Mechanisms of chloride transport in the proximal tubule

Am J Physiol. 1997 Aug;273(2 Pt 2):F179-92. doi: 10.1152/ajprenal.1997.273.2.F179.

Abstract

The major fraction of filtered Cl- is reabsorbed in the proximal tubule. An important component of Cl- reabsorption is passive and paracellular, driven by the lumen-negative potential difference in the early proximal tubule and the outwardly directed concentration gradient for Cl- in the later proximal tubule. Evidence suggests that a significant additional component of NaCl reabsorption in the proximal tubule is active and transcellular. Cl-/formate and Cl-/oxalate exchangers have been identified as mechanisms of uphill Cl- entry across the apical membrane. For steady-state Cl- absorption to occur by these mechanisms, formate and oxalate must recycle from lumen to cell. Recent studies indicate that recycling of formate occurs by H(+)-coupled formate transport in parallel with Na+/H+ exchange, whereas oxalate recycling takes place by oxalate/sulfate exchange in parallel with Na(+)-sulfate cotransport. The predominant route for Cl- exit across the basolateral membrane is via Cl- channels. Unresolved issues include the adequacy of formate recycling to sustain Cl- absorption by Cl-/formate exchange, the existence and contributions of additional mechanisms for apical Cl entry and basolateral Cl- exit, and the relative magnitudes of transcellular and paracellular transport under physiological conditions. In addition, the molecular identification and mechanisms of regulation of the Cl-/formate and Cl-/oxalate exchangers remain to be defined.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Anions / metabolism
  • Antiporters / metabolism
  • Biological Transport
  • Biological Transport, Active
  • Chloride-Bicarbonate Antiporters
  • Chlorides / metabolism*
  • Humans
  • Kidney Tubules, Proximal / metabolism*
  • Microvilli / metabolism

Substances

  • Anions
  • Antiporters
  • Chloride-Bicarbonate Antiporters
  • Chlorides