Colonic H(+)-K(+)-ATPase in K(+) conservation and electrogenic Na(+) absorption during Na(+) restriction

Am J Physiol Gastrointest Liver Physiol. 2001 Dec;281(6):G1369-77. doi: 10.1152/ajpgi.2001.281.6.G1369.

Abstract

Upregulation of the colonic H(+)-K(+)- ATPase (cHKA) during hyperaldosteronism suggests that it functions in both K(+) conservation and electrogenic Na(+) absorption in the colon when Na(+)-conserving mechanisms are activated. To test this hypothesis, wild-type (cHKA(+/+)) and cHKA-deficient (cHKA(-/-)) mice were fed Na(+)-replete and Na(+)-restricted diets and their responses were analyzed. In both genotypes, Na(+) restriction led to reduced plasma Na(+) and increased serum aldosterone, and mRNAs for the epithelial Na(+) channel (ENaC) beta- and gamma-subunits, channel-inducing factor, and cHKA were increased in distal colon. Relative to wild-type controls, cHKA(-/-) mice on a Na(+)-replete diet had elevated fecal K(+) excretion. Dietary Na(+) restriction led to increased K(+) excretion in knockout but not in wild-type mice. The amiloride-sensitive, ENaC-mediated short-circuit current in distal colon was significantly reduced in knockout mice maintained on either the Na(+)-replete or Na(+)-restricted diet. These results demonstrate that cHKA plays an important role in K(+) conservation during dietary Na(+) restriction and suggest that cHKA-mediated K(+) recycling across the apical membrane is required for maximum electrogenic Na(+) absorption.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aldosterone / blood
  • Amiloride / pharmacology
  • Animals
  • Blotting, Western
  • Body Weight
  • Colon / enzymology*
  • Diet, Sodium-Restricted*
  • Electric Conductivity
  • Epithelium / chemistry
  • Epithelium / physiology
  • Feces / chemistry
  • Genotype
  • H(+)-K(+)-Exchanging ATPase / deficiency
  • H(+)-K(+)-Exchanging ATPase / genetics
  • H(+)-K(+)-Exchanging ATPase / physiology*
  • Intestinal Absorption
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Polymerase Chain Reaction
  • Potassium / blood
  • Potassium / metabolism*
  • Potassium / urine
  • RNA, Messenger / analysis
  • Sodium / blood
  • Sodium / metabolism*
  • Sodium / urine
  • Sodium Channels / genetics

Substances

  • RNA, Messenger
  • Sodium Channels
  • Aldosterone
  • Amiloride
  • Sodium
  • H(+)-K(+)-Exchanging ATPase
  • Potassium