Glucocorticoids stimulate Na+/H+ antiporter in OKP cells

Michel Baum, Adriana Cano, Robert J. Alpern

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45 Scopus citations


Previous studies have demonstrated that systemic administration of glucocorticoids stimulates proximal tubule acidification in part by increasing Na+/H+ antiporter activity; however, these studies could not exclude the possibility that changes in Na+/H+ antiporter activity were secondary to glucocorticoid-induced hemodynamic changes. The present study examined the effect of dexamethasone on Na+/H+ antiporter activity in quiescent OKP cells. Na+/H+ antiporter activity was assayed as the initial rate of Na+-dependent pH recovery from an acid load. Intracellular pH was measured using the pH-sensitive dye 2',7'-bis(carboxyethyl)-5(6)- carboxyfluorescein (BCECF). Dexamethasone produced a dose- and time-dependent stimulation of Na+/H+ antiporter activity in OKP cells. Dexamethasone produced a 24% stimulation in Na+/H+ antiporter activity at 10-9 M and an ~40% stimulation of Na+/H+ antiporter activity at both 10-8 and 10-6 M. The effect of 10-6 M dexamethasone was seen within 4 h of incubation and was due to an increase in maximal velocity (V(max), 3.03 vs. 1.79 pH units/min) with no change in the affinity constant for sodium (K(Na), 47.2 vs. 42.0 mM). The stimulatory effect of dexamethasone on Na+/H+ antiporter activity was blocked by cycloheximide and was not observed with 10-8 M aldosterone. These data demonstrate a direct effect of glucocorticoids to stimulate Na+/H+ antiporter activity in OKP cells.

Original languageEnglish (US)
Pages (from-to)F1027-F1031
JournalAmerican Journal of Physiology - Renal Fluid and Electrolyte Physiology
Issue number6 33-6
StatePublished - 1993


  • acidification
  • dexamethasone
  • sodium/hydrogen exchanger

ASJC Scopus subject areas

  • Physiology


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