The mechanism by which dietary K+ restriction induces distal–nephron Li+ reabsorption was investigated by administration of bendroflumethiazide (BFTZ) or vehicle in conscious Wistar rats. Changes in fractional excretion of Li+ following administration of amiloride (ΔFELi) were used as an index of distal tubular Li+ reabsorption. The results revealed an absence of distal tubular Li+ reabsorption in K+–replete rats (ΔFELi = 3.6±2.4%), in contrast to K+ restriction in which ΔFELi was 24.0±2.7%. The distal tubular Li+ reabsorption in K+–depleted rats was significantly reduced by preadministration of BFTZ (ΔFELi = 9.2±0.9%). The fractions of Li+ and Na+ reabsorbed in the amiloride–sensitive segment were different in K+–replete rats (9±6 vs. 60±6%), but similar in K+–depleted rats (61±5 vs. 73±4%). BFTZ administration to K+–depleted rats resulted in a proportional decrease in these fractions, suggesting competition between Na+ and Li+ for reabsorption in the distal–nephron segment during K+ depletion. These results are compatible with the hypothesis that during K+ depletion the reabsorption of Li+ in the distal–nephron segment is competitively inhibited by Na+.
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