Hydrostatic pressure changes related to paracellular shunt ultrastructure in proximal tubule

Directional Fluid Transport across Organ-Blood Barriers: Physiology and Cell Biology

Directional fluid flow is an essential process for embryo development as well as for organ and organism homeostasis. Here, we review the diverse structure of various organ-blood barriers, the driving forces, transporters, and polarity mechanisms that regulate fluid transport across them, focusing on kidney-, eye-, and brain-blood barriers. We end by discussing how cross talk between barrier epithelial and endothelial cells, perivascular cells, and basement membrane signaling contribute to generate and maintain organ-blood barriers.

Proximal nephron

The kidney plays a fundamental role in maintaining body salt and fluid balance and blood pressure homeostasis through the actions of its proximal and distal tubular segments of nephrons. However, proximal tubules are well recognized to exert a more prominent role than distal counterparts. Proximal tubules are responsible for reabsorbing approximately 65% of filtered load and most, if not all, of filtered amino acids, glucose, solutes, and low molecular weight proteins. Proximal tubules also play a key role in regulating acid-base balance by reabsorbing approximately 80% of filtered bicarbonate. The purpose of this review article is to provide a comprehensive overview of new insights and perspectives into current understanding of proximal tubules of nephrons, with an emphasis on the ultrastructure, molecular biology, cellular and integrative physiology, and the underlying signaling transduction mechanisms. The review is divided into three closely related sections. The first section focuses on the classification of nephrons and recent perspectives on the potential role of nephron numbers in human health and diseases. The second section reviews recent research on the structural and biochemical basis of proximal tubular function. The final section provides a comprehensive overview of new insights and perspectives in the physiological regulation of proximal tubular transport by vasoactive hormones. In the latter section, attention is particularly paid to new insights and perspectives learnt from recent cloning of transporters, development of transgenic animals with knockout or knockin of a particular gene of interest, and mapping of signaling pathways using microarrays and/or physiological proteomic approaches.

Tight junction regulation during impaired ion transport in blind loops of rat jejunum

Epithelial cell tight junction structure in self-filling blind loops of rat jejunum, a model for blind loop syndrome in humans, was analyzed morphometrically along the crypt-villus axis. In control jejunum, the number of strands and junctional depth, including meshwork depth, decreased from crypt to villus tip. In the blind loop, aberrant strands appeared below the meshwork, particularly in crypt cells. Consequently, total junctional depth was greater than in controls. Furthermore, strand number and junctional meshwork depth were increased in blind loops at the villus tip. It is that site along the crypt-villus axis which showed the most shallow junction in control jejunum. This structural change is paralleled by a three-fold increase in epithelial resistance as previously measured by alternating current impedance analysis. Relative Na over Cl permeability (PNa:Cl) was obtained from dilution potential measurements. PNa:Cl was 1.50:1 in control jejunum and 1.35:1 in the blind loop (n.s.). Considering the cation selectivity of the tight junction, the increase in epithelial resistance in blind loops cannot be attributed to a collapse of the lateral intercellular space but is due to changes in tight junctional permeability resulting from structural alteration. The blind loop syndrome represents a further example of diminished epithelial ion transport and concomitant decrease in tight junction permeability, thus supporting the general concept of regulation of the tight junction in response to active transport activity.

Inhibitory effects of volume expansion performed in vivo on transport in the isolated rabbit proximal tubule perfused in vitro

To examine the renal tubular sites and mechanisms involved in the effects of hypooncotic volume expansion (VE) on renal electrolyte excretion, we performed clearance and isolated tubular perfusion studies using intact and thyroparathyroidectomized (TPTX) rabbits. We also examined the effect of VE on luminal brush border transport. In the microperfusion studies, proximal convoluted (PCT) and straight (PST) tubules were taken from rabbits without prior VE or after 30 min of 6% (body wt) VE. Acute VE increased the percentage excretion of Na, Ca, and P in TPTX animals and the percentage and absolute excretions of these ions in intact rabbits. In PST from VE animals, fluid flux (Jv) was depressed compared with Jv in PST from nonVE rabbits: Jv = 0.18 +/- 0.03, (VE) vs. 0.31 +/- 0.03 nl/mm.min, (nonVE) P less than 0.02. Phosphate transport (Jp) in the PST from VE animals was also depressed: JP = 1.58 +/- 0.10 (VE) vs. 2.62 +/- 0.47 pmol/mm.min, (nonVE) P less than 0.05. Similar results were obtained with TPTX animals. In the PCT from VE animals, Jv was decreased (0.49 +/- 0.10 (VE) vs. 0.97 +/- 0.14 nl/mm.min, (nonVE) P less than 0.02), but JP was not affected significantly. Transport inhibition was stable over approximately 90 min of perfusion. In the brush border vesicle studies, sodium-dependent phosphate transport was inhibited compared with that in control animals, at the 9-, 30-, and 60-s time points. These findings indicate that the inhibition of renal ionic transport by VE occurs in both PCT and PST and is, in part, the result of a direct effect of VE on tubular transport mechanisms.

Influence of lateral intercellular spaces on current propagation in tubular epithelia as estimated by a multi-cable model

A multiple cable model has been developed for tubular epithelia which allows current flow along the tubular lumen, along the cell layer and inside the lateral intercellular space (LIS) to be quantitatively assessed. In this model tubular lumen and cell layer are represented by two concentric cylinders and the LIS by n concentric interconnected fluid layers which are interposed between the cells, contact the lateral cell membranes and extend all along the tubular length. The innermost LIS layer connects to the tight junctions and the outermost layer to the peritubular space. Modelling each element by a cable-like structure the mathematical solution leads to n + 2 linear combinations of n + 2 exponential functions. Based on morphometric data and resistance measurements on Necturus proximal tubule [4,10] model calculations have been performed of the voltage attenuation along tubular lumen, cell layer and LIS for n = 3 or n = 6 assuming different LIS widths (0.02, 0.2, and 2.0 micron). The results show that the influence of LIS is insignificant in Necturus proximal tubule under control conditions, but may become significant in other functional states or other tubules. Collapsing the LIS increases predominantly the shunt resistance and the effective resistance of the lateral cell membrane but longitudinal current propagation along the LIS remains negligible at all space widths. In addition, model calculations are presented which allow errors in determining tight junction resistance and cell membrane resistances from a simple cable model to be quantified as function of LIS width.

Paracellular shunt ultrastructure and changes in fluid transport in Necturus proximal tubule

To define the structure-function relationships of the lateral intercellular space (LIS), we examined the ultrastructure of Necturus proximal tubule following experimental variation of fluid absorption with or without alteration of active sodium transport. Comparisons were made between (1) control (blood-perfused) kidneys and kidneys doubly perfused using either (2) Ringer solution with organic substrate, (3) Ringer solution with substrate in capillaries but steady-state solution in tubules, (4) Ringer without substrate, or (5) Ringer with low sodium. Intratubular and peritubular capillary pressures were monitored before and during standardized perfusion-fixation for electron microscopy and complete cross-sections of sampled proximal tubules were analyzed by morphometry. All morphometric parameters were the same for proximal tubules in kidneys perfused with blood and kidneys perfused with substrate Ringer. Morphometric parameters of cells and lateral intercellular spaces were the same for tubules with normal volume reabsorption rate (Jv) and with Jv = 0 in substrate-perfused kidneys, and for tubules in kidneys perfused without substrate. However, in kidneys perfused with low sodium, cell height, cell volume, LIS-volume, and average maximum width of LIS were significantly decreased while tight junction length and peritubular length of LIS were unchanged. The results suggest that the measured dimensions of the lateral intercellular space in Necturus proximal tubule are independent of the magnitude of transepithelial salt and fluid movement per se but influenced by hydrostatic pressure gradients and active sodium transport.

The effect of peritubular protein upon fluid reabsorption in rabbit proximal convoluted tubules perfused in vitro

This paper describes an investigation of the effects of varying the peritubular protein concentration upon the rate of fluid reabsorption of proximal convoluted tubule segments of the rabbit kidney, isolated and perfused in vitro. Eleven moderately distended tubules, bathed with rabbit serum (60 g l.-1 protein) and perfused with an ultrafiltrate of serum (ca. 0 g l.-1) protein, reabsorbed fluid at a rate of 1.0 +/- 0.07 nl. mm-1 min-1. When the protein of the bathing solution was reduced by replacing the serum with ultrafiltrate there was little change in fluid reabsorption rate. A further eleven moderately distended tubules, bathed with physiological saline containing bovine serum albumin (60 g l.-1) and perfused with saline, reabsorbed fluid at 1.0 +/- 0.06 nl. mm-1 min-1. There was little change in fluid reabsorption when the protein concentration was reduced to either 20 or 0 g l.-1; these tubules responded to 10(-5) M-ouabain in the bath, or a temperature of 25 degrees C, by reducing their absorption rate to 0.13 +/- 0.05 nl. mm-1 min-1. Nine minimally distended tubules reabsorbed fluid at 0.8 nl. mm-1 min-1 when bathed with physiological saline containing bovine serum albumin (60 g l.-1) and perfused with saline. Under these circumstances reabsorption rate fell by 26% when protein was removed from the bath. A study of the pressure-diameter relationship was made for eight tubules typical of those used in this laboratory. The probable range of lumen hydrostatic pressures was discussed for the distended and undistended states. We conclude that the effect of peritubular protein concentration upon fluid reabsorption in proximal convoluted tubule segments perfused in vitro is dependent upon some property of the tubule wall that is changed when distension occurs.

Structure of Necturus gallbladder epithelium during transport at low external osmolarities

Gallbladders transport isotonically over a wide range of osmolarities. This ability has been assumed to depend on the geometry of the lateral intercellular spaces. We report that this geometry in the Necturus gallbladder varies extensively with the external osmolarity and depends in vitro on the integrity of the subepithelial tissues. The structure of the living epithelium was studied by Nomarski light microscopy while ultrastructural effects were revealed by electron microscopy. The short-term effects (less than 60 min) of low external osmolarities were: 1) the cells became bell-shaped with an increased cell height measured centrally, 2) lateral intercellular spaces lost their convoluted character; and 3) numerous membrane-bound cavities appeared in the cells. Furthermore, long-term exposure to the low external osmolarities caused an uneven density of epithelial cells. With subepithelial tissues intact, blistering of the epithelium cell layer was evident. Qualitative electron-microscopic data indicate that the membrane of the cavities was recruited from the basolateral cell membrane. This agrees well with light-microscopic observation that the cavities were initiated as invaginations of this cell membrane.

Effects of a small serosal hydrostatic pressure on sodium and water transport and morphology in rabbit gall-bladder

1. In order to investigate the mechanism of serosal pressure-induced inhibition of isosmotic fluid transport, the effect of 4.5 cm water serosal pressure on spontaneous water transfer (J(v)) in rabbit gall-bladders was measured (in the presence of a supporting soft nylon net on the mucosal side) in a modified Ussing chamber. This allowed unidirectional Na(+) fluxes ([Formula: see text] and [Formula: see text]), transepithelial potential difference and resistance (R(t)) to be measured simultaneously. The effects of the serosal pressure were also investigated by light and electron microscopy.2. During pressure application, R(t) increased due to a covering effect of the mucosal support. The serosal pressure caused a parallel decrease in J(v) and net Na(+) transport ([Formula: see text]) across the free epithelial surface of 80-85%. About 85% of the decrease in [Formula: see text] was due to a decrease in [Formula: see text].3. After inhibition of 93% of fluid absorption by serosal 10(-3)M-ouabain, pressure-induced change in J(v) was only 8% of the spontaneous fluid transport rate.4. Control Na(+) flux ratio ([Formula: see text]) was 3.5. The pressure-induced increase in steady-state [Formula: see text] of 30-35% therefore contributed little to the decrease in [Formula: see text]. Further, this increase in [Formula: see text] was completely prevented by mucosal 10(-3) M-amiloride.5. All pressure-induced effects on transport and electrical parameters were reversible.6. The light microscopical and scanning electron microscopical results showed that half of the epithelial surface was covered by the nylon net following serosal pressure application. Ruptures in the epithelium were not seen. Thin section and freeze fracture electron microscopy demonstrated continuous, well developed tight junctions both in control and experimental condition.7. It is concluded that a serosal pressure of only 4.5 cm water causes inhibition of a cellular active Na(+) and water transport with only minimal, if any, contribution from paracellular filtration. This would seem incompatible with the concept that an active ion transport mechanism localized in the basolateral cell membrane is responsible for transepithelial fluid transport. The possibility of a mechanical fluid transport mechanism via elements of a tubulo-cisternal endoplasmic reticulum is raised.

Fluid reabsorption by Necturus proximal tubule perfused with solutions of normal and reduced osmolarity

Fluid absorption in Necturus proximal tubule was studied when the kidneys were perfused with solutions of different osmolarities. The rate of fluid absorption was inversely proportional to the perfusion fluid osmolarity, while Na uptake remained constant. No difference was detected between the collected and injected luminal fluid, i.e. reabsorption was isotonic at normal and reduced osmolarities. The transtubular osmotic permeability remained fairly constant under the different perfusion osmolarities. Using our experimental results to test various models based on osmotic equilibration across the tubule wall we show that none of these provides an adequate mechanism for fluid absorption in this epithelium.

Voltage transients during ionic substitution in renal cortical tubules

A voltage transient is described which is found during proximal tubular perfusion with impermeant cation or anion salt solutions in the rat. It was shown that the magnitude of transepithelial diffusion potentials depended on luminal hydrostatic pressure, suggesting that the observed transients might be the consequence of the enlargement of ionic pathways by tubular dilatation. Thus, when reporting PD values, care should be taken to define the pressure levels at which measurements were performed.

Influence of peritubular protein on solute absorption in the rabbit proximal tubule. A specific effect on NaCl transport

The effect of removal of peritubular protein on the reabsorption of various solutes and water was examined in isolated rabbit proximal convoluted tubules (PCT) perfused in vitro. In 22 PCT perfused with ultrafiltrate (UF) and bathed in serum, volume absorption (Jv) was 1.44 nl/mm per min and potential difference (PD) was -3.6 mV. When these same PCT were bathed in a protein-free UF, Jv was reduced 38% without a change in PD. Simultaneous measurements of total CO2 net flux (JTCO2) and glucose efflux (JG) showed that less than 2% of the decrease in JV could be accounted for by a reduction in JTCO2 and JG, suggesting that removal of peritubular protein inhibited sodium chloride transport (JNaCl). Therefore, in eight additional PCT, JNaCl was measured, in addition to PD, Jv, JG, and JTCO2. In these PCT, the decrease in total solute transport induced by removal of bath protein was 201.7 +/- 37.5 posmol/mm per min. JG decreased slightly (9.1 +/- 3.9 posmol/mm per min); NaHCO3 transport did not change (9.2 +/- 6.6 posmol/mm per min); but JNaCl decreased markedly (160.6 +/- 35.7 posmol/mm per min). 80% of the decrease in Jv could be accounted for by a decrease in JNaCl. In 13 additional PCT perfused with simple NaCl solutions, a comparable decrease in Jv and JNaCl was observed when peritubular protein was removed without an increase in TCO2 backleak. In summary, removal of peritubular protein reduced Jv and JNacl, but did not significantly alter PD, JG, JTCO2, or TCO2 backleak. The failure to inhibit JG and JTCO2, known sodium-coupled transport processes, indicates that protein removal does not primarily affect the Na-K ATPase pump system. Furthermore, since PD and TCO2 backleak were not influenced, it is unlikely that protein removal increased the permeability of the paracellular pathway. We conclude that protein removal specifically inhibits active transcellular or passive paracellular NaCl transport.