Osmotic regulation of sorbitol in the thick ascending limb of henles loop (talh). Eckstein, Angela, R. Willi Grunewald. Sektion Nephrologie, Universit[umlaut]atsklinik Ulm, 89070 Ulm, FRG
APStracts 2:0164F, 1995.
Organic osmolytes such as sorbitol, inositol, glycerophosphorylcholin and betaine play an important role in the osmoregulation of inner medullary cells of the kidney. The cells of the outer medulla are also exposed to elevated NaCl- and urea-concentrations during antidiuresis. Therfore, we investigated the mechanisms involved in the regulation of outer medullary organic osmolytes, especially cell sorbitol content of immortalised epithelial cells of the thick ascending limb of Henle_s loop (TALH). In the cultured cell model, 600 mosmol/l medium (osmolarity adjusted by addition of 150 mM NaCl or 300 mM sucrose) increases the intracellular sorbitol content significantly as compared with 300 mosmol/l. The accumulation of sorbitol appears to be due to an increase of aldose reductase activity, which catalyzes sorbitol synthesis. Sorbitol degradation by sorbitol dehydrogenase was not detectable under our experimental conditions. Following a sudden decrease of the extracellular osmolarity the sorbitol permeability of the cellular membrane increases 7-fold within 10 minutes as compared to isoosmolar conditions. These results indicate that sorbitol beside inositol plays an important role in the osmoregulation of TALH cells. While the short term regulation involves rapid changes in sorbitol membrane permeability, the long term adaptation to low osmolarities is regulated by intracellular sorbitol synthesis.

Received 8 September 1993; accepted in final form 9 August 1995.
APS Manuscript Number F321-3.
Article publication pending Am. J. Physiol. (Renal Fluid Electrolyte
Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 31 October 95