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  4. Dietary sodium induces a redistribution of the tubular metabolic workload.
 
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Titre

Dietary sodium induces a redistribution of the tubular metabolic workload.

Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
The Journal of Physiology  
Auteur(s)
Udwan, K.
Auteure/Auteur
Abed, A.
Auteure/Auteur
Roth, I.
Auteure/Auteur
Dizin, E.
Auteure/Auteur
Maillard, M.
Auteure/Auteur
Bettoni, C.
Auteure/Auteur
Loffing, J.
Auteure/Auteur
Wagner, C.A.
Auteure/Auteur
Edwards, A.
Auteure/Auteur
Feraille, E.
Auteure/Auteur
Liens vers les personnes
Maillard, Marc  
Liens vers les unités
Néphrologie  
ISSN
1469-7793
Statut éditorial
Publié
Date de publication
2017-11-15
Volume
595
Numéro
22
Première page
6905
Dernière page/numéro d’article
6922
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Body Na <sup>+</sup> content is tightly controlled by regulated urinary Na <sup>+</sup> excretion. The intrarenal mechanisms mediating adaptation to variations in dietary Na <sup>+</sup> intake are incompletely characterized. We confirmed and expanded observations in mice that variations in dietary Na <sup>+</sup> intake do not alter the glomerular filtration rate but alter the total and cell-surface expression of major Na <sup>+</sup> transporters all along the kidney tubule. Low dietary Na <sup>+</sup> intake increased Na <sup>+</sup> reabsorption in the proximal tubule and decreased it in more distal kidney tubule segments. High dietary Na <sup>+</sup> intake decreased Na <sup>+</sup> reabsorption in the proximal tubule and increased it in distal segments with lower energetic efficiency. The abundance of apical transporters and Na <sup>+</sup> delivery are the main determinants of Na <sup>+</sup> reabsorption along the kidney tubule. Tubular O <sub>2</sub> consumption and the efficiency of sodium reabsorption are dependent on sodium diet.
Na <sup>+</sup> excretion by the kidney varies according to dietary Na <sup>+</sup> intake. We undertook a systematic study of the effects of dietary salt intake on glomerular filtration rate (GFR) and tubular Na <sup>+</sup> reabsorption. We examined the renal adaptive response in mice subjected to 7 days of a low sodium diet (LSD) containing 0.01% Na <sup>+</sup> , a normal sodium diet (NSD) containing 0.18% Na <sup>+</sup> and a moderately high sodium diet (HSD) containing 1.25% Na <sup>+</sup> . As expected, LSD did not alter measured GFR and increased the abundance of total and cell-surface NHE3, NKCC2, NCC, α-ENaC and cleaved γ-ENaC compared to NSD. Mathematical modelling predicted that tubular Na <sup>+</sup> reabsorption increased in the proximal tubule but decreased in the distal nephron because of diminished Na <sup>+</sup> delivery. This prediction was confirmed by the natriuretic response to diuretics targeting the thick ascending limb, the distal convoluted tubule or the collecting system. On the other hand, HSD did not alter measured GFR but decreased the abundance of the aforementioned transporters compared to NSD. Mathematical modelling predicted that tubular Na <sup>+</sup> reabsorption decreased in the proximal tubule but increased in distal segments with lower transport efficiency with respect to O <sub>2</sub> consumption. This prediction was confirmed by the natriuretic response to diuretics. The activity of the metabolic sensor adenosine monophosphate-activated protein kinase (AMPK) was related to the changes in tubular Na <sup>+</sup> reabsorption. Our data show that fractional Na <sup>+</sup> reabsorption is distributed differently according to dietary Na <sup>+</sup> intake and induces changes in tubular O <sub>2</sub> consumption and sodium transport efficiency.
Sujets

Adaptation, Physiolog...

Animals

Glomerular Filtration...

Kidney Tubules, Proxi...

Kidney Tubules, Proxi...

Male

Mice

Mice, Inbred C57BL

Oxygen/metabolism

Renal Elimination

Renal Reabsorption

Sodium, Dietary/metab...

Sodium, Dietary/pharm...

Na+ transport

Na+ transporters

dietary salt

diuretics

optimal Na+ diet

PID Serval
serval:BIB_117A3ADEBC80
DOI
10.1113/JP274927
PMID
28940314
WOS
000417113000019
Permalien
https://iris.unil.ch/handle/iris/94566
Open Access
Oui
Date de création
2017-10-09T07:50:55.407Z
Date de création dans IRIS
2025-05-20T18:09:00Z
Fichier(s)
En cours de chargement...
Vignette d'image
Nom

28940314_BIB_117A3ADEBC80.pdf

Version du manuscrit

published

Licence

https://creativecommons.org/licenses/by/4.0

Taille

1.24 MB

Format

Adobe PDF

PID Serval

serval:BIB_117A3ADEBC80.P001

URN

urn:nbn:ch:serval-BIB_117A3ADEBC804

Somme de contrôle

(MD5):6ece55d4ad31fddc399983b8c0450303

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