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on January 12, 2004

Hypertension. 2004
Published online before print January 12, 2004, doi: 10.1161/01.HYP.0000113295.31481.36
A more recent version of this article appeared on February 1, 2004
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Right arrow Oxidant stress

Submitted on September 29, 2003
Revised on October 27, 2003

Renal Oxidative Stress in Medullary Thick Ascending Limbs Produced by Elevated NaCl and Glucose

Takefumi Mori* and Allen W. Cowley Jr.

From the Department of Physiology, Medical College of Wisconsin, Milwaukee.

* To whom correspondence should be addressed. E-mail: tmori{at}mcw.edu.

Abstract--The effects of NaCl, glucose, and thyroid hormone on the production of superoxide (O2·-) within the renal medulla of Sprague-Dawley rats were examined. Responses of intracellular superoxide [O2·-]i in isolated medullary thick ascending limbs (mTALs) were studied using real-time fluorescent microscopy with measurement of the dehydroethidium (DHE) to ethidium (Eth) conversion ratio (Eth/DHE ratio unit). The results demonstrated that elevations of extracellular NaCl (from 152 to 252 mmol/L), D-glucose (from 5 to 25 mmol/L), and triiodo-thyronine (T3; 10 µmol/L) significantly increased [O2·-]i levels. Preincubation with superoxide scavenger 4,5-dihydroxy-1,3-benzene-disulfonic acid (1 mmol/L) significantly inhibited these responses. Stimulation with equamolar amounts of choline chloride or L-glucose failed to increase [O2·-]i, indicating that these O2·- responses were not determined by changes in osmolality. The responses to NaCl, D-glucose, and T3 were abolished by pretreatment with the Na+/K+-ATPase pump inhibitor ouabain (4 mmol/L) and with Na+/H+ -exchanger inhibitor dimethylamiloride (100 µmol/L). We conclude that elevations of extracellular NaCl, D-glucose, or T3 levels can activate both the Na+/K+-ATPase pump and Na+/H+ exchanger in mTAL, which, in turn, is associated with increased intracellular concentrations of superoxide.


Key words: oxidative stress • Na+, K+-transporting ATPase • sodium pump • antiporters • diabetes mellitus • hypertension, sodium-dependent • fluorescence




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