Intracellular pH and Na+/H+ antiport activity of cultured skin fibroblasts from diabetics View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

1992-11

AUTHORS

J E Davies, L L Ng, A Kofoed-Enevoldsen, L K Li, K A Earle, R Trevisan, G Viberti

ABSTRACT

Increased leucocyte Na+/H+ antiport activity has previously been demonstrated in both hypertensive subjects and Type 1 diabetic patients with nephropathy and may indicate a predisposition to hypertension in such diabetic patients. We have studied intracellular pH and Na+/H+ antiport activity in cultured skin fibroblasts from diabetic patients with and without nephropathy, together with non-diabetic controls to assess if such differences persisted in cultured cells. Fibroblasts from diabetic patients with nephropathy were significantly more alkaline [median (range): 6.90 (6.82 to 7.07)] compared to both normoalbuminuric diabetic patients [6.81 (6.75 to 6.89)] or normal controls [6.82 (6.77 to 6.93)] (P < 0.001 for both). This was associated with a raised Na+/H+ antiport activity in cells from patients with nephropathy when intracellular pH (pHi) was clamped to pH 6.5, without any differences in the maximal transport capacity of the antiport at pHi 6.2. Using both intracellular pH and Na+/H+ antiport activity at pHi 6.5, patients with nephropathy were separated from uncomplicated subjects with a sensitivity of 92% and a specificity of 100%. In conclusion, the raised Na+/H+ antiport activity in cells from patients with diabetic nephropathy persists despite passaging in vitro, thus indicating a heritable component, and results mainly from an increased apparent affinity of the antiport for intracellular H+. More... »

PAGES

1184-1190

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/ki.1992.403

DOI

http://dx.doi.org/10.1038/ki.1992.403

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1009264577

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/1333551


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