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1 Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, Florida, United States
2 Dept of Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, Florida, United States
* To whom correspondence should be addressed. E-mail: hatchma{at}ufl.edu.
To test the hypothesis that colonic Na+ transport is altered in the 5/6 nephrectomized rat model of chronic renal failure (CRF), we measured Na+ fluxes across distal colon from control (CON), CRF, and CRF rats treated with the angiotensin II (ANG II) receptor antagonist losartan (+ LOS). We also evaluated overall fluid and Na+ balance and compared colonic protein and mRNA expression profiles for electroneutral (NHE) and electrogenic Na+ transport (ENaC) in these groups. Consistent with a 60% enhancement in colonic Na+ absorption in CRF, urinary Na+ excretion increased by about 50% while serum Na+ homeostasis was maintained. These CRF-induced changes in Na+ handling were normalized by treatment with LOS. Net Na+ absorption was also stimulated in in vitro tissues from CON rats following acute serosal addition of ANG II (10-7 M) and this increase was blocked by AT1 antagonism, but not by an AT2 antagonist. In CRF, colonic protein and mRNA expression variably increased for apical NHE2, NHE3, and ENaC
-,
-,
-sub-units, while expression of basolateral NHE1 and Na+-K+-ATPase (
-isoform) remained unaltered. Upregulation of the ENaC subunit mRNA was attenuated somewhat by LOS treatment. Previously, we showed that colonic AT1 receptor protein is upregulated 2-fold in CRF and here we find AT1 and AT2 mRNA and AT2 protein abundance is unchanged in CRF. We conclude that Na+ absorption in CRF rat distal colon is increased due to elevated expression of proteins mediating electroneutral and electrogenic uptake and that it is partially mediated by AT1 receptors.
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