Sulfatides are required for renal adaptation to chronic metabolic acidosis

Sulfatides are required for renal adaptation to chronic metabolic acidosis
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肾脏适应慢性代谢性酸中毒需要硫苷脂

DOI:
10.1073/pnas.1217775110
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发表时间:
2013
期刊:
Proceedings of the National Academy of Sciences
影响因子:
--
通讯作者:
Jennemann R
Jennemann R
中科院分区:
--
文献类型:
--
作者:
Stettner P;Bourgeois S;Marsching C;Traykova-Brauch M;Porubsky S;Nordstrom V;Hopf C;Koesters R;Sandhoff R;Wiegandt H;Wagner CA;Grone HJ;Jennemann R

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Urinary ammonium excretion by the kidney is essential for renal excretion of sufficient amounts of protons and to maintain stable blood pH. Ammonium secretion by the collecting duct epithelia accounts for the majority of urinary ammonium; it is driven by an interstitium-to-lumen NH3gradient due to the accumulation of ammonium in the medullary and papillary interstitium. Here, we demonstrate that sulfatides, highly charged anionic glycosphingolipids, are important for maintaining high papillary ammonium concentration and increased urinary acid elimination during metabolic acidosis. We disrupted sulfatide synthesis by a genetic approach along the entire renal tubule. Renal sulfatide-deficient mice had lower urinary pH accompanied by lower ammonium excretion. Upon acid diet, they showed impaired ammonuria, decreased ammonium accumulation in the papilla, and chronic hyperchloremic metabolic acidosis. Expression levels of ammoniagenic enzymes and Na+-K+/NH4+-2Cl−cotransporter 2 were higher, and transepithelial NH3transport, examined by in vitro microperfusion of cortical and outer medullary collecting ducts, was unaffected in mutant mice. We therefore suggest that sulfatides act as counterions for interstitial ammonium facilitating its retention in the papilla. This study points to a seminal role of sulfatides in renal ammonium handling, urinary acidification, and acid–base homeostasis.
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