The effects of the ionic contrast media, diatrizoate and iothalamate, on the sodium transport system of the toad urinary bladder, a biological model for the distal nephron of the mammalian kidney, were examined. It was found that 15–60 mM concentrations of diatrizoate suppress sodium transport in this tissue in a concentration-dependent fashion. They have this effect only from the serosal (blood) side of the tissue and not from the mucosal (urinary) side. By means of radioisotopic bidirectional sodium fluxes we showed that the short-circuit current (SCC) remains a valid measure of the net sodium transport in this tissue in the presence of contrast media. The neutral (nonionic) contrast medium metrizamide has no suppressant effects on the SCC system. The double-ring gallbladder contrast media (iodipamide, iocarmate, and iodoxamate) have somewhat more potent sodium transport suppressant effects than the single-ring media. When vasopressin is applied to the toad bladder after the contrast media the SCC is strongly stimulated, and in some cases rises to match the SCC of paired control tissue not subjected to contrast media. We take this as evidence that the contrast media do not poison the specific sodium transport enzyme, Na-K-ATPase, and further, that the contrast media are not metabolic inhibitors of the energy-producing reactions linked to sodium transport in this tissue. It was found that numerous other large anions that are not contrast media (but rather are from unrelated pharmacologic classes such as antibiotics, anionic dyes, bile salts, and dextran sulfates) have similar effects on the sodium transporting system of the toad bladder. The authors interpret these effects in terms of a mechanical model for regulation of sodium transport in the toad urinary bladder at the lateral intercellular space, after the active sodium pump, rather than at the classical locus, the sodium permeability of the apical (mucosal) cell membrane. In separate studies the authors found that the ionic contrast media will inhibit acidification in the toad urinary bladder. In pH-stat experiments the authors have shown that iodipamide will inhibit acidification when applied to the serosal side of the bladder, but not when it is applied to the mucosal side. Again, there is a concentration dependence, with larger concentrations of iodipamide having a greater inhibition effect on the acidification system. The authors have tested the effects of the contrast media on purified carbonic anhydrase enzyme activity and found that in the concentrations used to inhibit acidification in the toad bladder, there is no effect on the enzyme activity. Thus, they conclude that contrast media inhibit acidification by some means other than inhibition of carbonic anhydrase. The exact site of action of the contrast media remains to be determined, but the authors favor the idea that the anionic contrast media inhibit escape of bicarbonate from the serosal side of the epithelial tissue. It remains to be shown whether contrast media cause a temporary renal tubular acidosis in whole organisms.
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