The effect of NaHCO3 infusion on phosphate reabsorption by the proximal convoluted tubule was studied in acute and chronic PTX rats. Either hypertonic NaHCO3 or NaCl was infused intravenously. Proximal fluid and phosphate reabsorption were measured with 3H-inulin and 32PO4, respectively. In acute PTX rats, the fraction of filtered 32PO4 remaining in the proximal lumen was 5.9% during NaCl infusion and 23% during NaHCO3 infusion (p < 0.001). In the chronic PTX rats, the fraction of filtered 32PO4 remaining in the proximal lumen was 24% during NaCl infusion and 38% during NaHCO2 infusion (p < 0.001). Phosphate reabsorption per unit GFR was reduced by NaHCO2infusion in both acute and chronic PTX rats. A linear relationship was found between tubular fluid total CO2 and the fraction of 32PO4 remaining in the tubular lumen. The findings indicate that NaHCO3 infusion inhibits phosphate reabsorption in the proximal convoluted tubule by a mechanism not dependent on PTH or volume expansion, but apparently correlated with intraluminal CO2.
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