Schoolwerth A C, Strzelecki T, Gesek F A
Department of Medicine, Medical College of Virginia, Virginia Commonwealth University, Richmond.
Am J Kidney Dis. 1989 Oct;14(4):303-6. doi: 10.1016/s0272-6386(89)80208-2.
Proximal tubular ammoniagenesis is amplified under conditions of acute and chronic metabolic acidosis. Current hypotheses postulate that alterations in intracellular pH (pHi) or in the pH gradient across the inner mitochondrial membrane (delta pHm) influence mitochondrial glutamine metabolism. Enhanced glutamine transport across the inner mitochondrial membrane might constitute a key regulatory factor in acidosis. To examine changes in delta pHm, a technique was used to determine pHi and intramitochondrial pH (pHm) simultaneously. Regulation of the enzyme alpha ketoglutarate dehydrogenase (alpha KGDH) was assessed by evaluating enzyme activity at varied levels of medium pH, Ca++, and adenosine diphosphate (ADP). The results indicate that pHi decreased with an acid external pH. A fall in pHi correlated to increase activity of alpha KGDH associated with increased affinity for the substrate, alpha KG. Increments in either buffer Ca++ or ADP concentration increased enzyme affinity for alpha KG at pH 7.6 but not at pH 6.8. These results, compatible with previous reports, indicate that pH, Ca++, and ADP are effectors of the enzyme alpha KGDH. Alterations in pH across the inner mitochondrial membrane might augment flux through alpha KG by accelerating glutamine metabolism. Increased alpha KG oxidation over the range of 10 to 500 mumol/L Ca++ concentration is compatable with data for Ca++ regulation reported for the solubilized enzyme. These studies provide evidence that the above factors, through enhancing alpha KGDH activity, participate in regulation of ammoniagenesis during states of acidosis.
在急性和慢性代谢性酸中毒情况下,近端肾小管氨生成会增强。目前的假说是,细胞内pH值(pHi)或线粒体内膜跨膜pH梯度(δpHm)的改变会影响线粒体谷氨酰胺代谢。线粒体内膜上谷氨酰胺转运增强可能是酸中毒的关键调节因素。为了检测δpHm的变化,采用了一种可同时测定pHi和线粒体内pH值(pHm)的技术。通过评估在不同培养基pH值、钙离子(Ca++)和二磷酸腺苷(ADP)水平下的酶活性,来评估α-酮戊二酸脱氢酶(αKGDH)的调节作用。结果表明,细胞外酸性pH值时pHi降低。pHi下降与αKGDH活性增加相关,这与对底物α-酮戊二酸(αKG)亲和力增加有关。缓冲液中Ca++或ADP浓度增加会提高酶在pH 7.6时对αKG的亲和力,但在pH 6.8时则不然。这些结果与之前的报道一致,表明pH值、Ca++和ADP是αKGDH酶的效应物。线粒体内膜pH值的改变可能通过加速谷氨酰胺代谢来增加αKG通量。在10至500μmol/L Ca++浓度范围内,αKG氧化增加与溶解酶的Ca++调节数据相符。这些研究提供了证据,表明上述因素通过增强αKGDH活性,参与酸中毒状态下氨生成的调节。