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Aldosterone and PCO2 enhance K-dependent chloride absorption in rat distal colon
Authors:Ronald D. Perrone  David E. McBride
Affiliation:(1) Division of Nephrology, Department of Medicine, New England Medical Center, Tufts University School of Medicine, 02111 Boston, MA, USA
Abstract:We have previously demonstrated that, in the absence of Na+ in vitro, the rate of colonic K+ absorption is increased by increasing PCO2. Chronic secondary hyperaldosteronism induced by dietary Na-depletion further stimulated K+ absorption under these conditions. Because the observed increments in CO2-dependent K+ absorption were not accompanied by corresponding changes in short-circuit current, macroscopic electroneutrality must have been maintained either by anion absorption or by cation secretion. Colonic Cl absorption is known to respond to increased PCO2 both in vivo and in vitro, but its response under Na-free conditions and the relationship to K+ absorption have not been examined. To determine the relationship of Cl absorption to K+, we measured unidirectional fluxes of 36Cl and the response to PCO2 in voltage-clamped segments of rat distal colon. Our findings indicate that the rate of Cl absorption is increased by increasing CO2, both in the presence and absence of Na+. Under Na-free conditions, Cl absorption is inhibited by acetazolamide and by the absence of K+; K+ absorption (86Rb or 42K flux) is inhibited in a reciprocal fashion by the absence of Cl. The rates of K+ and Cl absorption are similar in controls and after secondary hyperaldosteronism due to a Na-deficient diet. These findings suggest that K+ and Cl absorption are closely coupled under Na-free conditions, most likely due to the operation of parallel, aldosterone-responsive H+-K+ and Cl-HCO3exchange pathways.
Keywords:Potassium  Intestinal absorption  Acetazolamide  Anion exchange  Respiratory acidosis
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