Tested was the hypothesis that enhanced nitric oxide (NO) production that is stimulated by increased renal endothelin activity mediates decreased distal nephron HCO 3 secretion that is induced by dietary protein. Munich-Wistar rats that ate minimum electrolyte diets with 50% casein-provided protein (HiPro) compared with controls that ate 20% protein for 3 wk had higher urine excretion of endothelin-1 (80 ؎ 15.7 versus 29 ؎ 3.9 fmol/kg body wt per d; P < 0.02) and of the NO metabolites NO 2 /NO 3 (21.2 ؎ 1.9 versus 14.9 ؎ 0.8 mol/kg body wt per d; P < 0.03). Bosentan, an endothelin A/B receptor antagonist, reduced HiPro rats' urine excretion of net acid (5859 ؎ 654 versus 8017 ؎ 1103 mol/d; P < 0.03, paired t test) and NO 2 /NO 3 (18.1 ؎ 1.1 versus 22.9 ؎ 2.0 mole/kg body wt per d; P < 0.05, paired t test). N-nitro-L-arginine methyl ester (L-NAME), an NO synthase inhibitor, also decreased urine net acid excretion (6621 ؎ 717 versus 8449 ؎ 1086 mol/d; P < 0.05, paired t test) but was not additive to bosentan. L-NAME increased in situ late distal nephron HCO 3 delivery in HiPro rats (18.8 ؎ 1.7 versus 9.6 ؎ 1.4 pmol/mm per min; P < 0.001) that was mediated by increased distal nephron HCO 3 secretion (؊7.2 ؎ 0.7 versus ؊3.5 ؎ 0.4 pmol/mm per min; P < 0. (3), the mechanism by which endothelin reduces distal nephron HCO 3 secretion is not known. In addition to increasing renal production of endothelin, increased dietary protein increases urine excretion of nitric oxide (NO) metabolites (4). Furthermore, endothelin increases renal NO production (5), and NO increases acidification in the proximal (6) and distal (7) nephron. Consequently, we tested the hypothesis that increased renal endothelin production that is induced by increased dietary protein reduces distal nephron HCO 3 secretion through increased NO.
Materials and Methods
Animals and Diet ProtocolMale and female Munich-Wistar rats (Harlan Sprague-Dawley, Houston, TX; 200 to 228 g) ate standard rat chow (Prolab RMH 2500 with 23% protein, Purina, Indianapolis, IN) for 1 wk, then ate a custom minimum electrolyte diet with protein as purified high nitrogen casein (ICN Nutritional Biochemicals, Cleveland, OH) for 3 wk and drank distilled H 2 O ad libitum. Rats that were on the high-protein diet (HiPro) ate custom diet with 50% protein, and controls ate 20%. In preliminary studies, similarweight rats ate 24.6 Ϯ 0.9 and 27.1 Ϯ 1.2 g/d, respectively (n ϭ 4, P ϭ 0.15), so all rats received 24 g/d diet to ensure similar diet intake and complete ingestion of drug mixed with diet in rats that were given drugs. Some received bosentan (Actelion, Allschwil, Switzerland), a nonpeptide endothelin A/B receptor antagonist (8), mixed with study diet at 100 mg/kg body wt per d. This oral dose blocks action of pressor doses of intravenous big ET-1 for Ͼ24 h (8). Preliminary studies determined that the minimal chronic dose of the NO synthase (NOS) inhibitor N-nitro-l-arginine methyl ester (L-NAME) that reduced urine net acid excretion (NAE) in paired HiPro rats (6451 Ϯ 785 versus 848...