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Publication : α-Ketoglutarate regulates acid-base balance through an intrarenal paracrine mechanism.

First Author  Tokonami N Year  2013
Journal  J Clin Invest Volume  123
Issue  7 Pages  3166-71
PubMed ID  23934124 Mgi Jnum  J:201611
Mgi Id  MGI:5514462 Doi  10.1172/JCI67562
Citation  Tokonami N, et al. (2013) alpha-Ketoglutarate regulates acid-base balance through an intrarenal paracrine mechanism. J Clin Invest 123(7):3166-71
abstractText  Paracrine communication between different parts of the renal tubule is increasingly recognized as an important determinant of renal function. Previous studies have shown that changes in dietary acid-base load can reverse the direction of apical alpha-ketoglutarate (alphaKG) transport in the proximal tubule and Henle's loop from reabsorption (acid load) to secretion (base load). Here we show that the resulting changes in the luminal concentrations of alphaKG are sensed by the alphaKG receptor OXGR1 expressed in the type B and non-A-non-B intercalated cells of the connecting tubule (CNT) and the cortical collecting duct (CCD). The addition of 1 mM alphaKG to the tubular lumen strongly stimulated Cl(-)-dependent HCO(3)(-) secretion and electroneutral transepithelial NaCl reabsorption in microperfused CCDs of wild-type mice but not Oxgr1(-/-) mice. Analysis of alkali-loaded mice revealed a significantly reduced ability of Oxgr1(-/-) mice to maintain acid-base balance. Collectively, these results demonstrate that OXGR1 is involved in the adaptive regulation of HCO(3)(-) secretion and NaCl reabsorption in the CNT/CCD under acid-base stress and establish alphaKG as a paracrine mediator involved in the functional coordination of the proximal and the distal parts of the renal tubule.
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