Physiological disposal of the potential alkali load in diet of the rat: steps to achieve acid-base balance

Author:

Lin Shih-Hua1,Cheema-Dhadli Surinder2,Chayaraks Sorasak2,Chen Ching-Bun2,Gowrishankar Manjula3,Halperin Mitchell L.2

Affiliation:

1. Renal Division, Tri-Service General Hospital, National Defense Medical Center, Taipei 100, Republic of China;

2. Renal Division, St. Michael’s Hospital, University of Toronto, Toronto, Ontario M5B 1A6; and

3. Renal Division, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada T6G 2B7

Abstract

The purpose of this study was to provide a better understanding of the physiological role of endogenous net organic acid production in rats consuming their usual diet. Balance studies were performed over 24 h, and urine was collected in the day and night portions of the diurnal cycle. A supplemented low-electrolyte diet (LED) was fed to determine whether urinary organic anions were identical to those in the diet. A titration procedure was developed to determine the p K of titratable groups in the urine of rats studied with and without an acid load. Although normal rats excreted net acid (NAE), the latter was inversely related to the amount of food consumed. The rates of excretion of bicarbonate ([Formula: see text]), citrate, unmeasured organic anions, and [Formula: see text] were higher in the night portion of the diurnal cycle. NAE rose dramatically when alkali intake was decreased by consuming the LED. Dietary and urinary organic anions were not identical because rats fed the LED supplemented with potassium citrate excreted <10% of this alkali load as citrate and <25% as[Formula: see text]. In the 24 h after 3,000 μmol NH4Cl was given intraperitoneally, H+did not appear to be retained, yet NAE rose by only close to 2,000 μeq. The rate of excretion of titratable groups with a p K in the 3 to 5 pH range fell by close to 1,000 μeq; most of these changes occurred in the first 7 h after NH4Cl was given. We conclude that rat chow provides a large net alkali load. There appear to be two types of endogenous acid production, a form associated with a rise in NAE (e.g., sulfuric acid) and dietary alkali-driven endogenous net acid production, which titrates this alkali. Renal excretion of organic anions makes these acids end products of metabolism.

Publisher

American Physiological Society

Subject

Physiology

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