Experiments were carried out in the intact functioning rat kidney to study the effect of
valproate (VPA), a widely used
antiepileptic drug and an hyperammonemic agent, but usually without clinical relevance, and of two of its metabolites,
sodium 2-propyl-4-pentenoate (4-en-VPA) and
sodium 2-propyl-2-pentenoate (2-en-VPA), on the renal production of
ammonia and on the renal uptake of
glutamine,
glutamate and of inhibitors of renal ammoniagenesis; mainly
lactate,
fatty acids,
ketone bodies and
alpha-ketoglutarate. Administration of VPA and
4-en-VPA stimulated the uptake of
glutamine and
glutamate and the production of
ammonia by the rat kidney, resulting in an increase in the renal venous release of
ammonia and in a
hyperammonemia. By contrast, no
hyperammonemia was observed after the administration of 2-en-VPA which stimulated renal ammoniagenesis to a lesser extent than VPA and
4-en-VPA, resulting in no stimulation of the renal venous release of
ammonia. The three compounds tested caused, in a qualitatively different but, in terms of substrate carbons, in a quantitatively similar manner, a significant diminution of the renal uptake of
fatty acids,
ketone bodies and
alpha-ketoglutarate. These results suggest that, in the rat kidney, VPA,
4-en-VPA and 2-en-VPA stimulate the production of
ammonia at least in part by reducing the renal uptake and metabolism of ammoniagenesis inhibitors; the more potent stimulation of renal ammoniagenesis caused by VPA and
4-en-VPA also suggest that these compounds exert their stimulatory effect by an additional mechanism.