Mechanisms used to dispose of progressively increasing alkali load in rats

S Cheema-Dhadli, SH Lin… - American Journal of …, 2002 - journals.physiology.org
S Cheema-Dhadli, SH Lin, ML Halperin
American Journal of Physiology-Renal Physiology, 2002journals.physiology.org
Our objective was to describe the process of alkali disposal in rats. Balance studies were
performed while incremental loads of alkali were given to rats fed a low-alkali diet or their
usual alkaline ash diet. Control groups received equimolar NaCl or KCl. Virtually all of the
alkali was eliminated within 24 h when the dose exceeded 750 μmol. The most sensitive
response to alkali input was a decline in the excretion of NH 4+. The next level of response
was to increase the excretion of unmeasured anions; this rise was quantitatively the most …
Our objective was to describe the process of alkali disposal in rats. Balance studies were performed while incremental loads of alkali were given to rats fed a low-alkali diet or their usual alkaline ash diet. Control groups received equimolar NaCl or KCl. Virtually all of the alkali was eliminated within 24 h when the dose exceeded 750 μmol. The most sensitive response to alkali input was a decline in the excretion of NH. The next level of response was to increase the excretion of unmeasured anions; this rise was quantitatively the most important process in eliminating alkali. The maximum excretion of citrate was ∼70% of its filtered load. An even higher alkali load augmented the excretion of 2-oxoglutarate to >400% of its filtered load. Only with the largest alkali load did bicarbonaturia become quantitatively important. We conclude that renal mechanisms eliminate alkali while minimizing bicarbonaturia. This provides a way of limiting changes in urine pH without sacrificing acid-base balance, a process that might lessen the risk of kidney stone formation.
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