Summary
To investigate whether intestinal calcium absorption parallels that of sodium following extracellular fluid volume expansion, the effects of saline loading on intestinal transport of calcium. sodium and water were studied in rats by perfusing jejunal loops in situ.
After calcium-free saline infusion net calcium absorption was reversed similar to that of sodium and water and net secretion occurred. Concurrently, blood-to-lumen (b-l) calcium flux, measured using45Ca, increased significantly (P<0.001). Following expansion with calcium-containing Ringer a similar reversal of net calcium, sodium and water flux was also observed. Again, the b-l calcium flux increased but to a significantly lesser extent (P<0.05). Plasma ionized calcium remained unchanged after calcium-rich Ringer loading, but decreased significantly (P<0.001) when calcium was omitted from the solution. Plasma immunoreactive parathyroid hormone was unchanged after expansion with the calcium containing solution but increased following calcium-free infusion.
It is concluded that after extracellular fluid volume expansion: 1. net jejunal calcium absorption is decreased; 2. the decrease parallels that of sodium and water; 3. b-l calcium transport is enhanced to a greater degree by calcium-free Ringer infusion than by a calcium-rich solution. This difference could be the result of increased parathyroid hormone secretion.
Similar content being viewed by others
References
Agus, Z. S., Gardner, L. B., Beck, L. H., Goldberg, M.: Effects of parathyroid hormone on renal tubular reabsorption of calcium, sodium, and phosphate. Amer. J. Physiol.224, 1143–1148 (1973)
Arnaud, C. D., Tsao, H. S., Littledike, T.: Radio-immunoassay of human parathyroid hormone in serum. J. clin. Invest.50, 21–34 (1971)
Bader, C., Assailly, J., Chanard, J., Funck-Brentano, J. L.: Comptage direct des échantillons plasmatiques en scintillation liquide par étalonnage interne-externe. Int. J. appl. Rad. Isotopes24, 29–36 (1973)
Birge, S. J., Switzer, S. C., Leonard, D. R.: Influence of sodium and parathyroid hormone on calcium release from intestinal mucosa cells. J. clin. Invest.54, 702–709 (1974)
Blythe, W. B., Gitelman, H. J., Welt, L. G.: Effect of expansion of the extracellular space on the rate of urinary excretion of calcium. Amer. J. Physiol.214, 52–57 (1968)
Bonjour, J. P., Malvin, R. L.: Plasma concentrations of ADH in conscious and anesthetized dogs. Amer. J. Physiol.218, 1128–1132 (1970)
Borle, A. B.: Calcium and phosphate metabolism. Ann. Rev. Physiol.36, 361–390 (1974)
Boulpaep, E. L.: Permeability changes of the proximal tubule of necturus during saline loading. Amer. J. Physiol.222, 517–531 (1972)
Brenner, B. M., Troy, J. L., Daugharty, T. M.: On the mechanism of inhibition in fluid reabsorption by the renal proximal tubule of the volume-expanded rat. J. clin. Invest.50, 1596–1602 (1971)
Charney, A. N., Kinsey, M. D., Myers, L., Gianella, R. A., Gots, R. E.: Na+-K+-activated adenosine triphosphatase and intestinal electrolyte transport. Effect of adrenal steroids. J. clin. Invest.56, 653–660 (1975)
Cortney, M. A., Mylle, M., Lassiter, W. E., Gottschalk, C. W.: Renal tubular transport of water, solute and PAH in rats loaded with isotonic saline. Amer. J. Physiol.209, 1199–1205 (1965)
Cremaschi, D., Galante, M.: Action of posthypophyseal hormones on the “in vivo” isosmotic net water transport and adenylcyclase in rabbit gall bladder. Arch. intern. Physiol. Biochim.77, 819–828 (1969)
Crocker, A. D., Munday, K. A.: Factors affecting mucosal water and sodium transfer in everted sacs of rat jejunum. J. Physiol. (Lond.)202, 329–338 (1969)
De Luca, H.: Recent advances in our understanding of the vitamin D endocrine system. J. Lab. clin. Med.87, 7–26 (1976)
Dennhardt, R., Haberich, F. J.: Effect of ADH on the net transport of water and electrolytes in the small bowel of anesthetized rats. Pflügers Arch.334, 74–84 (1972)
Dirks, J. H., Cirksena, W. J., Berliner, R. W.: The effect of saline infusion on sodium reabsorption by proximal tubule of dog. J. clin. Invest.44, 1160–1170 (1965)
Dunn, F. L., Brennan, T. J., Nelson, A. E., Robertson, G. L.: The role of blood osmolality and volume in regulating vasopressin secretion in the rat. J. clin. Invest.52, 3212–3219 (1973)
Fitzgibbons, J. P., Gennari, F. J., Garfinkel, H. B., Cortell, S.: Dependence of saline-induced natriuresis upon exposure of the kidney to the physical effects of extracellular fluid volume expansion. J. clin. Invest.54, 1428–1436 (1974)
Frick, A.: Mechanism of inorganic phosphate diuresis secondary to saline infusions in the rat. Pflügers Arch.313, 106–122 (1969)
Grandchamp, A., Boulpaep, E. L.: Pressure control of sodium reabsorption and intracellular backflux across proximal kidney tubule. J. clin. Invest.54, 69–82 (1974)
Green, R., Windhager, E. E., Giebisch, G.: Protein oncotic pressure effects on proximal tubular fluid movement in the rat. Amer. J. Physiol.226, 265–276 (1974)
Gutman, Y., Benzakein, F.: Effect of saline loading on absorption from cat ileum in vivo. Israel J. med. Sci.6, 195–200 (1970)
Hakim, A. A., Lifson, N.: Effects of pressure on water and solute transport by dog intestinal mucosa in vitro. Amer. J. Physiol.216, 276–284 (1969)
Hays, R. M.: Antidiuretic hormone and water transfer. Kidney Intern.9, 223–230 (1976)
Hebert, L. A., Stuart, K. A., Stemper, J. A.: Renal expansion in saline loading. Amer. J. Physiol.227, 406–411 (1974)
Higgins, J. T., Blair, N. P.: Intestinal transport of water and electrolytes during extracellular volume expansion in dogs. J. clin. Invest.50, 2569–2579 (1971)
Humphreys, M. H., Early, L. E.: The mechanisms of decreased intestinal sodium and water absorption after acute volume expansion in the rat. J. clin. Invest.50, 2355–2367 (1971)
Ireland, P., Fordtran, J. S.: Effect of dietary calcium and age on jejunal calcium absorption in humans studied by intestinal perfusion. J. clin. Invest.52, 2672–2681 (1973)
Knox, F. G., Schneider, E. G., Willis, L. R., Strandhoy, J. W., Ott, C. E., Cuche, J. L., Goldsmith, R. S., Arnaud, C. D.: Proximal tubule reabsorption after hyperoncotic albumin infusion. J. clin. Invest.53, 501–507 (1974)
Lee, J. S.: Effects of pressure on water absorption and secretion in rat jejunum. Amer. J. Physiol.224, 1338–1344 (1973)
Martino, J. A., Early, L. E.: Relationship between intrarenal hydrostatic pressure and hemodynamically induced changes in sodium excretion. Circulat. Res.23, 371–386 (1968)
Massry, S. G., Coburn, J. W., Chapman, L. W., Kleeman, C. R.: Effect of NaCl infusion on urinary Ca and Mg during reduction in their filtered loads. Amer. J. Physiol.213, 1218–1224 (1967)
McLeod, G. M., French, A. B., Good, C. J., Wright, F. S.: Gastrointestinal absorption and biliary excretion of phenolsulfonphtalein (phenol red) in man. J. Lab. clin. Med.71, 192–200 (1968)
Nellans, H. N., Frizzel, R. A., Schultz, S. G.: Brush border processes and transepithelial Na and Cl transport by rabbit ileum. Amer. J. Physiol.226, 1131–1141 (1974)
Nizet, A., Jost, H., Foidart-Willems, J.: The control of sodium excretion following saline infusion in dogs. Pflügers Arch.350, 287–298 (1974)
Nizet, A., Robin, M., Merchie, G.: Renal control of intestinal sodium and water transport in the dog. Pflügers Arch.364, 59–64 (1976)
Ott, C. E., Haas, J. A., Cuche, J. L., Knox, F. G.: Effect of increased peritubule protein concentration on proximal tubule reabsorption in the presence and absence of extracellular volume expansion. J. clin. Invest.55, 612–620 (1975)
Rector, F. C., Martinez-Maldonado, M., Kurtzmann, N. A., Sellman, J. C., Derther, F., Seldin, D. W.: Demonstration of a hormonal inhibitor of proximal tubular reabsorption expansion of extracellular volume with isotonic saline. J. clin. Invest.47, 761–773 (1968)
Richet, G., Hornych, A.: The effect of an expansion of extracellular fluid on net sodium flux in the jejunum of rats. Nephron6, 365–378 (1969)
Schultz, S. G., Frizzel, R. A., Nellans, H. N.: Ion transport by mammalian small intestine. Ann. Rev. Physiol.36, 51–88 (1974)
Ussing, H. H., Erly, D., Lassen, U.: Transport pathways in biological membranes. Ann. Rev. Physiol.36, 17–49 (1974)
Vatner, S. F.: Effects of hemorrhage on regional blood flow distribution in dogs and primate. J. clin. Invest.54, 225–235 (1974)
Walser, M.: Calcium clearance as a function of sodium clearance in the dog. Amer. J. Physiol.200, 1099–1104 (1961)
Walton, J., Williams, M. E., Shea, T., Gray, T. K.: Effects of parathyroid extract on jejunal absorption of phosphate and calcium. Clin. Res.24, 30A (1976)
De Wardener, H. E., Mills, I. H., Clapham, W. F., Hayter, C. J.: Studies on the efferent mechanism of sodium diuresis which follows administration of intravenous saline in the dogs. Clin. Sci.21, 249–258 (1961)
Younoszai, M. K., Urban, E., Schedl, H. P.: Vitamin D and intestinal calcium fluxes in vivo in the rat. Amer. J. Physiol.225, 287–292 (1973)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Chanard, J., Drüeke, T., Pujade-Lauraine, E. et al. Effects of saline loading on jejunal absorption of calcium, sodium, and water, and on parathyroid hormone secretion in the rat. Pflugers Arch. 367, 169–175 (1976). https://doi.org/10.1007/BF00585154
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00585154