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10.1038/ki.1997.141

http://scihub22266oqcxt.onion/10.1038/ki.1997.141
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9083264!ä!9083264

suck abstract from ncbi


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pmid9083264      Kidney+Int 1997 ; 51 (4): 1008-17
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  • Cellular mechanisms of chlorothiazide and cellular potassium depletion on Mg2+ uptake in mouse distal convoluted tubule cells #MMPMID9083264
  • Dai LJ; Friedman PA; Quamme GA
  • Kidney Int 1997[Apr]; 51 (4): 1008-17 PMID9083264show ga
  • The use of the distally-acting diuretic, chlorothiazide, has been reported to have important effects on renal magnesium handling. The cellular mechanisms of chlorothiazide action on Mg2+ uptake was investigated in immortalized mouse distal convoluted tubule (MDCT) cells. Intracellular free Mg2+ concentration was determined by microfluorescence. Mg2+ transport was measured as a function of change in intracellular Mg2+ concentration with time following placement of Mg2+-depleted cells into a buffer containing 1.5 mM magnesium. The uptake rate of Mg2+ into Mg2+-depleted cells was 179 +/- 28 nM/second. Mg2+ uptake was dependent on the membrane voltage as membrane hyperpolarization enhanced uptake whereas depolarization diminished transport. Chlorothiazide increased Mg2+ uptake by 58%, from 179 +/- 28 to 283 +/- 23 nM/second. The ability of chlorothiazide to stimulate Mg2+ uptake in MDCT cells was concentration-dependent and related to the diuretic-induced hyperpolarization of the plasma membrane. These studies support the notion that acute chlorothiazide administration enhances renal magnesium conservation through its effects on Mg2+ transport within the distal convoluted tubule. Since chronic chlorothiazide administration may result in hypokalemia as well as hypomagnesemia, Mg2+ uptake was determined in potassium-depleted MDCT cells. Mg2+ uptake was diminished, 80 +/- 24 nM/second, in potassium depleted cells. Hyperpolarization of the plasma membrane with the cell permanent anion, SCN-, corrected Mg2+ uptake in potassium depleted cells suggesting that the basis for diminished uptake may, in part, be due to depolarization of the membrane voltage. In summary, acute chlorothiazide stimulates Mg2+ transport in MDCT cells. We postulate that chronic chlorothiazide use may lead to hypokalemia that in turn diminishes Mg2+ transport in the distal tubule resulting in urinary magnesium-wasting.
  • |Animals[MESH]
  • |Cell Line[MESH]
  • |Chlorothiazide/*pharmacology[MESH]
  • |Diuretics[MESH]
  • |Hypokalemia/chemically induced/metabolism[MESH]
  • |Ion Transport/drug effects[MESH]
  • |Kidney Tubules, Distal/cytology/*drug effects/*metabolism[MESH]
  • |Kinetics[MESH]
  • |Magnesium/*metabolism[MESH]
  • |Membrane Potentials[MESH]
  • |Mice[MESH]
  • |Potassium/*metabolism[MESH]


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