Contrast media induced changes in tubular electrophysiology and glomerular filtration rate in the mouse kidney.

The isolated perfused mouse proximal tubule was used to examine electrophysiologic effects of diatrizoate and ioversol. Luminal or basolateral application of diatrizoate resulted in a dose-dependent, reversible hyperpolarization of the proximal tubule cell basolateral membrane potential (VB), which could be abolished by the addition of 10 microM probenecid. While there was a modest reduction in intracellular ATP following a 60-min exposure to diatrizoate, there was no deterioration of VB after 90 min of diatrizoate exposure, even following a 20-min hypoxic insult. Ioversol did not elicit an electrical response. Neither diatrizoate nor ioversol significantly affected transepithelial potential (VT) in the isolated perfused medullary thick ascending limb. In vivo studies showed that only the ionic contrast agent diatrizoate significantly reduced glomerular filtration rate, by 70%. The observed acute contrast media induced reduction in glomerular filtration rate does not appear to depend on direct renal tubular cytotoxicity.

Response of mouse proximal straight tubule and medullary thick ascending limb to beta-agonist.

Scatchard analysis of (3H)CGP-12177 and (125I)cyanopindolol (CYP) radioligand binding data revealed the presence of specific beta-adrenergic receptor-binding sites on microdissected mouse proximal straight and medullary thick ascending limb (mTAL) tubules. beta-Receptor (10(-6) M isoproterenol) stimulation of isolated perfused mTAL tubules produced a consistent hyperpolarization of the transepithelial potential that was blocked by propranolol (10(-6) M), a beta-receptor antagonist, and furosemide (10(-4) M), an inhibitor of the Na+/K+/2 Cl- triporter. In contrast, there was no electrogenic response to isoproterenol stimulation in isolated perfused proximal straight tubules. In summary, radioligand binding data show that both proximal straight and mTAL tubules possess beta-receptor-binding sites. Electrogenic transport in the mTAL can be modulated by beta-agonists, but there was no detectable electrogenic response to beta-receptor stimulation in proximal straight tubules.

Functional integrity of proximal tubule cells: effects of temperature and preservation solutions.

Electrophysiologic and morphologic changes during cooling and perfusion with preservation solutions in isolated perfused proximal straight tubules from Swiss white mice were investigated. In standard Ringer-substrate solution, cooling from 37 degrees C to 22 and 4 degrees C depolarized both transepithelial potential and basolateral cell membrane potential. Basolateral k+ transference number and cell membrane conductances were also significantly reduced. An increase in intracellular Na+ activity was observed only during cooling from 37 to 4 degrees C. No cell swelling was detected when tubules were perfused with Ringer-substrate solution at all three temperatures up to 1 h. Perfusion with Euro-Collins' (EC) solution at 37 degrees C resulted in rapid cell swelling, associated with rapid deterioration of transepithelial potential. Substitution of glucose with mannitol abolished the damaging effect of EC solution at 37 degrees C. EC perfusion at 22 degrees C also led to cell swelling and deterioration of transepithelial potential, but after a 10-min delay. In comparison, perfusion with University of Wisconsin (UW) solution at 22 or 37 degrees C had no effect on cell volume. Less damage to transepithelial potential was observed after the UW perfusion. It was concluded that EC solution is more damaging than UW solution to kidney tubules at 22 and 37 degrees C. The presence of EC solution in the renal interstitium during the rewarming phase may contribute significantly to reperfusion injuries in kidney transplantation.

Functional integrity of proximal tubule cells. Effects of hypoxia and ischemia.

Effects of warm hypoxia and ischemia on electrophysiologic properties of isolated perfused mouse proximal straight tubules were studied. Oxyrase (5 to 10 microliters/mL) was added to the hypoxic and ischemic solutions to lower the oxygen tension to 5 mm Hg. The ischemic solution also simulated acidosis, K+ and lactate accumulation, and substrate deprivation. Twenty-minute tubular perfusion with the hypoxic and ischemic solutions (lumen and bath) at 37 degrees C did not significantly alter basolateral membrane potential, basolateral K+ transference number, or intracellular Na+ activity from control values of -69 +/- 1 mV (N = 91), 0.71 +/- 0.01 (N = 15), and 15.2 +/- 0.8 mM (N = 12), respectively. However, the hypoxic and ischemic perfusions decreased transepithelial potential by 40% (hypoxia: -1.7 +/- 0.1 to -1.1 +/- 0.1 mV [N = 30; P < 0.001]; ischemia: -1.4 +/- 0.1 to -0.82 +/- 0.05 mV [N = 17; P < 0.001]). A similar extent of reduction in transepithelial resistance was observed (hypoxia: 14.3 +/- 1.0 to 9.2 +/- 1.1 omega.cm2 [N = 7; P < 0.005]; ischemia: 12.6 +/- 1.2 to 8.1 +/- 1.0 omega.cm2 [N = 6; P < 0.03]). In addition, neither apical (R(ap)) nor basolateral (Rbl) cell membrane resistances were significantly altered after the ischemic perfusion (control: R(ap) = 369 +/- 48 omega.cm2; Rbl = 92 +/- 11 omega.cm2 [N = 63]; reperfusion: R(ap) = 454 +/- 88 omega.cm2; Rbl = 101 +/- 16 omega.cm2 [N = 21]). It was concluded that tubular cells are able to maintain their electrogenic ionic transport after short-term exposure to hypoxic or ischemic conditions. However, cell-to-cell junctions are damaged by these insults, which could possibly increase leakage and decrease the efficiency of the active transport.

Sodium transport in salamander proximal tubule at 5.5 degrees C.

Na+ transport and electrophysiology of isolated perfused proximal tubules of the salamander Ambystoma tigrinum were compared at 22 and 5.5 degrees C, a range over which these animals normally live. Both intracellular Na+ activity and basolateral membrane potential were unaffected by temperature, whereas transepithelial potential depolarized from -6.5 +/- 0.8 mV at 22 degrees C to -3.5 +/- 0.6 mV at 5.5 degrees C (P less than 0.05). Compared with 22 degrees C, reduction of temperature to 5.5 degrees C included major increases in apical membrane resistance (2,052 +/- 473 omega.cm2 to 18,464 +/- 2,667 omega.cm2) and basolateral membrane resistance (491 +/- 113 omega.cm2 to 1,780 +/- 256 omega.cm2) (P less than 0.01). Sequential increases of luminal glucose concentration allowed characterization of the Na(+) -glucose cotransporter at both temperatures. The Km was stable (2 mM), but the maximal activity (Vmax) at 5.5 degrees C of 167 peq/5 cm2 increased to 1,000 peq/5 cm2 at 22 degrees C (P less than 0.05). In parallel with this temperature sensitivity of apical Na+ entry, basolateral Na+ pump activity was reduced at low temperature. Rubidium uptake at 22 degrees C was reduced by 40% at 5.5 degrees C. The rate of decrease of intracellular Na+ activity when tubules were perfused with substrate-free solution was -2.6 +/- 0.7 mM/min at 5.5 degrees C, compared with -4.9 +/- 1.2 mM/min at 22 degrees C. We conclude that low temperature reduces both Na+ uptake and efflux, allowing stability of intracellular milieu despite reduction in net transepithelial transport.

Adenylate cyclase uncoupled beta-adrenergic receptors in salamander proximal tubules.

The isolated perfused proximal tubule of the neotenic salamander Ambystoma tigrinum responds with either a hyperpolarization or depolarization of both the basolateral cell membrane and transepithelial potentials following the addition of 10(-5) M isoproterenol to the bath superfusate. Both responses were blocked by 10(-6) M propranolol but neither response was mimicked by 10(-4) M cAMP. beta-Adrenergic binding studies of individual microdissected proximal tubules using (-)-[3H]CGP-12177 as a hydrophyllic radioligand and (+/-)-timolol (0.1 mM) as the displacer drug revealed two distinct populations of proximal tubules possessing either low (KD = 153.8 nM; Bmax = 110.2 fM/mm) or high affinity (KD = 12.0 nM: Bmax = 3.9 fM/mm) binding characteristics. Competition studies indicated that the bound (-)-[3H]CGP-12177 behaved as a typical beta-adrenergic ligand, being displaced by (-)-isoproterenol but not by (+)-isoproterenol or (-)-phenylephrine. However, neither appeared to be coupled to the adenylate cyclase system. These data suggest the presence of functional beta-adrenergic receptors that do not appear to be coupled to the adenylate cyclase system.

Low-sodium environment induces adaptation in salamander diluting segments.

The urodele Ambystoma tigrinum adapts to a distilled water environment by decreasing renal sodium excretion, but the site and mechanism of renal adaptation is unknown. Isolated diluting segments of Ambystoma kidney were studied after a 2-wk exposure of the animals to either distilled or artificial pond ([Na] = 1.2 meq/l) water. Identification of diluting segments was confirmed by electron microscopy. Morphometric study revealed evidence of increased tubular diameter and cellular hypertrophy in the distilled water group. Na+-K+-ATPase activity was increased in tubules from the distilled water group compared with tubules from the pond water group; 40.2 +/- 6.9 vs. 21.7 +/- 4.3 nM ADP generated.min-1.mm tubule length-1, P less than 0.036. This alteration in ATPase activity was due to an increase in the number of pump units present on the basolateral membrane, since specific ouabain binding was also doubled in distilled water compound with pond water group tubules, 20.7 +/- 2.3 vs. 9.1 +/- 0.9 fmol/mm tubule length tubules, P less than 0.011. An increase in transepithelial potential difference of the diluting segment was noted in distilled water group tubules (19.5 +/- 1.4 mV) compared with tubules in the pond water group (13.2 +/- 1.8 mV), P less than 0.015. We conclude that distilled water adaptation is associated with specific diluting segment structural and functional alterations, which are probably linked to an increase in sodium transport rate.

Electrophysiological analysis of beta-receptor stimulation in salamander proximal tubules.

Electrophysiological response to isoproterenol stimulation was studied in isolated perfused salamander proximal tubules. The addition of 10(-5) M isoproterenol to the bath superfusate depolarized both the cell membrane, and transepithelial potentials by 2.2 +/- 0.2 and 0.31 +/- 0.04 mV, respectively (P less than 0.01, n = 35) and significantly reduced the apical-to-basolateral membrane resistance ratio by 30% (P less than 0.01, n = 7) from a control value of 3.7 +/- 0.6. These responses were blocked by 10(-6) M propranolol but not mimicked by 10(-4) M adenosine 3',5'-cyclic monophosphate. Qualitatively similar effects were observed with 10(-3) and 10(-7) M isoproterenol. Further characterization of the 10(-5) M isoproterenol response revealed 1) a 50% reduction in the response following the removal of organic substrates from the luminal perfusate, 2) an absolute requirement for sodium, and 3) an absolute requirement for a functioning basolateral Na+-K+-ATPase. The data suggest that beta-receptor stimulation may increase sodium reabsorption by activating sodium cotransport systems.