The mineralocorticoid hormone aldosterone maintains acid-base balance and K + homeostasis by regulating H + and K + secretory mechanisms in kidney epithelial cells. We have shown recently in the amphibian distal nephron that aldosterone activates a Na + /H + exchange system in the luminal cell membrane, thus leading to transepithelial H+ secretion and cytoplasmic alkalinization. Since H+ secretory fluxes were paralleled by K + secretion, it was postulated that the hormone-induced increase of intracellular pH activates the luminally located K+ channels. In "giant" cells fused from individual cells of the distal nephron, we measured simultaneously cytoplasmic pH and cell membrane K+ conductance during acidification of the cell cytoplasm. The experiments show that cell membrane K+ conductance is half-maximal at an intracellular pH of 7.42 and that a positive cooperative interaction exists between K+-channel proteins and H+ (Hill coefficient = 6.5). Moreover, the cellular K+ conductance is most sensitive to cytoplasmic pH in the range modified by aldosterone. This supports the hypothesis that intracellular H + activity, regulated by the Na +/H+ exchanger, serves as the signal to couple aldosterone-induced K + secretory flux to H + secretion in renal tubules.In the vertebrate kidney, aldosterone stimulates Na+ retention and H + and K + secretion. In the collecting duct system of the mammalian kidney, aldosterone stimulates Na + entry across the luminal cell membrane (1), thereby depolarizing the cell membrane potential (2). This depolarization facilitates cell-to-lumen K+ secretion (3) via hormone-activated (4) K +-selective channels and H + extrusion via a rheogenic H + pump (5). From experiments in the early distal nephron of the amphibian kidney, we have evidence that transepithelial fluxes of Na+, K+, and H+ ions are also functionally linked, but that the mechanisms involved are different from those in the mammalian collecting-duct system (6).We propose a model in which hormone-induced stimulation of the Na +/H + exchanger is the primary event leading to cytoplasmic alkalinization and subsequent activation of the pH-sensitive K + channels. Ifthe mechanism whereby the hormone-induced interaction between a counter-transport mechanism (Na +/H + exchanger) and an ionic channel (K + channel) is to be physiologically relevant, the K + channels must be sensitive to intracellular pH (pH;) within the range encompassed during exposure to the hormone (7.45-7.73).
METHODSTo test our hypothesis, we simultaneously measured the intracellular pH and K + -conductance of fused distal tubules from frog kidney during gradual acidification of the cytoplasm.The fusion procedure has been described elsewhere (6). Briefly, kidneys of Rana pipiens were first isolated and perfused with amphibian Ringer's solution composed of 97 mM NaCl, 3 mM KCI, 5 mM Hepes, 1 mM CaC12, 1 mM MgCl2, and 5 mM glucose. After the blood was rinsed off, 3 ml of the same solution containing 0.1% collagenase [Sigma or Seromed (Berlin); 180-300 units/mg] wa...