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1 Department of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, University of Tel-Aviv, Petach Tikva 49100; 2 Department of Gastroenterology, Tel-Aviv Medical Center and Sackler Faculty of Medicine, University of Tel-Aviv, Tel-Aviv 64239; 3 Institute of Biochemistry, Food Science, Faculty of Agricultural, Food and Environmental Quality Sciences, The Hebrew University of Jerusalem, Rehovoth 76100; and 4 Department of Medicine B, Soroka Medical Center and Ben-Gurion University of the Negev, Beer-Sheba 84101, Israel
Cellular
mechanisms for Na+ retention in portal hypertension are
undefined, but epithelial Na+ channels (ENaC) may be
involved. Under high-salt diet, ENaC are absent from distal colon of
rat but can be induced by mineralocorticoids such as aldosterone.
Presence of rat ENaC was determined by amiloride inhibition of
22Na+ uptake in surface colonocytes 7 and 14 days after partial portal vein ligation (PVL) or sham surgery. At both
times, uptake inhibition was significantly increased in PVL rats.
Presence of mRNA transcripts, determined by RT-PCR, demonstrated that
channel
- and
-subunits were similarly expressed in both groups
but that
-subunit mRNA was increased in PVL rats. This confirms that
there was induction of rat ENaC and indicates that
-subunit has a
regulatory role. Urinary Na+ was decreased for 3 days after
PVL but was not different at other times, and serum aldosterone levels
were elevated at 7 days, at a time when urinary Na+ output
was similar to that of sham-operated rats. We conclude that PVL leads
to induction of ENaC in rat distal colon. An increase in aldosterone
levels may prevent natiuresis and is probably one of several control
mechanisms involved in Na+ retention in portal hypertension.
portal vein ligation; aldosterone; sodium absorption; ion flux
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