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lüll Acid-base status determines the renal expression of Ca2+ and Mg2+ transport proteins Nijenhuis T; Renkema KY; Hoenderop JG; Bindels RJJ Am Soc Nephrol 2006[Mar]; 17 (3): 617-26Chronic metabolic acidosis results in renal Ca2+ and Mg2+ wasting, whereas chronic metabolic alkalosis is known to exert the reverse effects. It was hypothesized that these adaptations are mediated at least in part by the renal Ca2+ and Mg2+ transport proteins. The aim of this study, therefore, was to determine the effect of systemic acid-base status on renal expression of the epithelial Ca2+ channel TRPV5, the Ca2+-binding protein calbindin-D28K, and the epithelial Mg2+ channel TRPM6 in relation to Ca2+ and Mg2+ excretion. Chronic metabolic acidosis that was induced by NH4Cl loading or administration of the carbonic anhydrase inhibitor acetazolamide for 6 d enhanced calciuresis accompanied by decreased renal TRPV5 and calbindin-D28K mRNA and protein abundance in wild-type mice. In contrast, metabolic acidosis did not affect Ca2+ excretion in TRPV5 knockout (TRPV5-/-) mice, in which active Ca2+ reabsorption is effectively abolished. This demonstrates that downregulation of renal Ca2+ transport proteins is responsible for the hypercalciuria. Conversely, chronic metabolic alkalosis that was induced by NaHCO3 administration for 6 d increased the expression of Ca2+ transport proteins accompanied by diminished urine Ca2+ excretion in wild-type mice. However, this Ca2+-sparing action persisted in TRPV5-/- mice, suggesting that additional mechanisms apart from upregulation of active Ca2+ transport contribute to the hypocalciuria. Furthermore, chronic metabolic acidosis decreased renal TRPM6 expression, increased Mg2+ excretion, and decreased serum Mg2+ concentration, whereas chronic metabolic alkalosis resulted in the exact opposite effects. In conclusion, these data suggest that regulation of Ca2+ and Mg2+ transport proteins contributes importantly to the effects of acid-base status on renal divalent handling.|Acidosis/metabolism/*physiopathology[MESH]|Alkalosis/metabolism/*physiopathology[MESH]|Analysis of Variance[MESH]|Animals[MESH]|Biological Transport/physiology[MESH]|Calcium Channels/genetics/*metabolism[MESH]|Calcium-Binding Proteins/*metabolism[MESH]|Carrier Proteins/*metabolism[MESH]|Disease Models, Animal[MESH]|Gene Expression Regulation[MESH]|Immunoblotting[MESH]|Magnesium/*metabolism[MESH]|Mice[MESH]|Mice, Inbred Strains[MESH]|Probability[MESH]|Reference Values[MESH]|Reverse Transcriptase Polymerase Chain Reaction[MESH]|Sensitivity and Specificity[MESH]|TRPV Cation Channels/genetics/*metabolism[MESH]|Urinalysis[MESH] |