Drug Transporters 2022
DOI: 10.1002/9781119739883.ch7
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Monocarboxylic Acid Transporters

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“…In the kidney, acetate is actively metabolized to bicarbonate, as shown by the usage of sodium acetate in dialysis, which leads to urine alkalinization instead of acidosis through the excretion of bicarbonate from acetate metabolism into urine due to compromised bicarbonate reabsorption function in the patients of renal diseases [ 42 , 44 ]. In addition, monocarboxylic acid transporters capable of acetate uptake are highly abundant in the renal proximal tubule, which may further prevent unnecessary leakage of acetate into urine [ 45 , 46 ]. However, when this mechanism of metabolism and reabsorption was either overwhelmed by acetate dosing or compromised by renal injury, the elevations of urinary acetate were also observed [ 47 , 48 ], leading to the usage of urinary acetate in the diagnosis of urinary tract infection [ 49 ] and ischemia-reperfusion injury after kidney transplantation [ 48 ].…”
Section: Discussionmentioning
confidence: 99%
“…In the kidney, acetate is actively metabolized to bicarbonate, as shown by the usage of sodium acetate in dialysis, which leads to urine alkalinization instead of acidosis through the excretion of bicarbonate from acetate metabolism into urine due to compromised bicarbonate reabsorption function in the patients of renal diseases [ 42 , 44 ]. In addition, monocarboxylic acid transporters capable of acetate uptake are highly abundant in the renal proximal tubule, which may further prevent unnecessary leakage of acetate into urine [ 45 , 46 ]. However, when this mechanism of metabolism and reabsorption was either overwhelmed by acetate dosing or compromised by renal injury, the elevations of urinary acetate were also observed [ 47 , 48 ], leading to the usage of urinary acetate in the diagnosis of urinary tract infection [ 49 ] and ischemia-reperfusion injury after kidney transplantation [ 48 ].…”
Section: Discussionmentioning
confidence: 99%