Diuretics stimulate H+ secretion in turtle urinary bladder

J Clin Invest. 1980 May;65(5):1095-103. doi: 10.1172/JCI109762.

Abstract

The effect of various diuretics on H+ secretion was studied in the isolated short-circuited urinary bladder of the turtle. Mucosal (urinary) chlorothiazide stimulated H+ secretion promptly, from 1.33 +/- 0.24 to 3.03 +/- 0.25 mueq/h (P less than 0.001). The effect was rapidly reversible upon washout of the drug, H+ returning to control levels, 1.37 +/- 0.26 mueq/h (P less than 0.001). Similar effects were observed with mucosal hydrochlorothiazide and mucosal ethacrynic acid/cysteine. Stimulation of H+ secretion occurred in the presence or the absence of exogenous CO2, in the presence or absence of mucosal Na+ and during inhibition of Na+ transport by ouabain. There was no stimulation of H+ secretion by uncomplexed ethacrynic acid or by mucosal furosemide. The nondiuretic sulfonamide, sulfasoxizole, and the nonsulfonamide buffer, borate, had no effect on H+ SECRETION. These observations indicate that the stimulatory effect of diuretics on H+ secretion is not related to active sodium transport, transepithelial electrical potential, or the buffering capacity of the drugs. Since the transepithelial pH gradient at which active H+ secretion was abolished was identical for chlorothiazide-treated tissues (2.68 pH U) as for control tissues (2.65 pH U, NS), the data suggest that the protonmotive force of the H+ pump was unaffected by the diuretic. This observation, plus the rapid onset and reversibility of the drugs, is consistent with an effect on the mucosal membrane to increase H+ conductance (K). The findings raise the possibility that direct enhancement of renal H+ secretion may play a role in the metabolic alkalosis induced by some diuretics.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Borates / pharmacology
  • Chlorothiazide / pharmacology
  • Cysteine / pharmacology
  • Diuretics / pharmacology*
  • Electric Conductivity
  • Ethacrynic Acid / pharmacology
  • Furosemide / pharmacology
  • Hydrochlorothiazide / pharmacology
  • Hydrogen / metabolism
  • Hydrogen / urine*
  • Hydrogen-Ion Concentration
  • In Vitro Techniques
  • Mucous Membrane / drug effects
  • Sodium / physiology
  • Sulfisoxazole / pharmacology
  • Time Factors
  • Turtles / urine*
  • Urinary Bladder / drug effects*
  • Urinary Bladder / metabolism

Substances

  • Borates
  • Diuretics
  • Hydrochlorothiazide
  • Sulfisoxazole
  • Chlorothiazide
  • Furosemide
  • Hydrogen
  • Sodium
  • Cysteine
  • Ethacrynic Acid