HYPERTONIA ÉS NEPHROLOGIA - eLitMed.hu
HYPERTONIA ÉS NEPHROLOGIA - eLitMed.hu
HYPERTONIA ÉS NEPHROLOGIA - eLitMed.hu
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2002; 6 (1):3–15. ONTOGENY OF POTASSIUM TRANSPORT IN THE DISTAL NEPHRON 7<br />
mean number<br />
of open channels<br />
(NP )<br />
o<br />
1,6<br />
1,4<br />
1,2<br />
1,0<br />
0,8<br />
0,6<br />
0,4<br />
0,2<br />
0,0<br />
0 1 2 3 4 5 6<br />
9; 10) and urinary K + excretion (9). This response reflects, at<br />
least in part, an increase in delivery to and reabsorption of Na +<br />
by principal cells (1; 23), a process that enhances the<br />
lumen-negative potential and rate of basolateral K + uptake,<br />
thereby increasing the driving force for passive K + efflux<br />
across the apical membrane.<br />
The rate-limiting step for transcellular Na + absorption<br />
appears to be localized to the apical epithelial Na + channel<br />
(ENaC). This amiloride-sensitive channel, characterized by a<br />
single-channel conductance in the range of 8-13 pS, has been<br />
most thoroughly studied in the adult rat and cultured rabbit<br />
principal cell (24; 25). Patch clamp analysis of the maturing<br />
rabbit principal cell identified few conducting apical<br />
amiloride-sensitive Na + channels in principal cells immediately<br />
after birth (Fig. 5) (26). However, by 2 weeks of age,<br />
the number of open Na + channels per patch reached a value<br />
similar to that observed in the 5-wk-old animals (Fig. 5)(26).<br />
This increase in number of conducting channels appeared to<br />
be due to both an increase in the number of channels present<br />
per patch as well as an increase in open probability (Po) (26).<br />
ENaC, cloned from rat distal colon, exists as a multimeric<br />
channel comprised of , and subunits (27; 28).<br />
Coexpression of the three subunits in oocytes reconstitutes a<br />
channel with ion selective permeability, gating properties and<br />
pharmacologic profile similar to the native channel (28).<br />
Expression of message encoding the three ENaC subunits<br />
increases in the near-term fetal rat kidney (29-31), due at least<br />
in part, to a 5-fold increase in abundance of mRNA in the<br />
ureteric bud and CCD (29). Mature levels of mRNA<br />
expression are achieved within the first few days of birth (30;<br />
*<br />
*<br />
SK<br />
*<br />
0 1 2 3 4 5 6<br />
age (wks) age (wks)<br />
Figure 5. Postnatal changes in mean number of open SK (left) and amiloride-sensitive Na + (right) channels in cellattached<br />
patches of the apical membrane of rabbit principal cells. Age of animals is given in weeks. CCDs from rabbits<br />
>5 weeks of age were not examined because the rate of successful seal formation was too low. The number of conducting<br />
SK channels increased significantly after birth (p