Kinetics of L-proline reabsorption in rat kidney studied by continuous microperfusion

Model of albumin reabsorption in the proximal tubule

Normally, the small amount of albumin which passes through the glomerular capillary wall is almost completely reabsorbed in the proximal tubule, via an endocytic mechanism, but the reabsorptive process can be overwhelmed if the filtered load of albumin is too large. To examine the factors that control the fractional reabsorption of albumin (f), we developed a mathematical model which assumes saturable endocytosis kinetics with a maximum reabsorptive capacity, V(max), and which includes the effects of flow and diffusion in the lumen. Limitations in albumin transport from the bulk tubule fluid to the endocytic sites at the bases of the microvilli had only a modest (8%) effect on the value of V(max) needed to fit micropuncture data on tubule albumin concentrations in rats. For moderate changes in filtered load, there was much greater sensitivity of f to SNGFR than to the albumin concentration of the filtrate (C(0)). A 50% increase in SNGFR was predicted to cause four- to fivefold increases in albumin excretion in rats or humans. For large increases in C(0), as might result from defects in glomerular sieving, there was a threshold at which the reabsorptive process became saturated and f fell sharply. That threshold corresponded to sieving coefficients of 10(-3) to 10(-2), the higher values occurring at reduced SNGFR. The predictions of the present model contrast with those of one proposed recently by Smithies (32), which does not include the effects of tubule flow rate.

Sodium-coupled amino acid transport in renal tubule

Amino acids are reabsorbed from the tubular lumen by a saturable, carrier-mediated, concentrative transport mechanism driven by a Na+ electrochemical gradient across the luminal membrane. This process is followed by efflux mainly via carrier-mediated, Na+-independent facilitated diffusion across the basolateral membrane. Individual amino acids may have two or more Na+-dependent transport systems with different kinetic characteristics along the luminal membrane of the proximal tubule, thereby enabling very efficient amino acid reabsorption. Dual Na+-coupled transport pathways for some amino acids located in both the luminal and the peritubular membranes may operate in concert to provide the tubular epithelial cell with essential nutrients. One or more Na+ ions, H+, Cl- and in the case of acidic amino acids, K+ ion, may be involved in the translocation of the carrier complex. For most amino acids this process is electrogenic positive, favored by a negative cell interior. At least seven distinct, but largely interacting, Na+-dependent amino acid transport systems have been identified in the brush border membrane. A diet-induced adaptation in Na+-coupled taurine transport and acidosis-induced adaptive response in Na+-dependent glutamine transport are expressed at the luminal and the basolateral membrane surfaces, respectively. The aminoaciduria of early life may be related to a rapid dissipation of the Na+ electrochemical gradient necessary for amino acid reabsorption.

Ammoniagenesis catalyzed by hippurate-activated gamma-glutamyltransferase in the lumen of the proximal tubule. A microperfusion study in rat kidney in vivo

gamma-Glutamyltransferase (gamma-GT) is located in the brushborder membrane of the proximal tubule where the catalytic site of the enzyme faces the lumen. The (phosphate-independent) glutaminase activity of gamma-GT in vitro is activated by hippurate. In order to investigate glutamine deamidation in the tubule lumen in vivo, 14C-L-glutamine-containing solutions were continuously microperfused through sections of the proximal convoluted tubule in vivo and in situ. D-aspartate and L-phenylalanine (10 mmol/l, each) were added to the perfusate in order keep the reabsorption of L-glutamine as such low and to block reabsorption of any glutamate possibly formed, respectively. Intraluminal formation of glutamate from glutamine in the absence of hippurate is small. In presence of 10 mmol/l hippurate, 5%-70% of the recovered 14C-activity was 14C-glutamate at an initial 14C-L-glutamine concentration of 1 mmol/l. The respective absolute rate (+/- SEM) of glutamate formation, i.e., 36 +/- 5 pmol X s-1 X m-1, was increased 1.4-fold at an initial L-glutamine concentration of 3 mmol/l, but dropped to one third at initially 0.3 mmol/l. A rough estimate of the apparent kinetic constants resulted in a Km of 0.58 (0.19-0.97) mmol/l and a Vmax of 56 (40-93) pmol X s-1 X m-1. Deamidation of glutamine occurred also in the absence of L-phenylalanine. Acivicin (AT 125), a gamma-GT inhibitor, completely blocked glutamate formation. Endogenous hippurate concentrations determined by free flow micropuncture and HPLC were 0.16 mmol/l in the late proximal convolution, 0.6 mmol/l in the early distal convolution, and 4.9 mmol/l in the final urine.(ABSTRACT TRUNCATED AT 250 WORDS)

Molecular specificity of the tubular resorption of "acidic" amino acids. A continuous microperfusion study in rat kidney in vivo

Single sections of superficial proximal convolutions of rat kidney were microperfused in vivo and in situ. The perfusion fluids contained radioactively labelled L- or D-aspartate, L-glutamate, L-pyroglutamate, or N-methyl-D-aspartate. L-gamma-Carboxyglutamate as well as the other amino acids were added in the unlabelled form. Results. L- and D-Aspartate (0.073 mmol X 1(-1)) are quickly resorbed at about the same rate. D-Aspartate resorption was blocked by L-aspartate (5 mmol X 1(-1)) but not by beta-alanine (5 mmol X 1(-1)). L-Aspartate resorption was inhibited by L-glutamate (2 mmol X 1(-1)) but not by D-glutamate, L-asparagine, L-phenylalanine or by succinate (2 mmol X 1(-1), each). The fast resorption of L-glutamate (0.073 mmol X 1(-1)) was blocked by D-aspartate, L-cysteate (2 mmol X 1(-1)), but not by 3-mercaptopicolinic acid (0.15 mmol X 1(-1)), L-glutamine, 2-oxoglutarate, taurine, N-methyl-L-glutamate or kainic acid (2 mmol X 1(-1), each). L-gamma-Carboxyglutamate (0.66 mmol X 1(-1)) and N-methyl-D-aspartate (2 mumol X 1(-1)) were found to be resorbed only at an extremely small rate. L-Pyroglutamate (0.076 mmol X 1(-1)) resorption was not influenced by L-glutamate (1 mmol X 1(-1)). Fractional excretion of gamma-carboxyglutamate was 7-25% (L-form) or 45-70% (D-form) at an artificially elevated plasma level of 12 mumol X 1(-1). It is concluded that L- and D-aspartate, L-glutamate, L-cysteate and, to a much smaller extent, L-gamma-carboxyglutamate, are accepted by the tubular resorption mechanism highly specific for "acidic" amino acids. N-Substitution, the amidation of the beta- or gamma-carboxyl group, or the removal of the alpha-amino moiety almost completely abolish the ability of such compounds to be resorbed via this carrier; N-methylated or gamma-carboxylated derivatives of "acidic" amino acids are not resorbed at all from the proximal tubule. The resorption of glutamate, but not of aspartate, is highly stereospecific.

Kinetics and localization of tubular resorption of "acidic" amino acids. A microperfusion and free flow micropuncture study in rat kidney

The unidirectional resorption rates of L-glutamate (initial concentrations of 0.07, 0.66, 2.0 or 20.0 mmol X 1(-1)), D-glutamate (0.66 mmol X 1(-1) in the presence or absence of 20 mmol X 1(-1) L-glutamate), and of L-aspartate (0.073, 0.3, 0.66, 2.0 or 5.0 mmol X 1(-1)) were determined in the rat proximal convolution. L-Glutamate resorption was saturable. A permeability coefficient (P) of less than or equal to 20 microns2 X S-1, and a maximum resorption rate (Jmax) of 0.15 +/- 0.015 (SEM) nmol X S-1 X m-1 at a Km of 0.17 +/- 0.025 (SEM) mmol X 1(-1) was obtained for L-glutamate. For L-aspartate, Jmax was 0.13 +/- 0.005 at a Km of 0.1 +/- 0.013. A free flow glutamate concentration profile along the proximal convolution was (I) predicted from these constants and (II) actually measured by means of free flow micropuncture. The data agree very well and show that more than 90% of the filtered load is resorbed within the first third of the proximal convolution. The late proximal and early distal free flow recoveries of L-glutamate amounted to 5.3 +/- 1.7% (SEM) and 6.6 +/- 1.4% of the filtered load, respectively. In contrast to this, unidirectional resorption during the microperfusion of the same tubule section was high: fractional resorption amounted to ca. 96% at 2 mmol X 1(-1) initial L-glutamate. It fell to 35 or 33% respectively if the initial L-glutamate concentration was 20 mmol X 1(-1) or if the resorption of 0.66 mmol X 1(-1) D-glutamate in presence of 20 mmol X 1(-1) L-glutamate was measured. The fractional excretion of endogenous L-glutamate in the final urine amounted to 0.13 +/- 0.012% of the filtered load. It is concluded that L-glutamate and L-aspartate are quickly resorbed in early parts of the proximal convolution (low Km). Saturation already occurs when there is a small increase in the filtered load (low Jmax). The nephron section between the late proximal and early distal nephron sites also reabsorbs "acidic" amino acids. Normally, however, the back leak cancels this out, and net flux becomes zero. Deep nephrons seem to handle amino acids somewhat differently than superficial nephrons do.

Mutual inhibition of L-cystine/L-cysteine and other neutral amino acids during tubular reabsorption. A microperfusion study in rat kidney

In microperfusion experiments renal tubular reabsorption of 35S- and 14C-labelled L-cysteine (= cys), L-cystine (= cys-cys), and L-cystathionine was measured in vivo et situ at different initial concentrations. The interactions of cys and cys-cys with several neutral amino acids were investigated. The cys reabsorption mechanism was found to be saturable and has a high capacity and a low affinity for cys. An Jmax-value of 3.22 +/- 0.88 nmol X m-1 X s-1 and a Km-value of 7.5 +/- 0.7 mmol X l-1 were estimated. A saturation of cys-cys reabsorption could not be demonstrated. The fractional reabsorption rate (= FRR) of cys-cys was about 85% at initial concentrations of 0.01, 0.08, and 0.4 mmol X l-1 after a perfusion distance of 2 mm. The FRR of L-cystathionine at an initial concentration of 0.115 mmol X l-1 was only 30% under the same conditions. After perfusion of tubule segments between late proximal and early distal loops the recovery of cys, cys-cys, and cystathionine was smaller than 10%. The FRR of cys was decreased only by L-methionine. Six other neutral amino acids had no effect. On the other hand the FRR of cys-cys was reduced significantly by any of the tested neutral amino acids. The inhibitory effect increased in the order L-alanine less than L-methionine less than L-citrulline less than alpha-aminoisobutyric acid less than L-phenylalanine less than cycloleucine. The FRR of L-methionine and L-phenylalanine was slightly reduced in the presence of cys. It is concluded from these results that cys-cys shares a transport system with other neutral amino acids which is not identical with the reabsorption mechanism for cys. Reabsorption of cys, cys-cy, and cystathionine occurs also in a tubular section between late proximal and early distal sites.

Reexamination of the interplay between dibasic amino acids and I-cystine/L-cysteine during tubular reabsorption

Interactions of L-cysteine (= cys) and L-cystine (= cys-cys), and dibasic amino acids were investigated during tubular reabsorption by microperfusion experiments in rat kidney. The following results were obtained: The dibasic amino acids L-ornithine and L-canavanine were strong inhibitors of cys-cys reabsorption. The arginine analogue agmatine and the lysine analogue 2,6-diaminopimelic acid had no effect. The oxidizing agent azodicarboxylic acid bis-dimethylamide (= diamide) decreased the fractional reabsorption rate (= FRR) of cys-cys (0.08 mmol X l-1) from 84% to 60% when present in the perfusion fluid in a concentration of 10 mmol X l-1. Diamide did not affect the reabsorption of a dibasic amino acid (L-arginine) nor of a neutral amino acid (L-phenylalanine). The FRR of L-arginine and L-ornithine could not be decreased by adding cys-cys to the perfusion fluid. Cys had just as little effect on the reabsorption of L-arginine like agmatine. In the presence of alpha-aminoisobutyric acid a slight reduction of the FRR of L-arginine could be observed. The dibasic amino acids L-arginine and L-canavanine had no influence on the FRR of cys when dithioerythritol was added to the perfusion fluid.

CONCLUSIONS

More than one site exists for tubular reabsorption of cys-cys. One of these may be shared by dibasic amino acids. Cys is reabsorbed by a separate and specific transport system. A reduction of cys-cys to cys takes place rather in the tubular cell than in the lumen.

Renal handling of L-histidine studied by continuous microperfusion and free flow micropuncture in the rat

Renal tubular reabsorption of L-histidine (His) was measured in vivo et situ by continuous microperfusion and free flow micropuncture of single proximal convoluted tubules of the rat kidney. The reabsorption is shown to be saturable. A permeability coefficient (P) of less than 29 microns 2 . s-1, a maximum reabsorption rate (J max) of 2.75 +/- 1.05 greater than J max greater than 1.97 +/- 0.86 (SEM) nmol . m-1 . s-1 and an affinity constant (Km) of 13.8 +/- 4.2 greater than Km greater than 10.9 +/- 4.0 (SEM) mol . 1-1 (lower values for P = 29 microns 2 . s-1, higher values for P = 0) were calculated from the microperfusion data. Using these constants and taking backflux of His and water reabsorption into account a good fit with the concentration profile of His along the proximal tubule--measured by free flow micropuncture--was obtained. Varying the buffered pH-values of the perfusion fluids (5.0 or 7.4) influenced neither the active reabsorption nor passive permeability of His. This indicates that the charge of the imidazol group of His does not play a significant role in His reabsorption. Further experiments showed that the addition of 20 mmol . 1-1 L-arginine--a strong inhibitor of the reabsorption system for dibasic amino acids--did not have a significant effect on the reabsorption of L-histidine. It is concluded, therefore, that His is reabsorbed by a system for neutral amino acids. Non ionic diffusion does not play an important role for His reabsorption.

Molecular specificity of tubular reabsorption of L-proline. A microperfusion study in rat kidney

In microperfusion experiments the reabsorption of 3H and 14C labelled L-proline by two recently defined transport systems (one with high capacity and low affinity, the other one having the opposite characteristics) was measured in vivo et situ on addition of several amino acids and some N-methylated derivatives. The high capacity system is apparently an unspecific system for neutral amino acids. The methylation of the amino group does not change the affinity to the system. The affinity decreases in the order phenylalanine > glutamine > alanine > proline, hydroxyproline > glycine. The low capacity system seems to be a specific reabsorption mechanism for imino acids like proline, hydroxyproline, sarcosine an N-methylalanine. Common neutral amino acids are not accepted. The different characteristics of both transport systems are also demonstrated by the finding that the affinity of phenylalanine for the high capacity system is about 5 times higher but its affinity for the low capacity system is about 50 times lower than the affinity for proline.

Renal transport of amino acids

According to recent experimental data the renal transport of amino acids (AA) is characterized as follows. 1. Kinetics: Several reabsorption systems remove AA from the tubular fluid by active transport with Michaelis-Menten type kinetics. Passive diffusion does play only a relatively small role in reabsorption, but determines the pump leak steady state concentration at the end of the tubule. 2. Stereospecificity: Except for aspartate the naturally occurring L-analogs show a much larger affinity to the transport "carriers" than the D-isomers do. 3. Specificity: Separate transport mechanisms exist for a) the "acidic" AA (Glu and Asp); b) the "dibasic" AA (Arg, Lys, Orn); c) cystine/cystine; d) the "imino" acids (Pro, OH-Pro and other N-substituted AA); e) the beta- and gamma-AA (beta-Ala, GABA, Taurine); f) all other "neutral" AA. For the group (d) and maybe also for (b) and glycine additional low capacity/high affinity systems exist. 4. Localization: Except for glycine and taurine under normal conditions more than 80% of the filtered load are reabsorbed within the first third of the proximal tubule. At an elevated load the rest of the proximal tubule (including pars recta) but not the distal nephron is included into the reabsorptive process. AA are also taken up from the peritubular blood. 5. Energy sources: At least the main part of AA uptake at the brushborder membrane is dependent from a transmembranal Na+-gradient which in turn is established by the ATP driven Na+-pumps at the basolateral side of the cell (Secondary active transport or co-transport of AA). 6. Biochemistry: The biochemical nature of the AA-"carriers" is unknown. The recent hypothesis than a "gamma-glutamyl cycle" plays a major role in this context has been disproved to great extent. 7. Peptides: Oligopeptides (Angiotensin, Gluthathion) filtered at the glomerulum are hydrolyzed by brushborder peptidases within the tubule lumen. The splitting products, the free constituent amino acids, are reabsorbed subsequently by their respective transport systems.

Amino acid reabsorption in the proximal tubule of rat kidney: stereospecificity and passive diffusion studied by continuous microperfusion

Renal tubular reabsorption of glycine and of the L- and D-isomers of histidine, serine, phenyl-alanine, methionine, proline and cystine was investigated in vivo et situ by continuous microperfusion of single proximal convolutions of the rat kidney. In the case of glycine and the L-isomers, tubular reabsorption is saturable to a great extent. The D-amino acids are reabsorbed much more slowly than the respective L-forms. Furthermore in the case of methionine and perhaps also of proline, serine and phenylalanine, the fractional reabsorption decreases in the presence of high concentrations of the L-form. This indicates that the D-isomers also have a measurable affinity for the reabsorption mechanisms of the renal tubule. The very poor reabsorption of D-amino acids in the presence of their L-isomers indicates that simple passive diffusion plays only a relatively small role in tubular amino acid reabsorption. Permeability coefficients estimated from these findings are in the range from 1--5 X 10(-7) cm2 - s-1. These values are very similar to those found for other organic molecules of comparable molecular weights.