We have characterized the effects of
hypoxia on
carnitine metabolism in proximal tubules.
Hypoxia for 10 minutes resulted in a significant increase in the mass of long chain acylcarnitines (LCAC) (control 53 +/- 20 vs.
hypoxia 118 +/- 38 pmol. mg-1
protein). Since LCAC are proximal metabolites in the beta-oxidation of
fatty acids, these data suggest that inhibition of
fatty acid oxidation occurs during
hypoxia in the proximal tubule. In addition to LCAC accumulation,
hypoxia resulted in a significant increase in the mass of
lysoplasmenylcholine LPLasCho (control 62 +/- 15 pmol/mg vs. 20 min
hypoxia 146 +/- 21 pmol/mg
protein, N = 4) and also in increases in the mass of monoacyl LPC (control 122 +/- 24 pmol/mg
protein vs. 283 +/- 35 pmol/mg
protein after 40 min of
hypoxia). We tested the possibility that these compounds that accumulate during
hypoxia could inhibit proximal tubule Na+, K(+)-
ATPase. LPC, LPlasC, and LCAC inhibited proximal tubule
nystatin-stimulated oxygen consumption (QO2) and proximal tubule Na+, K(+)-
ATPase activity in a dose-dependent manner. In addition, LPC, LPlasC, and LCAC directly inhibited' (65%, 80%, and 60%, respectively) Na+, K(+)-
ATPase activity purified from kidney cortex at similar concentrations at which they accumulate during
hypoxia (above 25 microM). The present data suggest that amphiphile accumulation may have a potential pathophysiologic role in the proximal tubule during renal
ischemia.