Potassium-depletion alkalosis in the rat

A. M. Kaufman, T. Kahn

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14 Scopus citations

Abstract

Studies were performed to investigate the role of concomitant chloride depletion in potassium-depletion alkalosis in the rat and the relationship between potassium depletion, plassma bicarbonate (P(HCO3)), and net acid excretion. 1) Selective potassium depletion (K-DEPL), potassium plus chloride depletion (KCl-DEPL), or selective chloride depletion (Cl-DEPL) was produced by administering a selectively potassium-, potassium and chloride-, or selectively chloride-deficient diet. In K-DEPL and KCl-DEPL rat, P(HCO3) increased progressively and similarly during a 38-day period of restriction, whereas net acid excretion was similar and not elevated in either group. Cl-DEPL did not result in alkalosis. Chloride administration without potassium in alkalotic KCl-DEPL rats did not result in a sustained significant decrease in P(HCO3). Potassium administration without chloride in alkalotic KCl-DEPL rats decreased P(HCO3). Thus concomitant chloride depletion plays a minimal role in the alkalosis produced by dietary-induced potassium depletion. 2) Administration of a chronic acid load to alkalotic K-DEPL rats did not decrease P(HCO3), and net acid excretion increased similarly as in normals. In K-DEPL rats after P(HCO3) was reduced toward normal levels with acetazolamide, net acid excretion increased sharply above base-line values and P(HCO3) increased markedly. Thus the alkalotic K-DEPL rat maintains the ability to excrete a chronic acid load, and a reduction in P(HCO3) elicits an increase in acid excretion to restore the initial acid-base condition. These studies suggest that potassium depletion alters the set-point at which the kidney maintains P(HCO3).

Original languageEnglish
Pages (from-to)F763-F770
JournalAmerican Journal of Physiology - Renal Fluid and Electrolyte Physiology
Volume255
Issue number4 (24/4)
DOIs
StatePublished - 1988
Externally publishedYes

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