Effects of a high-sodium/low-potassium diet on renal calcium, magnesium, and phosphate handling

Autor: Alexander H. J. Danser, Jenny van der Wijst, Caro Bos, Omar A. Z. Tutakhel, Joost G. J. Hoenderop, René J. M. Bindels, Ewout J. Hoorn
Přispěvatelé: Internal Medicine
Rok vydání: 2018
Předmět:
Zdroj: American Journal of Physiology : Renal Physiology, 315, F110-F122
American Journal of Physiology-Renal Physiology, 315(1), F110-F122. American Physiological Society
American Journal of Physiology : Renal Physiology, 315, 1, pp. F110-F122
ISSN: 1931-857X
Popis: The distal convoluted tubule (DCT) of the kidney plays an important role in blood pressure regulation by modulating Na+reabsorption via the Na+-Cl−cotransporter (NCC). A diet containing high salt (NaCl) and low K+activates NCC, thereby causing Na+retention and a rise in blood pressure. Since high blood pressure, hypertension, is associated with changes in serum calcium (Ca2+) and magnesium (Mg2+) levels, we hypothesized that dietary Na+and K+intake affects Ca2+and Mg2+transport in the DCT. Therefore, the present study aimed to investigate the effect of a high-Na+/low-K+diet on renal Ca2+and Mg2+handling. Mice were divided in four groups and fed a normal-Na+/normal-K+, normal-Na+/low-K+, high-Na+/normal-K+, or high-Na+/low-K+diet for 4 days. Serum and urine were collected for electrolyte and hormone analysis. Gene and protein expression of electrolyte transporters were assessed in kidney and intestine by qPCR and immunoblotting. Whereas Mg2+homeostasis was not affected, the mice had elevated urinary Ca2+and phosphate (Pi) excretion upon high Na+intake, as well as significantly lower serum Ca2+levels in the high-Na+/low-K+group. Alterations in the gene and protein expression of players involved in Ca2+and Pitransport indicate that reabsorption in the proximal tubular and TAL is affected, while inducing a compensatory response in the DCT. These effects may contribute to the negative health impact of a high-salt diet, including kidney stone formation, chronic kidney disease, and loss of bone mineral density.
Databáze: OpenAIRE