Kinetic Modeling of In Vivo K<sup>+</sup> Distribution and Fluxes with Stable K<sup>+</sup> Isotopes: Effects of Dietary K<sup>+</sup> Restriction

oleh: Jang H. Youn, Stefania Gili, Youngtaek Oh, Alicia A. McDonough, John Higgins

Format: Article
Diterbitkan: MDPI AG 2024-09-01

Deskripsi

Maintaining extracellular potassium (K<sup>+</sup>) within narrow limits, critical for membrane potential and excitability, is accomplished through the internal redistribution of K<sup>+</sup> between extracellular fluid (ECF) and intracellular fluid (ICF) in concert with the regulation of renal K<sup>+</sup> output to balance K<sup>+</sup> intake. Here we present evidence from high-precision analyses of stable K<sup>+</sup> isotopes in rats maintained on a control diet that the tissues and organs involved in the internal redistribution of K<sup>+</sup> differ in their speed of K<sup>+</sup> exchange with ECF and can be grouped into those that exchange K<sup>+</sup> with ECF either rapidly or more slowly (“fast” and “slow” pools). After 10 days of K<sup>+</sup> restriction, a compartmental analysis indicates that the sizes of the ICF K<sup>+</sup> pools decreased but that this decrease in ICF K<sup>+</sup> pools was not homogeneous, rather occurring only in the slow pool (15% decrease, <i>p</i> < 0.01), representing skeletal muscles, not in the fast pool. Furthermore, we find that the dietary K<sup>+</sup> restriction is associated with a decline in the rate constants for K<sup>+</sup> effluxes from both the “fast” and “slow” ICF pools (<i>p</i> < 0.05 for both). These results suggest that changes in unidentified transport pathways responsible for K<sup>+</sup> efflux from ICF to ECF play an important role in buffering the internal redistribution of K<sup>+</sup> between ICF and ECF during K<sup>+</sup> restriction. Thus, the present study introduces novel stable isotope approaches to separately characterize heterogenous ICF K<sup>+</sup> pools in vivo and assess K<sup>+</sup> uptake by individual tissues, methods that provide key new tools to elucidate K<sup>+</sup> homeostatic mechanisms in vivo.