Substrate-limited function and metabolism of the isolated perfused rat kidney: effects of lactate and glucose. 1977

J J Cohen, and Y J Kook, and J R Little

1. The objective of this study was to determine the separate contributions of exogenous substrate and of kidney tissue to the support of function and metabolism in the isolated perfused rat kidney. The effects of the addition of L(+) [U-14C]lactate or D[U-14C]glucose either to a specially prepared substrate-free albumin (SFA) or to Fr. V bovine serum albumin (Fr. V-BSA) were compared. The Fr. V-BSA has significant quantities of lactate, citrate and free fatty acids associated with it. 2. Perfusion of the rat kidney with the Krebs-Ringer bicarbonate solution containing SFA, without addition of exogenous substrate, resulted in a lower % Na+ reabsorption (approximately 43%) than when the perfusions contained Fr. V-BSA (approximately 80%). Thus, kidney tissue can support at most 45% of Na+ reabsorption, while the substrates associated with the Fr. V-BSA can support approximately 30% of Na+ reabsorption. When the initial concentration of L(+)lactate in the perfusate containing SFA was progressively raised from 0 to 10 mM, % Na+ reabsorption increased to between 85 and 90%. 3. The apparent Km (0-59 mM) and the Vmax (0-67 micronmole g-1. min-1) for lactate oxidation in the presence of SFA were both significantly lower than when Fr. V-BSA was present (Km = 2-0 mM; Vmax = 1-1 micronmole g-1. min-1). The lower Km is interpreted as being due to the removal of substances from the Fr. V-BSA which competitively inhibit either the uptake or oxidation of lactate; the lower Vmax is considered to be related to the lower rate of Na+ reabsorption when SFA is present. 4. Addition of glucose enhanced gomerular filtration rate in the presence of both types of albumin. The resulting increase in the filtered load of Na+ in the presence of glucose was associated with either no change (Fr. V-BSA) or an increase (SFA) in fractional Na+ reabsorption. Although absolute Na+ reabsorptive rate was greater in the presence of glucose than in the presence of lactate, the oxidation rate of glucose, on a carbon-atom basis, was less than 50% of the oxidation rate of lactate. 5. The metabolism of glucose may regulate the permeability characteristics of the glomerulus and the tubular epithelium: by contrast, the high oxidation rate of lactate suggests it can provide direct support for a major fraction of the Na+ actively absorbed.

UI MeSH Term Description Entries
D007668 Kidney Body organ that filters blood for the secretion of URINE and that regulates ion concentrations. Kidneys
D007700 Kinetics The rate dynamics in chemical or physical systems.
D007773 Lactates Salts or esters of LACTIC ACID containing the general formula CH3CHOHCOOR.
D008297 Male Males
D010084 Oxidation-Reduction A chemical reaction in which an electron is transferred from one molecule to another. The electron-donating molecule is the reducing agent or reductant; the electron-accepting molecule is the oxidizing agent or oxidant. Reducing and oxidizing agents function as conjugate reductant-oxidant pairs or redox pairs (Lehninger, Principles of Biochemistry, 1982, p471). Redox,Oxidation Reduction
D005919 Glomerular Filtration Rate The volume of water filtered out of plasma through glomerular capillary walls into Bowman's capsules per unit of time. It is considered to be equivalent to INULIN clearance. Filtration Rate, Glomerular,Filtration Rates, Glomerular,Glomerular Filtration Rates,Rate, Glomerular Filtration,Rates, Glomerular Filtration
D005947 Glucose A primary source of energy for living organisms. It is naturally occurring and is found in fruits and other parts of plants in its free state. It is used therapeutically in fluid and nutrient replacement. Dextrose,Anhydrous Dextrose,D-Glucose,Glucose Monohydrate,Glucose, (DL)-Isomer,Glucose, (alpha-D)-Isomer,Glucose, (beta-D)-Isomer,D Glucose,Dextrose, Anhydrous,Monohydrate, Glucose
D000042 Absorption The physical or physiological processes by which substances, tissue, cells, etc. take up or take in other substances or energy.
D000418 Albumins Water-soluble proteins found in egg whites, blood, lymph, and other tissues and fluids. They coagulate upon heating. Albumin
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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