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Sex Difference In Kidney Electrolyte Transport III: Impact of Low K intake on Thiazide‐Sensitive Cation Excretion in Male and Female Mice
Author(s) -
Xu Shuhua,
Li Jing,
Yang Lei,
Wang Claire J.,
Liu Tommy,
Weinstein Alan M.,
Palmer Lawrence,
Wang Tong
Publication year - 2020
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.2020.34.s1.04495
Subject(s) - medicine , endocrinology , chemistry , kaliuresis , hydrochlorothiazide , thiazide , excretion , distal convoluted tubule , renal function , homeostasis , fractional excretion of sodium , kidney , sodium , natriuresis , diuretic , reabsorption , biology , blood pressure , organic chemistry
The thiazide sensitive Na‐Cl co‐transporter (NCC) in the distal tubule can be regulated by dietary potassium intake and is critical for electrolyte homeostasis. Previously we reported that there was higher NCC activity and expression in female over male mice and high‐K intake preserved the sex‐difference of NCC‐mediated sodium absorption due to comparable reductions of NCC activity and expression in both sexes. However, with high‐K intake hydrochlorothiazide (HCTZ)‐induced kaliuresis was greater in males than in female mice, suggesting a more powerful male adaptation to high‐K intake. In this study, we explored the role of NCC in adaptation to a low‐K (LK) diet. We measured HCTZ‐induced changes in urine volume (UV), glomerular filtration rate (GFR), absolute (ENa, EK) and fractional (FENa, FEK) cation excretion in male and female mice on control‐K (CK, 1% KCl) and LK (0.1%, KCl) diets for 7 days. We also examined LK‐induced changes in NCC, Na/H‐exchanger isoform 3 (NHE3), and ENaC protein expression by Western blotting. With CK, NCC‐dependent ENa and FENa were larger in females than males as we observed previously. However with LK HCTZ‐induced ENa and FENa increased in males but not in females. Thus K restriction abolished the sex differences in NCC function. Changes in total NCC protein followed a similar pattern. Under CK conditions females expressed more NCC protein, as previously reported. LK increased NCC abundance in both males (by 100%) and females (by 40%). The larger effect in males reversed the sex‐dependence of NCC expression, consistent with the measurements of function. LK intake did not change either NHE3 or NHE2 expression, but reduced the amount of cleaved (presumably active) forms of α and γENaC expression in males but not in females. Thus decreased Na reabsorption through ENaC may compensate for increased Na transport through NCC in males. Despite large diuretic and natriuretic responses to HCTZ, EK was only slightly increased in response to the drug when animals were on LK. This suggests that the K‐secretory apparatus in the distal nephron is strongly suppressed under these conditions. Support or Funding Information NIH NIDDK RO1 DK099284