Na+/H+ exchange in human lymphocytes and platelets in chronic and subacute metabolic acidosis.
The effect of acid-base disturbances on sodium/proton (Na+/H+) exchange has been examined in animal models; however, few data are available from human studies. To test the effect of metabolic acidosis on Na+/H+ exchange in man, as well as to examine the relationship between Na+/H+ exchange and cytosolic calcium ([Ca2+]i), we measured both variables in patients with decreased renal function with mild metabolic acidosis (pH 7.34 +/- 0.06), in normal control subjects (pH 7.41 +/- 0.02), and in subjects before (pH 7.40 +/- 0.01), and after (pH 7.26 +/- 0.04) ammonium chloride (NH4Cl) 15 g for 5 d. Lymphocytes and platelets were loaded with the cytosolic pH (pHi) indicator 2'-7'-bis(carboxyethyl)-5,6-carboxyfluorescein and acidified to pH approximately 6.6 with propionic acid. To quantitate Na+/H+ exchange, dpHi/dt was determined at 1 min. [Ca2+]i was measured with fura-2. Na+/H+ exchange was significantly increased only in lymphocytes of patients with renal insufficiency. Neither intracellular pH (pHi) nor [Ca2+]i was different from controls. NH4Cl resulted in a significant increase in Na+/H+ exchange in lymphocytes, but not in platelets of normal subjects. Values of pHi and [Ca2+]i in either cell type remained unaffected. Since metabolic acidosis influenced Na+/H+ only in lymphocytes, but not in platelets, it is possible that protein synthesis may be involved in increasing Na+/H+ exchange.
Innere Medizin-Nephrologie, Medizinische Klinik IV, Universität Erlangen-Nürnberg, Federal Republic of Germany.
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Reusch
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Reusch
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Rosskopf
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Siffert
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Mann
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D000138:Acidosis / Q000097:blood*; D000141:Acidosis, Renal Tubular / Q000097:blood*; D000208:Acute Disease; D001792:Blood Platelets / Q000378:metabolism*; D002245:Carbon Dioxide / Q000097:blood; D002352:Carrier Proteins / Q000378:metabolism*; D002908:Chronic Disease; D004573:Electrolytes / Q000097:blood; D005452:Fluoresceins; D005456:Fluorescent Dyes; D006801:Humans; D006863:Hydrogen-Ion Concentration; D066298:In Vitro Techniques; D007700:Kinetics; D008214:Lymphocytes / Q000378:metabolism*; D008297:Male; D012964:Sodium / Q000097:blood*; D017923:Sodium-Hydrogen Exchangers
D002352:Carrier Proteins; D004573:Electrolytes; D005452:Fluoresceins; D005456:Fluorescent Dyes; D017923:Sodium-Hydrogen Exchangers; D002245:Carbon Dioxide; C043829:2',7'-bis(carboxyethyl)-5(6)-carboxyfluorescein; D012964:Sodium