A Novel Amiloride-Sensitive H + Transport Pathway Mediates Enhanced Superoxide Production in Thick Ascending Limb of Salt-Sensitive Rats, Not Na + /H + Exchange

Author:

O'Connor Paul M.1,Lu Limin1,Liang Mingyu1,Cowley Allen W.1

Affiliation:

1. From the Department of Physiology (P.M.O., M.L., A.W.C.), Medical College of Wisconsin, Milwaukee; and the Department of Physiology and Pathophysiology (L.L.), Shanghai Medical College, Fudan University, Shanghai, China.

Abstract

It has been reported previously that H + efflux via the Na + /H + exchange stimulates NAD(P)H oxidase-dependent superoxide (O 2 ·− ) production in medullary thick ascending limb. We have demonstrated recently that N -methyl-amiloride-sensitive O 2 ·− production is enhanced in the thick ascending limb of Dahl salt-sensitive (SS) rats, suggesting that H + efflux through Na + /H + exchangers may promote renal oxidative stress and the development of hypertension in these animals. In the current study we demonstrate, using selective and potent inhibitors, that inhibition of Na + /H + exchange does not mediate the ability of N -methyl-amiloride to inhibit thick ascending limb O 2 ·− production. To determine the mechanism of action of N -methyl-amiloride, we examined H + efflux and O 2 ·− production in SS and SS.13 BN thick ascending limbs of prehypertensive, 0.4% NaCl-fed rats. Tissue strips containing the medullary thick ascending limb were isolated from male SS and salt-resistant consomic SS.13 BN rats, loaded with either dihydroethedium or 2′,7′-bis-(2-carboxyethyl)-5-(and-6)-carboxyfluorescein, acetoxymethyl ester, and imaged in a heated tissue bath. In Na + -replete media, activation of Na + /H + exchange using an NH 4 Cl prepulse did not stimulate thick ascending limb O 2 ·− production. In Na + -free media containing BaCl 2 in which Na + /H + activity was inhibited, an NH 4 Cl prepulse stimulated O 2 ·− production in medullary thick ascending limb renal tubular segments. This response was enhanced in medullary thick ascending limb of SS rats (slope Δethidium/Δdihydroethedium=0.029±0.004) compared with SS.13 BN rats (slope=0.010±0.004; P <0.04) and could be inhibited by N -methyl-amiloride (slope=0.005±0.002 and 0.006±0.002 for SS and SS.13 BN , respectively). We concluded that only H + efflux through a specific, as-yet-unidentified, amiloride-sensitive H + channel promotes O 2 ·− production in the medullary thick ascending limb and that this channel is upregulated in SS rats.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Internal Medicine

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