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Vol. 288, Issue 3, 993-1001, March 1999
Department of Physiology, Faculty of Science, Mahidol University,
Bangkok, Thailand (V.C., P.J.); and
Department of Physiology, College
of Medicine, University of Arizona, Tucson, Arizona (K.K.E., W.H.D.)
The transport step for p-aminohippurate (PAH) from cell
to lumen across the luminal membrane of rabbit proximal tubules has not
been adequately defined. To examine this process more closely, we
determined the effects of possible transport inhibitors and substitutes
for chloride on PAH secretion in isolated perfused S2 segments of
rabbit proximal tubules. The addition of
4-acetamido-4'-isothiocyano-2,2' disulfonic stilbene (10
4
M) to the perfusate irreversibly inhibited PAH secretion, whereas the
addition of probenecid (10
4 M) to the perfusate
reversibly inhibited PAH secretion. PAH secretion was unaffected by
thiocyanate replacement of chloride in the luminal perfusate,
reversibly inhibited by 15 to 20% by methyl sulfate replacement, and
irreversibly inhibited by isethionate replacement. Because the luminal
membrane is at least as permeable to thiocyanate as to chloride, less
permeable to methyl sulfate, and much less permeable to isethionate,
these data suggest that the PAH transport step from cells to lumen does
not require chloride in the lumen but does require a highly permeant
anion. During inhibition of PAH transport from cells to lumen, PAH
uptake across the basolateral membrane was also reduced, suggesting
some type of feedback inhibition. The data are compatible with PAH
transport across the luminal membrane by an anion exchanger, a
potential-driven uniporter, both carriers, or a carrier that can
function in both modes.
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