Role of ion exchangers in mediating NaCl transport in the proximal tubule.
The reabsorption of NaCl in the proximal tubule occurs passively through the paracellular pathway, and actively by a transcellular route. Transcellular NaCl transport involves Na(+)-coupled Cl- entry across the apical membrane by two mechanisms involving Cl(-)-organic anion exchange. One mechanism is Cl(-)-formate exchange with recycling of formate from lumen to cell by H(+)-coupled formate transport in parallel with Na(+)-H+ exchange. A second mechanism is Cl(-)-oxalate exchange with recycling of oxalate from lumen to cell by oxalate-sulfate exchange in parallel with Na(+)-sulfate cotransport. Cl- exit across the basolateral membrane is most likely mediated by Cl- channels. Apical membrane Na(+)-H+ exchange is involved in mediating both NaHCO3 and NaCl reabsorption in the proximal tubule. Immunocytochemical studies indicate that NHE3 is the principal Na(+)-H+ exchanger isoform expressed on the brush border membrane. Detection of NHE3 in a subapical, intracellular, vesicular compartment in proximal tubule cells is consistent with its possible regulation by membrane trafficking. That NHE3 is the isoform responsible for apical membrane Na(+)-H+ exchange activity is supported by studies of inhibitor sensitivity, and by studies demonstrating increased expression of NHE3 protein in association with enhanced Na(+)-H+ exchange activity during renal maturation and in response to glucocorticoids and metabolic acidosis.
Aronson
P S
PS
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. peter.aronson@yale.edu
D000818:Animals; D017136:Ion Transport / Q000502:physiology; D007687:Kidney Tubules, Proximal / Q000737:chemistry / Q000378:metabolism*; D012965:Sodium Chloride / Q000378:metabolism*
D012965:Sodium Chloride