Abstract

Background: Several apical ammonium (NH<sub>4</sub><sup>+</sup>/NH<sub>3</sub>) transport pathways have been described in medullary thick ascending limb (MTAL) cells. The exact nature and importance of some of these pathways remain controversial. Methods: Ammonium transport in primary cultured rabbit MTAL cells was investigated by measuring intracellular pH (pH<sub>i</sub>). Results: To create physiological conditions, experiments were performed in the symmetrical presence of NH<sub>4</sub>Cl, which acidified the cells to pH<sub>i</sub> 6.89. When blockers of apical NH<sub>4</sub><sup>+</sup> transport were used, the cells alkalinized due to a decreased NH<sub>4</sub><sup>+</sup> loading. The following values (pH units) were observed: bumetanide, +0.05; verapamil, +0.04; Ba<sup>2+</sup> and Cs<sup>+</sup>, +0.19; tertiapin, +0.09. Tetraethylammonium had no effect. Depolarizing the cells by increasing the K<sup>+</sup> concentration alkalinized the cells by 0.16 pH units. Because NH<sub>4</sub><sup>+</sup> might enter through nonspecific channels, ammonium pulse experiments were performed: an NH<sub>4</sub>Cl pulse acidified controls as well as depolarized cells. In contrast, when Ba<sup>2+</sup>, Cs<sup>+</sup> or tertiapin were present, an NH<sub>4</sub>Cl pulse alkalinized the cells. The pharmacological profile of this apical NH<sub>4</sub><sup>+</sup> transport pathway correlates with the renal outer medullary K<sup>+</sup> (ROMK) channel. Indirect immunofluorescence showed the presence of the ROMK protein. Conclusion: In these MTAL cells the Ba<sup>2+</sup>-sensitive component of NH<sub>4</sub><sup>+</sup> transport is predominant and consists of permeation of NH<sub>4</sub><sup>+</sup> through an apical ROMK-related channel.

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