In conclusion, we have established that PTH inhibits H+ ion production in isolated kidney cells and in rat kidney slices. We presented evidence that this effect is due to an increased cellular concentration of cyclic AMP. These data strongly support our hypothesis that the phosphaturic effect of PTH is due to a depression of H+ secretion into the renal tubules which produces a rise in intraluminal pH. The rise in tubular fluid pH decreases the monovalent to divalent phosphate ratio. And since monovalent phosphate is at least 10 times more permeable than divalent phosphate, phosphate reabsorption is depressed and phosphate excretion increases.
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