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10.1152/ajprenal.00493.2012

http://scihub22266oqcxt.onion/10.1152/ajprenal.00493.2012
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23152295!ä!23152295

suck abstract from ncbi


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pmid23152295      Am+J+Physiol+Renal+Physiol 2013 ; 304 (5): F585-600
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  • Calcium reabsorption in the distal tubule: regulation by sodium, pH, and flow #MMPMID23152295
  • Bonny O; Edwards A
  • Am J Physiol Renal Physiol 2013[Mar]; 304 (5): F585-600 PMID23152295show ga
  • We developed a mathematical model of Ca(2+) transport along the late distal convoluted tubule (DCT2) and the connecting tubule (CNT) to investigate the mechanisms that regulate Ca(2+) reabsorption in the DCT2-CNT. The model accounts for apical Ca(2+) influx across transient receptor potential vanilloid 5 (TRPV5) channels and basolateral Ca(2+) efflux via plasma membrane Ca(2+)-ATPase pumps and type 1 Na(+)/Ca(2+) exchangers (NCX1). Model simulations reproduce experimentally observed variations in Ca(2+) uptake as a function of extracellular pH, Na(+), and Mg(2+) concentration. Our results indicate that amiloride enhances Ca(2+) reabsorption in the DCT2-CNT predominantly by increasing the driving force across NCX1, thereby stimulating Ca(2+) efflux. They also suggest that because aldosterone upregulates both apical and basolateral Na(+) transport pathways, it has a lesser impact on Ca(2+) reabsorption than amiloride. Conversely, the model predicts that full NCX1 inhibition and parathyroidectomy each augment the Ca(2+) load delivered to the collecting duct severalfold. In addition, our results suggest that regulation of TRPV5 activity by luminal pH has a small impact, per se, on transepithelial Ca(2+) fluxes; the reduction in Ca(2+) reabsorption induced by metabolic acidosis likely stems from decreases in TRPV5 expression. In contrast, elevations in luminal Ca(2+) are predicted to significantly decrease TRPV5 activity via the Ca(2+)-sensing receptor. Nevertheless, following the administration of furosemide, the calcium-sensing receptor-mediated increase in Ca(2+) reabsorption in the DCT2-CNT is calculated to be insufficient to prevent hypercalciuria. Altogether, our model predicts complex interactions between calcium and sodium reabsorption in the DCT2-CNT.
  • |Amiloride/pharmacology[MESH]
  • |Animals[MESH]
  • |Calcium/*metabolism[MESH]
  • |Hydrogen-Ion Concentration[MESH]
  • |Ion Transport[MESH]
  • |Kidney Tubules, Distal/drug effects/*metabolism[MESH]
  • |Models, Biological[MESH]
  • |Receptors, Calcium-Sensing/*metabolism[MESH]
  • |Sodium-Calcium Exchanger/*metabolism[MESH]


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