Q000378:metabolism* / Q000503:physiopathology; D000818:Animals; D001639:Bicarbonates / Q000378:metabolism; D001794:Blood Pressure; D002712:Chlorides / Q000378:metabolism*; D005260:Female; D007686:Kidney Tubules, Distal / Q000378:metabolism*; D008297:Male; D011677:Punctures; D051381:Rats; D011919:Rats, Inbred Strains; D012044:Regression Analysis
chemical_list: D000143:Acids; D001639:Bicarbonates; D002712:Chlorides