Adaptation of the medullary thick ascending limb to dietary protein intake

Since the renal growth response to a high-protein diet is characterized by prominent hypertrophy of the medullary thick ascending limb of Henle's loop (MTAL), the functional and metabolic adaptations of this nephron segment to dietary protein were investigated. MTAL suspensions were obtained from rats fed equal amounts of isocaloric food containing either 10% (LP) or 32% (HP) casein for 4-6 weeks. The results show that intact MTAL of HP rats exhibit a blunted respiration rate, sodium pump activity, hormone-sensitive cAMP production and leucine oxidation rate in comparison with those of LP rats. On the other hand, adenylate cyclase and leucine transaminase activities, measured on permeabilized or homogenized MTAL, are enhanced by a HP diet. We conclude that the MTAL adapts to high dietary protein by increasing its maximal enzyme activities, but certain factors, present in intact cells, limit transport and metabolism in HP- more than in LP-fed rats. This reduced function per unit MTAL protein in HP rats is more than compensated for by hypertrophy of the MTAL tissue mass.