title: Evidence for an amiloride-insensitive Na+/H+ exchanger in rat renal cortical tubules.
abstract: We have characterized the Na+/H+ exchanger (NHE) isoforms expressed in rat renal cortical tubule fragments. Amiloride sensitivity of the Na(+)-dependent intracellular pH (pHi) recovery in suspended tubules that had been acid loaded by an NH4+ prepulse was determined in nominally CO2/HCO3(-)-free solution, using the fluorescent pH-sensitive dye 2',7'-bis(carboxyethyl)-5(6)-carboxyfluorescein. In the presence of 140 mM extracellular Na+, 800 microM amiloride inhibited the rate of Na(+)-dependent pHi recovery by only 65%, demonstrating the presence of a Na(+)-dependent amiloride-insensitive H+ extrusion system. This system was not affected by 4-acetamido-4'-isothiocyanostilbene-2,2'-disulfonic acid but was activated by 4,4'-diisothiocyanostilbene-2,2'-disulfonic acid. Lowering extracellular Na+ concentration permitted 300 microM amiloride to completely inhibit Na(+)-dependent pHi recovery. These results can be explained by the expression of a Na+/H+ exchange with the pharmacological properties of NHE4. Using reverse transcriptase-polymerase chain reaction, we found specific mRNA for NHE1, NHE2, NHE3, and NHE4 isoforms in the renal cortex. Immunohistochemical studies using polyclonal antibodies against rat NHE4 peptide demonstrated that NHE4 is heterogeneously expressed on basolateral membrane domains of cortical tubules. These results strongly suggest that amiloride-insensitive Na+/H+ exchange expressed in renal cortical tubule suspensions is mediated by NHE4.
authors.affiliation: Department of Medicine, University of Alabama, Birmingham 35294-0007, USA.
authors.forename: R
authors.initials: R
authors.lastname: Chambrey
authors.forename: J M
authors.initials: JM
authors.lastname: Achard
authors.forename: P L
authors.initials: PL
authors.lastname: St John
authors.forename: D R
authors.initials: DR
authors.lastname: Abrahamson
authors.forename: D G
authors.initials: DG
authors.lastname: Warnock
mesh_terms: D017878:4,4'-Diisothiocyanostilbene-2,2'-Disulfonic Acid / Q000494:pharmacology; D012856:4-Acetamido-4'-isothiocyanatostilbene-2,2'-disulfonic Acid / Q000494:pharmacology; D000584:Amiloride / Q000494:pharmacology; D000818:Animals; D002927:Cimetidine / Q000494:pharmacology; D005942:Gluconates / Q000494:pharmacology; D066298:In Vitro Techniques; D007672:Kidney Cortex / Q000502:physiology*; D007684:Kidney Tubules / Q000502:physiology*; D007700:Kinetics; D007783:Lactones; D008536:Meglumine / Q000494:pharmacology; D016133:Polymerase Chain Reaction; D012333:RNA, Messenger / Q000096:biosynthesis; D051381:Rats; D017207:Rats, Sprague-Dawley; D000074083:Sodium-Hydrogen Exchanger 3; D017923:Sodium-Hydrogen Exchangers / Q000096:biosynthesis* / Q000187:drug effects; D014158:Transcription, Genetic
chemical_list: D005942:Gluconates; D007783:Lactones; D012333:RNA, Messenger; C513110:Slc9a2 protein, rat; C000613387:Slc9a3 protein, rat; C081518:Slc9a4 protein, rat; D000074083:Sodium-Hydrogen Exchanger 3; D017923:Sodium-Hydrogen Exchangers; C069139:growth factor-activatable Na-H exchanger NHE-1; D012856:4-Acetamido-4'-isothiocyanatostilbene-2,2'-disulfonic Acid; D008536:Meglumine; D000584:Amiloride; D002927:Cimetidine; D017878:4,4'-Diisothiocyanostilbene-2,2'-Disulfonic Acid; C010730:beta-glucono-1,5-lactone