A B S T R A C T Calcium transport was studied in medullary and cortical segments ofthe thick ascending limb of Henle perfused in vitro. 45Ca was added to the perfusate for measuring lumen-to-bath flux (JCa), to the bath for measuring bath-to-lumen flux (Jca), or to both perfusate and bath for measuring net flux (Jnt). In the medullary segment J exceeded Jca and the efflux:influx coefficient ratio was not different from the value predicted from the observed potential difference (PD). In the cortical segments, however, efflux:influx coefficient ratio was greater than the value predicted from the PD, suggesting that calcium transport in this segment may be active, while it is passive in the medullary segment. Furosemide, which reversibly decreases PD in both cortical and medullary segments, inhibited Ja,lb only in the medullary segment. Parathyroid hormone (PTH), on the other hand, had no effect on Jca in the medullary segment, but it significantly augmented Jc" in the cortical segment. These results indicate that calcium transport in the thick ascending limb is heterogeneous. In the medullary segment it is passive, inhibited by furosemide and not influenced by PTH. In the cortical segment, however, calcium transport appears to be active, not inhibited by furosemide and stimulated by PTH.

Abstract. Calcium transport was studied in isolated S2 segments of rabbit superficial proximal convoluted tubules. '"Ca was added to the perfusate for measurement of lumen-to-bath flux (JibCa), to the bath for bath-to-lumen flux (JbIc), and to both perfusate and bath for net flux (Jnetc). In these studies, the perfusate consisted of an equilibrium solution that was designed to minimize water flux or electrochemical potential differences (PD). Under these conditions, JibCa (9.1 ± 1.0 peq/mm min) was not different from JblCa (7.3±1.3 peq/mm min), and Jntc1 was not different from zero, which suggests that calcium transport in the superficial proximal convoluted tubule is due primarily to passive transport. The efflux coefficient was 9.5±1.2 X 10-5 cm/ s, which was not significantly different from the influx coefficient, 7.0±1.3 X 10-5 cm/s. When the PD was made positive or negative with use of different perfusates, net calcium absorption or secretion was demonstrated, respectively, which supports a major role for passive transport. These results indicate that in the superficial proximal convoluted tubule ofthe rabbit, passive driving forces are the major determinants of calcium transport.

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The occurrence of chronic kidney disease in the Hawai'i KEEP-2 study was nearly fourfold greater compared with the general US population. The clustering of susceptibility factors for chronic kidney disease occurrence was found to differ for all five ethnic groups.

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