ExtractLitter-mate homozygous and heterozygous weanling rats of the Gunn strain were thirsted and fasted for 24 hours. The response of the animals to thirsting was compared by analysis of solute content of serum and composition of fluid in the renal medullae. The results are given in tables I and II. When the mean values for weight loss and serum solute concentrations were compared, it was found that the jaundiced rats were able to conserve body water as well as the non-jaundiced rats and to generate equally high concentrations of total solute in the tissue water of the renal medulla. Only two of the twelve jaundiced animals showed evidence of failure to develop the expected hypertonicity of the medullary tissue water. This failure was qualitatively similar to that found in adult jaundiced rats. Despite the presence of higher concentrations of bilirubin in serum, the medullary bilirubin content of the jaundiced weanling rat was only 5 % of the concentration found in adult animals. The sodium and urea concentrations in the renal medullary fluid were correlated (p <0.001) in the homozygous jaundiced rats (table IV and fig. 1). A similar correlation was not found in the non-jaundiced heterozygous animals. This finding suggests that the normal rat kidney has at least two mechanisms for renal transport of urea, one of which is sodium dependent and the other sodium independent and that the latter mechanism is inoperative in the jaundiced weanling rat.
SpeculationIn vitro studies of bilirubin have previously suggested that toxicity is exerted by its surface activity on mitochondrial membranes. The examination of renal function in the intact jaundiced animal has revealed the possibility that tubular transport systems for urea and sodium are impaired in the presence of high concentrations of bilirubin in the renal medulla. These transport systems involve the maintenance of concentration gradients of sodium and urea across tubular epithelium. Bilirubin, through its surface activity, could impair the selective permeability of the membranes involved in urea and sodium transport within the renal medulla.