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Protein-enriched diet increases water absorption via the aquaporin-2 water channels in healthy humans
Background. According to animal experiments, a protein-enriched diet increased renal absorption of sodium and water. We wanted to test the hypothesis that a protein-enriched diet would increase the expression of the aquaporin-2 water channels and the epithelial sodium channels in the distal part of...
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Published in: | Nephrology, dialysis, transplantation dialysis, transplantation, 2010-08, Vol.25 (8), p.2502-2510 |
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Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Background. According to animal experiments, a protein-enriched diet increased renal absorption of sodium and water. We wanted to test the hypothesis that a protein-enriched diet would increase the expression of the aquaporin-2 water channels and the epithelial sodium channels in the distal part of the nephron using biomarkers for the activity of the two channels. Methods. We performed a randomized, placebo controlled crossover study in 13 healthy humans to examine the effect of a protein-enriched diet on renal handling of water and sodium during baseline condition and during hypertonic saline infusion. We measured the effect of the protein-enriched diet on urinary excretions of aquaporin-2 (u-AQP2), the β-fraction of the epithelial sodium channels (u-ENaCβ), free water clearance (CH2O), fractional excretion of sodium and vasoactive hormones. Results. During baseline conditions, u-AQP2 increased, and CH2O decreased during the protein-enriched diet, whereas u-ENaCβ was unchanged, although the urinary sodium excretion increased. During hypertonic saline infusion, the response in the effect variables did not deviate between protein-enriched and normal diet. Plasma concentrations of angiotensin II and aldosterone increased as well as pulse rate. Vasopressin in plasma was unchanged, and prostaglandin E2 fell during the protein-enriched diet. Conclusions. The protein-enriched diet increased water absorption via an increased transport via the aquaporin-2 water channels. The increased u-AQP2 might be due to a reduced prostaglandin level. The increase in renal sodium excretion seems to be mediated in another part of the nephron than the epithelial sodium channels. |
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ISSN: | 0931-0509 1460-2385 |
DOI: | 10.1093/ndt/gfq111 |