Acute effects of hydrocortisone on the reabsorption of inorganic phosphate in normal, adrenalectomized and parathyroidectomized rats

Influence of hydrocortison acetate on the evolution of the nutritive utilization of calcium and phosphorus and their contents on the longissimus dorsi muscle during gestation in the rat

The evolution of the nutritive utilization and plasma and muscular content of calcium and phosphorus in rats is studied, as well as the influence that hydrocortisone acetate has (4 mg/100 g weight and day), on them. In pregnant rats injected with saline solution, the retention of calcium is higher on the days 15-18 as a consequence of the increase on the net absorption of the cation. The balance of phosphorus reaches its maximum hight on days 18-21 of gestation, due to the decrease of the urinary excretion during these days. The administration of hydrocortisone acetate to pregnant rats originate a decrease of the net absorption and an increase of the urinary excretion of calcium and phosphorus, which leads to significantly lower balances than those of animals injected with saline solution. The hormone maintains the animals in a negative balance of phosphorus until day 18 of gestation. Besides, it impedes the high retention of calcium which is found with the control pregnant rats on days 15-18. In general, the content in calcium and phosphorus by gram of dry matter of Longissimus dorsi muscle is not modified during gestation. From day 9 of the treatment with hydrocortisone acetate a significant decrease of calcium and phosphorus of the muscle is observed, that in calcium is the more marked the more the treatment is prolonged. This effect seems to be due to the catabolic action of the hormone.

Comparative study of the influence of an inhibitor of monoaminooxidase (nialamide) on the calcium and phosphorus metabolism in slow and fast-growing rats

Nialamide was supplied to slow-growing animals in doses of 20 mg/100 g of diet for 15 or 30 days. The dose for fast-growing animals was 10 mg/100 g of diet. The digestive utilization of calcium and phosphorus decreases significantly when adult slow-growing rats receive the drug for 30 days. This fall is already important in fast-growing rats when they receive nialamide for only 15 days. In the same way the falls in the retention of calcium and phosphorus in adult rats are only evident when the period of treatment is through 30 days, even females being in negative balance of phosphorus. The amount of calcium retained decreases significantly in fast-growing rats and so does phosphorus impressively after only 15 days of treatment.

Na+-H+ exchange activity in renal brush border membrane vesicles in response to metabolic acidosis: The role of glucocorticoids

Amiloride-sensitive Na+ -H+ exchange activity in brush border membrane vesicles isolated from rat proximal tubule was increased in metabolic acidosis. The enhancement of exchange activity required an intact adrenal gland or glucocorticoid supplements. Ammonium and phosphate excretions were increased during acidosis and these were also largely dependent on an intact adrenal gland or glucocorticoid supplements. Amiloride-insensitive Na+ uptake and passive H+ permeability were not altered by acidosis or the glucocorticoid status of the animal. These findings are consistent with glucocorticoids having an important regulatory role in the kidney by orchestrating the proximal tubular adaptation to metabolic acidosis.

Mechanism of glucocorticoid effect on renal transport of phosphate

We explored whether glucocorticoid administration, a known stimulus of renal gluconeogenesis (GNG), could decrease avid inorganic phosphate (Pi) reabsorption in rats stabilized on low-phosphorus diet (LPD). Rats adapted to LPD were injected with the glucocorticoid (GCD) triamcinolone acetonide (1.25 or 2.5 mg.100 g body wt-1.day-1 ip) for 2 days; they showed a profound increase in urinary excretion of Pi during the injection period. In clearance studies GCD increased the clearance and fractional excretion of Pi but did not change the filtered load of Pi. Initial "uphill" Na+-gradient (Nao+ greater than Nai+)-dependent uptake of 32Pi by luminal brush-border membrane (BBM) vesicles prepared from renal cortex of rats treated with GCD was markedly (greater than 40%) decreased compared with control rats; Na+-gradient-dependent uptake of D-[3H]glucose was not diminished. At the "equilibrium" time interval, measured at 120 min, BBM vesicles from control and GCD-treated rats did not differ in the uptake of 32Pi or D-[3H]glucose. With kinetic analysis, BBM from GCD-treated rats showed a marked decrease (-40%) in the maximum velocity (Vmax) of initial Na+-dependent 32Pi uptake, but the apparent affinity of the BBM transport system for Pi (apparent Km = 0.078 mM Pi) was not different from that of controls. Alkaline phosphatase specific activity was much lower (-40%) in BBM from GCD-treated rats compared with controls, but the activities of three other BBM enzymes (maltase, leucine aminopeptidase, and gamma-glutamyl transferase) were not different. The addition of triamcinolone to BBM in vitro had no effect on either Na+-dependent uptake of 32Pi or alkaline phosphatase activity. The rate of GNG from alpha-ketoglutarate was significantly increased in cortical slices from GCD-treated rats adapted to LPD. Also, the NAD+-to-NADH ratio was higher in the renal cortex of GCD-treated rats, although the total content of NAD [NAD+ + NADH] was not different from controls. Renal excretory, BBM, and metabolic changes elicited controls. Renal excretory, BBM, and metabolic changes elicited by GCD treatment were similar in intact and thyroparathyroidectomized rats. Phosphaturia elicited in rats fed LPD by GCD administration in vivo appears to be at least in part due to a decreased capacity of luminal BBM of proximal tubules for decreased capacity of luminal BBM of proximal tubules for Na+-dependent uptake of Pi. Although the causal relationship between observed parameters is not established, our results are compatible with the interpretation that an increase in the rate of renal GNG, perhaps via action of NAD+ on BBM (J. Clin. Invest. 67: 1347-1360, 1981), decreases luminal uptake and reabsorption of Pi in proximal tubules.

Phosphaturic response of hydrocortisone in the presence and the absence of parathyroid hormone

The effect of hydrocortisone (HC) on the renal Pi transport in the presence and in the absence of parathyroid hormone (PTH) in the rat was examined using clearance techniques. During constant infusion of PTH in parathyroidectomized (PTX) rats, HC decreased the reabsorption of Pi from 2.84 to 2.33 mumol/min (P less than 0.001), the TmPi from 4.55 to 3.83 mumol/min (P less than 0.001), the reabs. Pi/GFR values from 0.93 to 0.74 (P less than 0.001) and the TmPi/GFR from 1.73 to 1.42 mumol/ml (P less than 0.001). In the absence of PTH, HC diminished the TmPi from 8.36 to 6.58 mumol/min (P less than 0.005) and the TmPi/GFR from 3.36 to 2.51 mumol/ml (P less than 0.001). It is concluded that the phosphaturic response of hydrocortisone may be important in the homeostasis of inorganic phosphate in the body.

Proximal tubular reabsorption of inorganic phosphate in adrenalectomized rats

Micropuncture studies have been performed in adrenalectomized (Adr.X) and sham-adrenalectomized (Sham-Adr.X) rats in order to examine the effects of acute adrenalectomy on the inorganic phosphate (Pi) transport in the convoluted proximal tubule of superficial nephrons under free flow conditions. Adrenalectomy diminished single nephron glomerular filtration rate from 27.0 +/- 12.4 (Sham-Adr.X) to 10.9 +/- 7.1 nl/min (mean +/- S.D., P less than 0.001), increased the inulin ratio (tubular fluid-to-plasma) at the end of the proximal convolution from 2.14 +/- 0.60 (Sham-Adr.X) to 3.62 +/- 1.67 (P less than 0.001) and decreased both the (TF/P)Pi ratio from 0.87 +/- 0.20 (Sham-Adr.X) to 0.46 +/- 0.28 (P less than 0.001) and the fractional delivery of inorganic phosphate onto the loop of Henle from 44 +/- 18 (Sham-Adr.X) to 15 +/- 10% (P less than 0.001). Thus the fractional reabsorption of inorganic phosphate in the convoluted proximal tubule in acutely Adr.X rats was higher than in Sham-Adr.X animals. It is concluded that glucocorticoid hormones play an important role in the regulation of the fractional reabsorption of Pi in the proximal tubule. The mechanism of this regulation is discussed.