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Nephrol Dial Transplant (1995) 10: 2219-2223
© 1995 European Renal Association-European Dialysis and Transplant Association


research-article

Abnormal effect of thiol groups on erythrocyte Na/Li countertransport kinetics in adult polycystic kidney disease

K. Vareesangthip, T. H. Thomas and R. Wilkinson

Department of Medicine (Nephrology), University of Newcastle-upon-Tyne UK

Correspondence and offprint requests to: Correspondence and offprint requests to: Dr T. H. Thomas, Department of Medicine, Medical School, Framlington Place, Newcastle-upon-Tyne, NE2 4HH, UK

BACKGROUND: Evidence suggests that in adult polycystic kidney disease (APCKD) there is abnormal membrane organisation that involves cytoskeletal proteins and affects ion-transport proteins. The possibility of detecting a membrane organisation defect in erythro-cytes from APCKD patients was investigated.

METHODS: Na/Li countertransport (CT) kinetics were measured in erythrocytes from APCKD patients compared with normal controls. The modulation of Na/Li CT kinetics by key membrane thiol groups and by dissociation of spectrin by heating was studied.

RESULTS: In erythrocytes from APCKD compared to normal subjects the Km of Na/Li CT was lower (64 SEM 3v 90 SEM 3 mmol Na/1, P<0.001) and Vmax/Km was higher (6.8 SEM 0.6 v 5.3 SEM 0.4 (x 10–3), P<0.05). In erythrocytes from normal subjects, after N-ethylmaleimide (NEM) treatment in cho-line medium, Km of Na/Li CT was reduced and Vmax/Km increased (59 SEM 5, 8.2 SEM 0.4 (x 10–3), P<0.001) but there was no effect on these kinetic parameters in erythrocytes from APCKD. The effect of heating was similar to that of NEM in choline medium. In normal controls after NEM treatment in sodium medium both Km and Vmax were reduced whereas in APCKD Vmax was reduced but Km was unchanged.

CONCLUSIONS: In APCKD the effect of a key membrane thiol group on Na association with Na/Li CT was absent and the effect of spectrin dissociation was similarily abnormal. A second thiol group effect on the Vmax of Na/Li CT was normal. The results are consistent with a thiol-protein linked to the spectrin cytoskeleton that modulates Na/Li CT and is abnormal in APCKD.

Keywords: adult polycystic kidney disease; cytoskeleton; erythrocyte; N-ethylmaleimide; sodium lithium countertransport; thiol groups


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