1. ANP-stimulated Na+secretion in the collecting duct prevents Na+retention in the renal adaptation to acid load
- Author
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Cheval, Lydie, Bakouh, Naziha, Walter, Christine, Tembely, Dignê, Morla, Luciana, Escher, Geneviève, Vogt, Bruno, Crambert, Gilles, Planelles, Gabrielle, and Doucet, Alain
- Abstract
We have recently reported that type A intercalated cells of the collecting duct secrete Na+by a mechanism coupling the basolateral type 1 Na+-K+-2Cl−cotransporter with apical type 2 H+-K+-ATPase (HKA2) functioning under its Na+/K+exchange mode. The first aim of the present study was to evaluate whether this secretory pathway is a target of atrial natriuretic peptide (ANP). Despite hyperaldosteronemia, metabolic acidosis is not associated with Na+retention. The second aim of the present study was to evaluate whether ANP-induced stimulation of Na+secretion by type A intercalated cells might account for mineralocorticoid escape during metabolic acidosis. In Xenopusoocytes expressing HKA2, cGMP, the second messenger of ANP, increased the membrane expression, activity, and Na+-transporting rate of HKA2. Feeding mice with a NH4Cl-enriched diet increased urinary excretion of aldosterone and induced a transient Na+retention that reversed within 3 days. At that time, expression of ANP mRNA in the collecting duct and urinary excretion of cGMP were increased. Reversion of Na+retention was prevented by treatment with an inhibitor of ANP receptors and was absent in HKA2-null mice. In conclusion, paracrine stimulation of HKA2 by ANP is responsible for the escape of the Na+-retaining effect of aldosterone during metabolic acidosis.
- Published
- 2019
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