Aldosterone
and
thyroid
hormone interaction
on
the sodium
and
potassium
transport
pathways
of
rat
colonic
epithelium
C.
J. Edmonds
and
C. L. Willis
Endocrinology
ResearchGroup,
Division ofClinicalSciences,
Clinical ResearchCentre,
WatfordRoad,
Harrowhai am
REVISED MANUSCRIPT RECEIVED20
July
1989ABSTRACT
The effect of
hypothyroidism
onpotassium adaptation
(shown by
increasedpotassium
secretion inresponsetopotassium loading)
andonthe action of aldosteroneonpotassium
secretion and sodium fluxeswasexaminedin theratdistal colon.
Potassium
adaptation, particularly
theresponse to an acutepotassium
load,
wasimpaired by
hypothy-roidism which also
considerably
reduced the rise oftransepithelial
electricalpotential
difference(p.d.)
of total and transcellular(active) lumen-to-plasma
sodium fluxes and ofpotassium
secretionnormally
produced by
aldosterone. Thesechanges
were,inpart,
corrected
by
ashortperiod
(3
days)
oftri-iodothyronine
replacement.
Moreover in aldosterone-treatedhypo-thyroid
rats, amiloride in the lumenwasconsiderably
less effective in
reducing
thep.d.
and sodium fluxes than in aldosterone-treated normalrats.The intracellular sodium
transport
pool
wasgreater
in the
hypothyroid
than in the normal rats(5\m=.\0\m=+-\
1\m=.\1(s.e.m.)
nmol/mg dry weight compared
with 2\m=.\9\m=+-\ 0\m=.\2nmol/mgdry weight; P<0\m=.\02).
Aldosterone increased thepool
in the normal but not in thehypothyroid
rats while amiloride had little effect onthe
pool
in the aldosterone-treatedhypothyroid
ratsbut almost abolished it in aldosterone-treated normal
rats.
Aldosterone
plays
amajor
part
in theadaptation
ofcolonic sodium and
potassium
transport
to sodiumdepletion
orpotassium
excess; theseadaptations
weremuch
impaired
inhypothyroid
animals. The presentresults areconsistent witha
deficiency
inaldosteroneinduction of
potassium-
and amiloride-sensitive sodiumpathways
in theapical
membrane of colonicepithelial
cells inhypothyroid
rats,adeficiency
whichlimits the stimulant effect of aldosterone on sodium
and
potassium
transport.
Journal
ofEndocrinology (1990)
124,
47\p=n-\52INTRODUCTION
When animals are
depleted
of sodium or are fed apotassium-rich
diet,
adaptive changes
takeplace
in the sodium andpotassium
transport systems of the colon whichareanalogous
tothose whichoccurinthekidney.
Thus,
in theratdistalcolon,
sodiumdepletion
leadstoincreased active sodiumabsorption (Edmonds,
1967)
whilepotassium
excess stimulatespotassium
secretion(Fisher,
Binder &Hayslett, 1976).
The im¬portanceof aldosteronetothese
adaptive changes
has beendemonstratedinavariety
ofspecies (Edmonds
&Marriott,
1967;
Frizzell &Schultz, 1978; Thomas,
Skadhauge
&Read, 1979; Foster, Jones,
Hayslett
&Binder,
1985).
In the rat distalcolon,
aldosterone induces amiloride-sensitive sodium channels in theapical
membrane of theepithelial
cells and a smallexpansion
of the intracellular sodiumtransport
pool
asthe sodium
absorption
rateincreases(Will,
Lebowitz &Hopfer,
1980; Sandle,
Hayslett
&Binder, 1984;
Edmonds &
Mackenzie,
1987).
TheNa,K-ATPase
activity
of the basolateral membranes also rises inepithelia
stimulatedby
aldosterone(Jorgensen,
1972;
Charney, Silva,
Besarab &Epstein,
1974;
Botella,
Paris &
Lahlou,
1986; Paccolat,
Geering, Gaeggeler
&Rossier,
1987).
Asregards potassium
secretion,
theprincipal
factors in the action of aldosteroneappearto be an increase of
potassium-selective
channels inthe
apical
membrane and ofNa,K-ATPase
activity
in the basolateral membrane(Kashgarian, Taylor,
Binder &Hayslett,
1980; Sandle,
Foster,
Lewisetal.1985;
Edmonds &Willis,
1988).
Previous work showedthatcolonie
adaptation
toasodium-restricted diet was, like renal
adaptation,
impaired
when therats werehypothyroid (Edmonds,
Thompson
&Marriott,
1970).
Recent studies haveshown,
moreover, thattri-iodothyronine
(T3)
has aaldosteroneon thecells of the renal
collecting
tubules(Barlet-Bas,
Khadouri,
Marsy
&Doucet,
1988).
In thepresent
work,
we have furtherinvestigated
theinterrelationship
of aldosterone andthyroid
hormones
in the rat distalcolon,
particularly
to examine thepotassium-secreting
mechanism and effects on the induction of the amiloride-sensitive sodium channels andon the intracellular sodiumtransportpool.
MATERIALS AND METHODSMale albinorats
(250-350 g)
wereused and feda dietbasedon astandardrat
pellet.
Thestandardpellet
dietcontained 0-2 mmol
potassium/g.
In the two other dietsused,
thepotassium
contentwasenrichedby
pre¬liminary
soaking
ofpellets
in either 01 molKC1/1
or 0-3 molKC1/1. Subsequently they
were dried to theiroriginal
form. Pelletshaving
apotassium
contentabout 0-35
mmol/g
and 0-7mmol/g
werethereby
obtained. All these diets were consumed in similaramounts,
averaging
about 6-7g/100
gbody weight
perday.
Hypothyroidism
was inducedby
thyroid
ablationby intraperitoneal injection
of 9MBq
I(Amersham
International
pic,
Amersham,
Bucks,
U.K.)
and sub¬sequently
theratsweregiven
propylthiouracil (Sigma
Chemical Co.
Ltd, Poole, Dorset, U.K.;
100mg/l)
indrinking
waterfor 6 weeks. Thehypothyroid
animals were maintained in aconstantly
warmed room for6 weeks until the colonie
perfusion
studies.They
remained ingood
general
health but theirweight gain
was
markedly
less than that ofthe intactrats.The methods usedfor
measuring
transportfunction in the distal colon were aspreviously
describedinfull(Edmonds
&Mackenzie, 1987).
Inbrief,
anaesthesiawasobtained
by i.p. injection
of sodiumpentobarbitone
(6
mg/100
gbody
wt)
well awayfrom thedistal colon. Asegment
of distal(descending)
colon about 3cmlong
wasrinsed clean withwarmsaline and cannulated.The
transepithelial
electricalpotential
difference(p.d.)
wasmeasuredperiodically
during
anexperiment
using
ahigh input
impedance
millivoltmeter connectedthrough
calomelhalf
cells and salinebridges
to the lumen and serosal surface of the colon.In the first series of
experiments,
to examine thepotassium
secretion response to an acutepotassium
load,
theratshadani.v.polythene
cannulaimplanted
into theexternal
jugular
vein.Thepotassumloadwasgiven
as a solution of KC1(120
mmol/1),
KHC03
(30
mmol/1)
using
a 10 mlsyringe
drivenby
aSage
constantinfusionpump(270
pl/min
forthe first 10min,
thereafter 190
pl/min).
Potassium secretion rate was measuredby collecting
the effluentduring
perfusion
of the colonie segment with a solution
containing
NaCl(50
mmol/1)
and mannitol(200
mmol/1)
at37°Cand at a rate of 1
ml/min
using
a Watson-MarlowH.R. FlowInducer. The concentration of sodium was
chosen as
being
similar to that of faecal fluid in thispart
of thecolon;
mannitol was added to render thesolution isotonic. Perfusion was
always
commenced15 min before collections were
made;
this allowedthe
potassium
secretion rate to becomesteady.
Formeasurement of the sodium flux rates, 0-5 ml of a
solution ofa
composition
similar to that above butcontaining
in addition22Na
(2
Bq/pmol
sodium;
Amersham International
pic)
wasintroduced into thelumen of the cannulated segment and allowed to re¬ main there for 10 min. It was then
rapidly
rinsed outwithasolutionof mannitol
(300 mmol/1)
and collected.The total sodium flux from
lumen-to-plasma
(Jms)
across intestinalepithelium comprises
a transcellularcomponent
whichappearstodepend
onactive sodiumtransport
andapassive
diffusivecomponent
which isprobably through
theparacellular
pathway.
In thepresent
experiments
we used the method describedpreviously
(Edmonds
&Mackenzie,
1987)
to deter¬mine
Jms
from the loss of22Na
from the lumen and fromthe
meanspecific
activity
(22Na/23Na
ratio);
thetranscellular
(active
absorptive) lumen-to-plasma
fluxwasestimatedfromthe observed values of
Jms,
thenetsodium flux and the
transepithelial p.d.
To determine theepithelial
sodiumtransport
pool (Edmonds
&Mackenzie,
1987)
a similarsolution,
butcontaining
considerably higher radioactivity
(22Na,
200Bq/pmol
sodium),
wasleftinthe lumen for 10 min. Thiswasthenrapidly
washedout,thesegment
removed,
blotted andscrapings
taken of theepithelium,
the wholeprocedure
being completed
within 1 min.Aldosterone
(Sigma
Chemical Co.Ltd)
wasgiven
by
osmoticminipumps
(Alzet
Corporation,
PaloAlto,
CA,
U.S.A.)
inserted into theperitoneal cavity
through
a small lateral abdominal incision with sterile pre¬
cautions. Antibioticswerenotused andno
problems
ofinfectionwereencountered
(Edmonds
&Willis,
1988).
A
supramaximal
dose of about 50pg/day
per 100gbody
wtwasgiven
forthe 3days preceeding
the colonieperfusion.
In theexperiments
in whichhypothyroid
ratswere
given
T3,
thiswasaddedtothe solution in the osmoticminipump
and1pg/day
per100gbody
wtwasdelivered.Insome
experiments,
amiloride(100
pmol/1)
wasadded to the solution in the lumen. All solutions
were
freshly prepared
beforeanexperiment.
Samples
ofvenousbloodweretaken from the inferiormesenteric vena cava
immediately
before the end of theexperiment.
Sodium and
potassium
concentrations weremeasured
by
flamephotometry
and22Na
by
gammacounting.
Fluxresultsareexpressed
percm2
of mucosal area,obtainedby measuring
thelength
ofthesegment
used on astandard
glass
tube after its removal atmeans+s.e.m.
Significance
wastestedusing
two-tailedStudent's ?-test.
RESULTS
Potassium
adaptation
andhypothyroidism
When
taking
the standarddiet,
the normal andhypothyroid
rats had a similar rate ofpotassium
secretion into the lumen of the colon
(Fig.
1).
Inbothgroups,
potassium
secretion rate was about trebled(P< 0-001)
when the animalswere fed thepotassium-rich diet
(0-7
mmol/g).
When theacutei.v.potassium
loadwas
given
a cleardifference between the normaland the
hypothyroid
group wasevident,
with thelatter's secretion rate
averaging
65% of that of the normalrats.Thetransepithelial
p.d.
wassimilarin thenormal and
hypothyroid
ratsand,
asfoundpreviously
(Edmonds
&Willis,
1988),
unaffectedby
thepotassium-rich diet or acute
potassium
infusion. Theplasma
potassium
concentrationofratsfed thepotassium-rich
dietwassimilar in the normal andhypothyroid
groupsaveraging
4-3+ 0-2mmol/1
(«
=9). By
the end ofthe
intravenous
potassium
infusion,
theplasma potassium
concentration had risen to 9-3+ 0-7
mmol/1
(n
=9).
Again,
therewas nosignificant
differencebetween thenormal and
hypothyroid
animals.Effect of aldosteroneonsodium fluxes and
potassium
secretion
Preliminary
studies showed that 3days
ofadminis¬trationofaldosteronetorats
taking
the standard dietproduced
amarked fall inplasma potassium
to3-2+0-2
mmol/1 (n
=4)
compared
with 4-4+ 0-3mmol/1
(n
=4)
in untreatedrats(P
<002).
Inallthesubsequent
experiments,
therefore,
adiet basedonthe standard dietbut
having
ahigher potassium
content(0-35
mmol/g)
wasused. On this
diet,
both normal andhypothyroid
ratsmaintained their
plasma potassium
concentrationsatisfactorily during
aldosterone administration(3-8
+0-1mmol/1 (n
=8)
after 3days compared
with4-1+0-1
mmol/1
(n
=8)
in untreatedratsonthisdiet).
Neither the sodium fluxes nor the
potassium
se¬cretion rate were
significantly
different between the untreatednormal andhypothyroid
rats(Fig.
2).
After3
days
ofaldosterone administration thesodiumlumen-to-plasma
fluxes had increased in boththenormal andhypothyroid
rats(P<0-01
and P<005respectively);
however,
the rates recorded in thehypothyroid
rats weresignificantly
lower than in thenormalratswith thetotal
transepithelial
fluxbeing
64% and the estimated transcellular fluxbeing only
50% of that observed in the normal rats. Potassium secretion rate increased in both groups after aldosterone treatment butonly
significantly
in the normal rats(P<0-05).
Thetrans-fì
30-0-11
-E -J-¿
100- 80- 60- 40- 20-O-11
1
ABC ABC Normal Hypothyroidfigure1.Secretion of
potassium
andtransepithelial
electricalpotential
difference(p.d.)
in thedistalcolonof normalandhypothyroid
ratsfed(A)
thestandarddiet, (B)apotassium-richdiet(0-7mmol
potassium/g)
or(C)
thepotassium-rich
diet and infused withanacute
potassium
load. Valuesaremeans±s.e.m.;groups of five andfourrats.*P<005
compared
withcorresponding
column of the normalrats(two-tailed
Student'si-test).
epithelial p.d.
wasnearly
doubled in the normal animals(P
<0-01)
butwasunaffectedinthehypothyroid
group. Therewas nosignificant
difference between thep.d.
oftheuntreatednormal and that of the
hypothyroid
ratsbut
following
treatmentwithaldosterone thep.d.
wasconsiderably
greater(P<000\)
in the normal than inthe
hypothyroid
rats.Effect of amilorideand I ,
The
segment
of colon wasperfused initially
for5minwith the standard solution
containing
amiloride(100
pmol/1).
This had beenpreviously
established aslong enough
for amiloride to bind and block the amiloride-sensitive sodium channels in theapical
membrane. The flux rates were then measuredusing
solutions whichalso containedamiloride.In the aldosterone-treated normal rats, amiloride
reduced the total
transepithelial
flux(Jms)
by nearly
half while the transcellular sodium flux was almostcompletely
abolished(Fig.
3).
Thetranspeithelial
p.d.
was reduced to
nearly
zero. Thepotassium
secretion rate wasunaffected.
In the aldosterone-treatedhypothyroid
rats,by
contrast, amiloride did notsig¬
P3
lì
_: H 60—1 30-O-J c 30-0 e15-|
"5 O-1 200-1 150-2 E . ci. .EJ
°¿ ö100-1
1
i
e r • ¬ 50-(I-1 NormalHypothyroid
figure2.Sodium
lumen-to-plasma
fluxes,potassium
secretion andtransepithelial
electricalpotential
difference(p.d.)
inthedistal colonofnormalandhypothyroid
rats(A)
untreatedor(B)treated for 3dayswith aldosterone. The
shaded
portion
ofthe totallumen-to-plasma
sodium flux indicates the transcellularcomponent.Valuesare means±s.e.m.;therewerefourratsin each group.*/><0-05,
**P< 002
compared
withcorresponding
columnsof thenormalrats
(two-tailed
Student'si-test).flux and the reduction in the transcellular flux was
markedly
less than observed in thealdosterone-treatednormalrats.Amiloride also reduced the
transepithelial
p.d.
significantly
(P^005)
butagain
lesseffectively
than in the normalrats. Potassium secretionwasnotsignificantly
affectedby
amiloride.Although
the administration ofT3
with aldosteronetothe
hypothyroid
ratsappeared
toincrease the sodiumfluxes,
the
change
wasnotsignificant.
The increase ofpotassium
secretion was,however,
significant
as was the increase of thep.d.
(P<0-02).
Moreover,
thep.d.
becamelargely
amiloride-sensitive as shownby
further
experiments
onthreehypothyroid
ratstreatedwith
T3
in which thep.d.
fell from 44+7mV to5 +1mV when amiloride was added to the luminal
solution.
-le
— 60- 30-0-1 -30—1 15- 0-C 200- 150-C — t/5 100- 50-i
1
: . : Amil 3Hypothyroid
Amil Normalfigure3.Sodium
lumen-to-plasma fluxes,
potassium
secretion and
transepithelial
electricalpotential
difference(p.d.)
inthe distalcolon of normal andhypothyroid
ratstreated with aldosterone for 3
days
and measuredwithamiloride(100pmol/l)in thelumen(Amil).A groupof
hypothyroid
ratswasalso treated for 3days
withtri-iodothyronine (T3).
The shadedportion
of the totallumen-to-plasma
sodium flux indicates the transcellularcomponent. Valuesare means+s.e.m.;therewerefourratsineachgroup.*P<005, ***/><0001,
adjacent
columnscompared;
**p<002,
T3-treated
hypothyroid compared
with untreatedhypothyroid
rats(two-tailedStudent'si-test).Changes
in thesodiumtransport
pool
The sodium
transport
pool,
determinedfrom the22Na
content of the
epithelial scrapings following
10-minluminalexposuretoa
22Na-containing
solution ofhigh
specific activity,
wasrecorded in thevariously
treatedgroups
(Table 1).
Inthe normalrats,aldosteronetreat¬ mentproduced
asignificant (. <0 1)
increase in the sodiumtransport
pool.
Inthe untreated
hypothyroid
rats,thepool
wasalsoexpanded
(P
<0-02)
by comparison
with the untreated normal rats but was notsignificantly
affectedby
aldosterone.Furthermore,
amiloride did not reduce the sodiumtransport
pool
inthe aldosterone-treatedtable1. Effect ofvarious
procedures
ontheepithelial
sodiumtransport
pool
innormal andhypothyroid
rats. Valuesare means+s.e.m.;therewerefourratsineachgroupSodiumtransportpool(nmol/mgdry wt)
Normal Hypothyroid Treatment None 2-9+0-2 5-0±l-l Aldosterone 4-2+0-3 3-3+0-3 Aldosterone +amiloride 0-6+01 2-3+0-6 Aldosterone +T, 6-0+0-7
Aldosteronewasgivenfor 3daysat50µ§^ per 100 gbodywt.
Amiloridewasin the lumenataconcentration of 100µ / .
Tjwasgivenfor 3daysat1µg/dayper 100 gbodywt.
effect onaldosterone-treated normalratsin whichthe sodium
transport
pool
wasmuch reduced(P<0001).
Finally,
in thehypothyroid
rats treated withT3
andaldosterone,
the sodiumtransport
pool
wasgreater
than either that observed in the normalrats
(P<005)
or in the
hypothyroid
rats treated with aldosteronealone
(P<
0025).
DISCUSSION
In the rat distal
colon,
thepotassium
secretion rateincreases when theanimaltakesa
potassium-rich
diet(Fisher
etal.1976)
andthereisanenhancedresponsetoanacute
potassium
load(Edmonds
&Willis,
1988).
The
present
resultsshowedthat the colonieadaptation
to
potassium
intake,
like that to restricted sodiumintake
(Edmonds, Thompson
&Marriott,
1970)
wasimpaired
inhypothyroidism.
Bothadaptation
tosodium
restriction andpotassium
excessdepend
onaldosterone
(Edmonds
&Marriott, 1969;
Fosteretal.1985)
and ourexperiments
in which aldosterone was administeredchronically by
osmoticminipumps
showed that the action of
aldosterone
on coloniesodium and
potassium
transport wasconsiderably
impaired
inhypothyroid
animals.Aldosterone in
influencing
sodium andpotassium
movements affects both
apical
and basolateral mem¬branes of the
epithelial
cells.The earliestchanges,
welldeveloped
withinafewhoursof stimulation(Clauss
&Skadhauge,
1988)
involve alteration in sodium andpotassium
selectivepathways
in theapical
membrane. Sodium diffusionchannels,
which can be blockedby
amiloride at low concentration
(100 pmol/1),
appearand the amiloride-insensitive sodium
pathway, by
which sodium is absorbed in theunstimulated epi¬
thelium,
issuppressed (Will
et al.1980;
Edmonds &Mackenzie,
1987).
Associated with thischange
isariseof the
transepithelial
p.d.
andof the active transcellularsodium flux
together
withasmall increase in the intra¬cellular sodium transport
pool.
All theseeffects werefound to be
impaired
in thehypothyroid
rats. Therelatively
small effect ofamiloride
inthe aldosterone-treatedhypothyroid
rats showed that the amiloride-sensitive sodiumpathway
wasonly partly
induced andthe amiloride-insensitive sodium
pathway
was littlereduced
despite
thehigh
rate ofaldosterone
adminis¬ tration. Transcellular sodiumtransport
wasmuch lessincreased
by
aldosterone than in the intactrats,while thetransepithelial p.d.
wasnotincreased,
reflecting
the low level of induction of sodium diffusionchannels in theapical
membrane.In addition to
changes
in theapical
membrane,
changes
in theplasma
Na,K-ATPase
activity
of the basolateral membrane will also influence sodiumtransport. Thus variations in the intracellular sodium
transport
pool
would beexpected
todepend
on thecombined effects of
changes
in theapical
and baso¬ lateral membrane. Previous workhas,
however,
shown that alterations in the sodiumtransport
pool
arerela¬tively
smallor evenundetectabledespite
considerablechanges
intransepithelial
sodiumabsorption (Eaton,
1981;
Edmonds &Mackenzie, 1987;
Krattenmacher &Clauss, 1988)
indicating
some mechanism ofco¬ordinating apical
inflow and basolateral outflow of sodium. Thepresent
measurements were in accordwith these
previous
observationsshowing
ingeneral
only
smallchanges
in the sodiumtransport
pool.
Inthe
hypothyroid
rats,however,
there did appear tobe a small
expansion
of thepool possibly reflecting
reduction in basolateral membrane
Na,K-ATPase
previously
demonstrated in both renal and colonieepithelium (Thompson
&Edmonds,
1974;
Ismail-Beigi
&Edelman,
1977).
The moststriking finding,
however,
was in the effect of amiloride which almostabolished the
pool
in the aldosterone-treated normal ratsbut hadrelatively
little effect in thealdosterone-treated
hypothyroid
rats. Thisfinding
wasconsistentwith the results of the sodium flux and
p.d.
measure¬ments in
indicating
that,
inhypothyroid
rats,aldosteronewas much less effective both in
inducing
amiloride-sensitive and in
suppressing
the amiloride-insensitivepathways
of theapical
membrane.The administration of
T3
over3days
seemedprin¬
cipally
to influence events in theapical
membrane whichregained
the characteristics found in thealdosterone-treated normalrats;
namely,
considerable elevation of thetransepithelial p.d.
andsensitivity
of thep.d.
amiloride. The sodiumtransport
pool
remained, however,
relatively
elevated,
suggesting
that,
despite
therecovery of theapical
membrane,
thebasolateral
Na,K-ATPase
hadnotfully
recovered. Inthecaseof
potassium
secretion,
the deficientresponseto aldosterone in the
hypothyroid
rats wascorrectedprobably depends largely
onaugmentation
of thepotassium
channels in theapical
membrane(Wills
&Biagi,
1982;
Sandle et al.1985; Binder,
McGlone &Sandle,
1989),
this recoverypresumably
also indicateda
relatively rapid
restoration oftheapical
membraneresponseto
aldosterone.
Precisely
howthyroid
hormones influence the action ofaldosterone was not defined in the presentstudies.Several
possibilities
exist. Aldosteronerequires
specific cytosol
receptors for mediation of its inter¬ action with the nucleus and thesemay be affectedby
hypothyroidism.
Moreover,
aldosterone andthyroid
hormones appear to have theirprimary
action on the genome(Rossier,
Paccolat,
Verrey
et al.1985;
Oppenheimer,
Schwartz,
Mariash et al.1987)
andrecent work has shown that the steroid and
thyroid
hormonereceptorswhich bindtoDNAhaveacommonstructure
(Evans, 1988).
These observations suggest that the interaction betweenthyroid
hormones and aldosteronemaywell beatthegenomeitself.REFERENCES
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transport.JournalofPhysiology
410,425^42.
Botella, J., Paris,J. &Lahlou,B.(1986).Steroidregulationof
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19-nor-progestagen.JournalofEndocrinology110,37-41.
Charney,A.N., Silva,P.,Besarab,A. &Epstein,F.H.(1974).
Separateeffects ofaldosterone,DOCA andmethylprednisolone
onrenal Na-K-ATPase.AmericanJournalofPhysiology227,
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