The glucocorticoid dexamethasone, but not the mineralocorticoid aldosterone, increased amiloride-sensitive Na'-H' exchange activity in rat proximal tubule brush border vesicles. Na' uptake, independent of amiloride, was not affected. The glucocorticoid decreased the Na' gradient-dependent phosphate uptake. Uptake in the absence of a Na' gradient was not inhibited. Dexamethasone did not affect the Na' gradient-dependent D-glucose uptake. METHODS AND MATERIALS Animals and Steroid Administration. Male Sprague-Dawley rats (295-345 g) were fed Purina rat chow pellets ad lib. Rats were adrenalectomized under light ether anesthesia. After surgery, normal saline was given to prevent volume depletion. Adrenalectomized animals were divided into three groups. One group received twice daily subcutaneous injections of 0.3 ml of 0.9% saline. The other two groups received twice daily subcutaneous injections (5 pLg/100 g of body weight) of dexamethasone or aldosterone in 0.9% saline, respectively. The quantity of dexamethasone administered daily as the glucocorticoid replacement was approximately equivalent to the amount of corticosterone secreted per day by the rat and was the dose that effected a return of Na+, K+, and water movements in the rat colon to control values after adrenalectomy (18). Likewise, the quantity of aldosterone administered daily was approximately equivalent to the amount ofaldosterone secreted per day by rats on a normal diet (18). Another set of rats underwent only bilateral flank incisions, without removal of adrenals, and subsequently were given tap water to drink. This set ofanimals was subdivided into two groups. One group, designated sham, received twice daily subcutaneous injections of 0.3 ml of 0.9% saline. The other group, designated sham with dexamethasone, received dexamethasone (60 ,g/100 g of body weight) on the same schedule. Transport studies were performed 2 days after surgery. Hormones were last administered 2 hr prior to sacrifice. Animals were killed between 10:00 and 10:30 a.m.At the time ofsacrifice, serum Na+ concentration was slightly higher in adrenalectomized rats given aldosterone relative to the other groups, but the value was not statistically different from that found in adrenalectomized animals (141.6 ± 1.0 vs. 139.2 ± 0.5 milliequivalents/liter; P > 0.05). Serum Pi was essentially similar in all groups, varying from 2.66 ± 0.04 to 2.90 + 0.08 mM, although sham animals that received high doses of dexamethasone had-a Pi concentration that was minimally lower statistically than that in sham animals (2.70 ± 0.05 vs. 2.90 + 0.08 mM; P < 0.05), and adrenalectomized rats given maintenance doses of glucocorticoid had a slightly lower serum Pi concentration than did the adrenalectomized animal (2.66 ± 0.04 vs. 2.81 ± 0.06 mM; P < 0.05). Serum Ca2+ ranged from 2.35 ± 0.04 to 2.56 ± 0.04 mM. Sham rats given high doses of dexamethasone had the highest serum Ca2+ level. This was significantly greater (P < 0.05) than the values found in the other groups, which did not significan...