SummaryConcentrative uptake of a-methyl-D-glucoside (AMG) by isolated renal tubule fragments from the newborn Sprague-Dawley rat has been demonstrated and the validity of this phenomenon confirmed by an in vivo demonstration of AMG uptake by the newborn kidney cortex. A kinetic analysis of the entry phenomenon in the newborn tubule reveals the presence of two distinct membrane transport systems for AMG, only one of which is present in the adult tubule. All transport of sugar in both newborn and adult tubules was phlorizin-sensitive, but was only partially inhibited in Na+-free buffer. Glucose was shown to inhibit uptake competitively on the shared, high capacity system. Uptake on the high a f f i t y system in the newborn represents 15-20% of the total at physiologic sugar concentrations. It is concluded that active sugar transport is a characteristic of the newborn rat kidney and that the isolated tubule preparation is a more accurate reflection of this phenomenon than is the renal cortical slice.
SpeculationThe presence of a unique high affinity glucose transport system in newborn renal tubules in addition to the lower a f f i t y system also found in the adult enables the anatomically immature kidney to efficiently reclaim sugar from the glomerular fdtrate and, thus, to prevent loss of calorically valuable nutrients in the promotion of growth.Sugar transport by the renal tubule has been the subject of a vast number of investigations extending over many years (19). The results of in vitro studies sometimes have been difficult to correlate with the in vivo situation. An example of this is the transport of hexoses by newborn rat kidney. Investigations employing the renal cortical slice of newborn rat kidney failed to demonstrate either galactose accumulation (2) or AMG uptake (16,17). Both sugars are known to share the glucose transport system(s) in adult rat kidney. Although this lack of uptake in vitro might be expected to result in neonatal glycosuria in vivo, Segal et al. (15) were unable to detect glucose in bladder urine from newborn Sprague-Dawley rats. The mechanism by which the neonatal kidney removes hexoses from the glomerular ultrafiltrate (which would resolve these paradoxical observations) had been left unexamined until the recent demonstration of active uptake of AMG by isolated renal proximal tubule fragments prepared from newborn Sprague-Dawley rat (13). This study demonstrates the in vivo concentration of AMG by newborn renal cortex. This indication that the tubule preparation reflects the in vivo situation led to an examination of the entry kinetics for AMG transport in isolated newborn cortical tubules. The results of this work constitute the basis for this report.
MATERIALS AND METHODS
ANIMALSFemale Sprague-Dawley rats were obtained from Charles River (Wilmington, MA) at 14 days of gestation and housed separately until parturition. Pups were killed by decapitation within the first 72 hr of age. Adult male Sprague-Dawley rats, obtained from the same source and weighing 150-200 g, were used fo...