Fraley D S, Adler S, Rankin B, Curthoys N, Zett B
Miner Electrolyte Metab. 1985;11(3):140-9.
Ammonia production and excretion are elevated in potassium depletion alkalosis, although normally they are reduced in alkalosis and elevated in acidosis. Studies were conducted with or without acute acid loading in normokalemic rats or rats made chronically hypokalemic with deoxycorticosterone acetate and a potassium-deficient diet to examine the role of phosphate-dependent glutaminase (PDG) in regulating ammonia excretion. Renal cortical PDG rose fourfold, and urinary ammonia excretion (UAE) doubled in potassium depletion compared to potassium-repleted controls. Following acid challenge PDG and urinary ammonia increased four- to sevenfold in both normokalemic and hypokalemic animals, but the rise in UAE did not correspond to the increase in PDG. Thus, PDG levels in acidotic normokalemic rats were one half those seen in potassium-depleted rats, but UAE in the acidotic rats was six times greater. These results could not be explained solely by changes in blood pH. The poor correlation between PDG and UAE also could not be explained by limited substrate availability, since blood glutamine levels were unaffected by potassium depletion. The disparity between UAE and PDG in potassium depletion was studied further during 9 days of potassium repletion of depleted rats. UAE was again increased by depletion but, after only 3 days of potassium repletion, UAE fell to levels found in normokalemic rats. The renal PDG activity, however, remained three times normal. Indeed, PDG remained significantly elevated even after 9 days of potassium replacement. Other enzymes involved in renal ammoniagenesis, including delta glutamyl transferase, glutamine transferase and omega deamidase, were assayed, and alterations in their activities could not account for the changes in UAE.(ABSTRACT TRUNCATED AT 250 WORDS)
在钾缺乏性碱中毒时,氨的生成和排泄会增加,尽管在通常情况下,碱中毒时氨的生成和排泄会减少,而酸中毒时则会增加。研究人员对正常血钾大鼠或用醋酸脱氧皮质酮和低钾饮食使其长期低钾的大鼠进行了急性酸负荷试验,以研究磷酸依赖性谷氨酰胺酶(PDG)在调节氨排泄中的作用。与补钾的对照组相比,钾缺乏时肾皮质PDG增加了四倍,尿氨排泄(UAE)增加了一倍。酸刺激后,正常血钾和低钾动物的PDG和尿氨均增加了四至七倍,但UAE的升高与PDG的增加并不对应。因此,酸中毒正常血钾大鼠的PDG水平是钾缺乏大鼠的一半,但酸中毒大鼠的UAE却是其六倍。这些结果不能仅用血液pH值的变化来解释。PDG与UAE之间的相关性较差也不能用底物可用性有限来解释,因为血液谷氨酰胺水平不受钾缺乏的影响。在对缺钾大鼠进行9天补钾期间,进一步研究了钾缺乏时UAE与PDG之间的差异。缺钾再次使UAE增加,但补钾仅3天后,UAE就降至正常血钾大鼠的水平。然而,肾PDG活性仍为正常的三倍。实际上,即使在补钾9天后,PDG仍显著升高。对参与肾氨生成的其他酶,包括δ-谷氨酰转移酶、谷氨酰胺转移酶和ω-脱氨酶进行了检测,它们活性的改变无法解释UAE的变化。(摘要截选至250字)