Calcium and Magnesium: Low Passive Permeability and Tubular Secretion in the Mouse Medullary Thick Ascending Limb of Henle's Loop (MTAL)

Recent studies from our laboratory have shown that in the mouse and rat nephron Ca²⁺ and Mg²⁺ are not reabsorbed in the medullary part of the thick ascending limb (mTAL) of Henle's loop. The aim of the present study was to investigate whether the absence of transepithelial Ca²⁺ and Mg²⁺ transport in the mouse mTAL is due to its relative low permeability to divalent cations. For this purpose, transepithelial ion net fluxes were measured by electron probe analysis in isolated perfused mouse mTAL segments, when the transepithelial potential difference (PD_te.) was varied by chemical voltage clamp, during active NaCl transport inhibition by luminal furosemide. The results show that transepithelial Ca²⁺ and Mg²⁺ net fluxes in the mTAL are not driven by the transepithelial PD_te. At zero voltage, a small but significant net secretion of Ca²⁺ into the tubular lumen was observed. With a high lumen-positive PD_te generated by creating a transepithelial bath-to-lumen NaCl concentration gradient, no Ca²⁺ and Mg²⁺ reabsorption was noted; instead significant and sustained Ca²⁺ and Mg²⁺ net secretion occurred. When a lumen-positive PD_te was generated in the absence of apical furosemide, but in the presence of a transepithelial bath-to-lumen NaCl concentration gradient, a huge Ca²⁺ net secretion and a lesser Mg²⁺ net secretion, not modified by ADH, were observed. Replacement of Na⁺ by K⁺ in the lumen perfusate induced, in the absence of PD_te changes, important but reversible net secretions of Ca²⁺ and Mg²⁺. In conclusion, our results indicate that the passive permeability of the mouse mTAL to divalent cations is very low and not influenced by ADH. This nephron segment can secrete Ca²⁺ and Mg²⁺ into the luminal fluid under conditions which elicit large lumen-positive transepithelial potential differences. Given the impermeability of this epithelium to Ca²⁺ and Mg²⁺, the secretory processes would appear to be of cellular origin. Received: 30 January 1996/Revised: 24 April 1996