Studies on (Na+ +K+) activated ATPase. XLI. Effects of N-ethylmaleimide on overall and partial reactions.

1. Preincubation with N-ethylmaleimide inhibits the overall activity of highly purified (Na+ +K+)-ATPase (ATP phosphohydrolase, EC 3.6.1.3) preparations of rabbit kidney outer medulla. 2. This inhibition is decreased by addition of ATP or 4-nitrophenylphosphate under non-phosphorylating conditions, and also by addition of ADP or adenylylimidodiphosphate. 3. N-ethylmaleimide treatment leads to inhibition of K+-stimulated 4-nitrophenylphosphatase activity, Na+-stimulated ATPase activity, and phosphorylation by ATP as well as by inorganic phosphate. These inhibitions strictly parallel that of the overal (Na+ +K+)-ATPase reaction. 4. N-ethylmaleimide lowers the number of sites which are phosphorylated by inorganic phosphate, without affecting the dissociation constant of the enzyme-phosphate complex. 5. N-ethylmaleimide does not affect the relative stimulation by ATP of the K+-stimulated 4-nitrophenylphosphatase activity. 6. These effects of N-ethylmaleimide can be explained as a complete loss of active enzyme, either by reaction of N-ethylmaleimide inside the active center, or by alterations in the quaternary structure through reactions outside the active center.

Isolation, identification, and analysis of 4-acetylaminophenol-glucuronide in body fluids of dialyzed renal patients; a molecular mass marker for peritoneal diffusive transport.

A noncharacteristic solute, appearing in gradient elution liquid chromatography (HPLC) profiles of body fluids of dialyzed renal patients, was isolated and identified by preparative HPLC, beta-glucuronidase induced enzymatic peak shift, and mass spectrometry. The compound was shown to be p-acetylaminophenol ('paracetamol')-glucuronide (PG). Serum and peritoneal dialysate PG concentrations were determined in a number of patients. Cuprophan in vivo dialyzer clearances were calculated. Peritoneal membrane mass transfer coefficients (MTC) of PG were calculated and compared with those of molecular mass markers for peritoneal diffusive mass transport studies (urea, creatinine, uric acid, and inulin). By extrapolation of an MTC versus molecular mass calibration line for urea, creatinine, and uric acid it is shown that PG behaves as expected from its molecular mass. We suggest that PG (Mr = 327) is suitable as a molecular mass marker for the molecular mass range between Mr 200 and 500. It may also be used as a marker for diffusive solute transport in hemodialysis treatment. The HPLC gradient elution technique used here appears to be suitable for the simultaneous analysis of the molecular mass markers creatinine, uric acid, and paracetamolglucuronide.

Screening of UV-absorbing solutes in uremic serum by reversed phase HPLC--change of blood levels in different therapies.

In order to screen UV-absorbing solutes in large numbers of uremic serum samples, an automated liquid chromatographic method was developed. The method proved to be reliable and reproducible in more than 500 analyses. HPLC separation was performed using gradient elution on a 25-cm Ultrasphere Octyl reversed phase column, with 5 microns particles. Characteristic profiles for the uremic state were obtained in the analyses of serum samples of 43 uremic patients before and just after artificial kidney treatment; hemodialysis (n = 14), hemodiafiltration (n = 13) and hemofiltration (n = 16). In these profiles 20-40 peaks were resolved of which nine were 'quantitated' by peak height relative to a standard. Of these solutes creatinine, uracil, uric acid, hypoxanthine, indoxylsulfate, tryptophan and hippuric acid were identified. The heterogeneity of the population of uremic patients, with respect to the UV-absorbing solutes, was estimated. Significant differences of solute blood level changes during hemodialysis, hemodiafiltration and hemofiltration, were observed.

Biochemical and neurophysiological parameters in hemodialyzed patients with chronic renal failure.

Serum concentrations of accumulated solutes, standard clinical biochemistry, and parameters of clinical neuropathy, were determined in hemodialyzed patients with chronic renal failure. Analyses by high-performance liquid chromatography included creatinine, pseudouridine, urate, p-hydroxyhippuric acid, hippuric acid, indoxylsulfate, tryptophan, tyrosine, 3-indoleacetic acid, and a number of as-yet unidentified solutes. Standard biochemical parameters were measured; aluminium, parathyroid hormone, serum electrolytes and enzymes, hemoglobin, bilirubin, phosphate and urea. Measures of clinical neuropathy were: maximal motor nerve conduction velocities, and Hoffmann reflex latency. Several solutes had higher concentrations when nerve function was impaired. Serum total LDH, and total calcium levels correlated positively with values of the Hoffmann reflex, as did serum hippuric acid concentrations. Concentrations of p-hydroxyhippuric acid and two fluorescent compounds correlated negatively with motor nerve conduction velocities. In principal component analysis a number of 'organic acid-like' substances, like hippuric acid and p-hydroxyhippuric acid, were shown to associate multivariately with the neurophysiological variables while urea, creatinine, urate and phosphate were not.

Chemical ionization mass spectrometry of trimethylsilylated carbohydrates and organic acids retained in uremic serum.

After appropriate sample pretreatment and derivatization, uremic serum was investigated by combined high resolution gas chromatography and mass spectrometry, using both electron impact and chemical ionization methods. Electron impact and chemical ionization spectra of a number of identified (trimethylsilylated) carbohydrates and organic acids are compared. The utilization of chemical ionization mass spectrometry, with isobutane as the reagent gas, is discussed in detail. The influence of the reagent gas pressure on the total ion current and on the spectral appearance was studied. The identification of compounds, based on electron impact mass spectral data, was confirmed and often aided appreciably by using this technique. The chemical ionization spectra of trimethylsilyated alditols and aldonic acids, as well as of other organic acids showed protonated molecular ions, whereas aldoses did not. Differences with electron impact spectra are found mainly in the high mass region. The loss of one or more trimethylsilanol groups becomes the predominating fragmentation route at higher reagent gas pressures.

Study on the analogy of gel permeation chromatography and cuprophan dialysis for the isolation of uremic 'middle molecules' using model compounds.

Selectivities of substituted nitrobenzenes in gel permeation chromatography and cuprophan membrane dialysis were compared. Glucuronide-, glucoside-, acetic acid- and lactoside-substituted p-nitrobenzenes were chosen as model compounds for so-called 'middle molecules' in uremia. It was found that there was not a single linear relationship between the substituent effects in both processes. This was because of the anomalous behaviour of the model compounds in gel permeation. A combination of adsorption and ionic rejection in the latter technique, for the various solutes, was not encountered in cuprophan membrane dialysis, which appeared to be governed only by the molecular mass or volume of the solute. Therefore, gel permeation seems to be inappropriate for the analysis or isolation for so-called middle molecules in sera of uremic patients. Dialysis or filtration on relatively inert membranes is less susceptible to anomalies.

Ultrastructural changes in hatching-gland cells of pike embryos (Esox lucius L.) and evidence for their degeneration by apoptosis.

Around hatching, when the pike embryo sheds its acellular egg envelope, marked changes occur in the cellular covering of the embryo. This cellular covering consists of a peridermal layer and a monolayered presumptive epidermis. The periderm begins to disintegrate shortly before hatching and is sloughed off in the first posthatching period. The cellular covering produces hatching enzyme, the protease that partly dissolves the zona radiata interna of the acellular envelope. By means of the peroxidase-anti-peroxidase staining method with antibodies against hatching enzyme the cells producing this enzyme (hatching gland cells, HGCs) could be identified ultrastructurally. They are interspersed as single cells between the periderm and the presumptive epidermis. The secretory cycle of the HGC was studied. Hatching enzyme is released by an exocytotic secretory process in which multiple secretion into a "secretion vacuole" predominates. Exocytosis into surrounding intercellular spaces also occurs. These results show that the HGCs are merocrine glands. The HGC also has some "holocrine nature," however, in that only a single, massive release of its secretory product occurs. The death of the transitory HGCs in posthatching stages is characterized by condensation of the cell, formation of surface protuberances and splitting up into globular cell fragments. Eventually these fragments are ingested by epidermal cells and digested. These results lead to the conclusion that the pike HGCs degenerate by apoptosis, unlike true holocrine cells.

Dopaminergic regulation of hatching in fish embryos.

Enveloped medaka embryos and denuded zebrafish embryos were exposed to agents that are known to modify the activity of dopaminergic systems. Precocious emergence of medaka embryos was found in the presence of pimozide, salsolinol, and alpha-methyl-rho-tyrosine, whereas delayed hatching occurred with bromocriptine and apomorphine. Moreover, the hatching rate in the light period of medaka eggs, exposed to a 12-hr light/12-hr dark cycle, is significantly higher than in the dark period. Precocious hatching enzyme secretion from denuded zebrafish embryos is caused by salsolinol, whereas dopamine has an opposite effect. At the same time it turned out that in controls hatching enzyme release from denuded zebrafish embryos is well correlated with hatching of enveloped zebrafish embryos. These results do not support the hypothesis proposed by several authors that hatching enzyme is solely mechanically released, but suggest a controlling influence of dopamine receptors, probably located in the developing central nervous system. Assuming a stimulating effect of prolactin on teleostean hatching enzyme secretion, the present data indicate that hypothalamic-hypophyseal tracts are functional at the time of hatching.

Caprine acrosin. Purification, characterization and proteolysis of the porcine zona pellucida.

Acrosin purified from an acidic extract of ejaculated goat spermatozoa migrated as a single 42,000-Mr band in SDS/polyacrylamide-gel electrophoresis. Reduction and alkylation of caprine acrosin produced two polypeptides, one of Mr 40,000 (heavy chain) and the other of Mr 3700 (light chain). The light chain purified by reversed-phase h.p.l.c. was a glycosylated octadecapeptide with an amino acid sequence similar to that of the N-terminal 18 residues of porcine acrosin light chain (78% positional identity). The sequence of the N-terminal 37 amino acids of purified caprine acrosin heavy chain is similar to that of porcine acrosin heavy chain (70% positional identity through 37 residues). Studies with synthetic substrates and synthetic and natural proteinase inhibitors confirmed both the specificity of the purified proteinase for Arg-Xaa and Lys-Xaa bonds and a serine-proteinase mechanism. Purified caprine acrosin hydrolysed the 90 kDa and 65 kDa components, but did not hydrolyse the 55 kDa component of the porcine zona pellucida. The action of the enzyme on the porcine zona pellucida was indistinguishable from that previously reported for porcine acrosin.

Correlation of a colorimetric and a HPLC method for the determination of serum hippuric acid concentrations in uremia.

Hippuric acid has been recognized as a potential marker of uremic toxicity in chronic renal failure. However, in most studies, serum hippuric acid concentrations have been determined by sophisticated methods, such as high-performance liquid chromatography. The present study was undertaken to evaluate whether the less complicated colorimetric determination method could replace such methods. Based on 21 different samples, the results obtained by both methods appeared to be correlated to each other in a highly significant way (total hippuric acid: r = 0.99, p less than 0.001; free hippuric acid; r = 1.00, p less than 0.001). Mean total and free hippuric acid concentrations and mean percent protein binding, obtained with both determination methods, were also identical. It is concluded that both the colorimetric method and high-performance liquid chromatography are equally reliable for the study of the concentration of hippuric acid in uremic serum and of its importance as a marker of the clinical and biochemical epiphenomena of uremic toxicity.

Effect of hemodialysis on serum concentrations of HPLC-analyzed accumulating solutes in uremia.

The concentration changes, during hemodialysis treatment, of 18 characteristic uremia compounds, analyzed by high-pressure liquid chromatography in sera of renal patients were studied. Pre- to postdialysis concentration ratios (dialysis ratio, D) varied from 0.83 to 3.04 for the different solutes. A division into three solute groups, on the basis of their D values, could be rationalized qualitatively from data on protein binding and dialyzer clearance. One group showed low dialysis ratios which could be explained from plasma protein binding. The second group had intermediate D values, comparable to those of creatinine. For some of the members of the third group, high D values might indicate a compartmentalization and resistance to mass transfer across biological membranes. Among the latter are the tubularly secreted hippuric acid and p-hydroxyhippuric acid. For most of the (protein-bound) solutes, protein binding was shown to decrease during hemodialysis. Protein binding levels were higher after dialysis only for hippuric acid and the as yet unidentified fluorescent solute designated UFK8. In conclusion, the change of serum concentrations and of protein binding resulting from hemodialysis treatment are presented and are compared for 18 accumulating solutes in sera of patients with end-stage renal failure.

Profiling of uremic serum by high-resolution gas chromatography-electron-impact, chemical ionization mass spectrometry.

A fast and reliable procedure for gas chromatographic profiling of components in ultrafiltrated uremic serum has been developed, using glass capillary columns. Sample pretreatment consists of ultrafiltration, evaporation and silylation. Some twenty components are identified by electron-impact and chemical ionization mass spectrometry. A comparison is made between profiles of sera from a series of uremic patients, before and after hemodialysis, and from non-uremic sera. Significant differences are found between these profiles. A "dialysis ratio" is introduced as a parameter for the removal of retained components by hemodialysis treatment.

Immunoreactive prolactin in the pituitary gland of cyprinodont fish at the time of hatching.

In the developing pituitary gland of embryos of the annual fish Cynolebias whitei and the medaka, Oryzias latipes, prolactin cells have been identified before hatching by means of a light-microscopic immunocytochemical method with antiserum against ovine prolactin. At the time of hatching, changes in the intensity of the immunoperoxidase staining occur. Histological staining by Cleveland and Wolfe's trichrome shows differentiation of cell types in the adenohypophysis only later in ontogeny. Our results indicate that, in teleosts, differentiated prolactin cells are present before hatching and that prolactin may be involved in the endocrine control of the hatching process.

Hatching in the teleost Oryzias latipes: limited proteolysis causes egg envelope swelling.

Homogenates of hatching gland explants were fractionated by means of different electrophoretic techniques, and the fractions analyzed for proteolytic activity and for their capacity to affect the envelope of the eggs. Agar gel electrophoresis resulted in two fractions that were able to digest the zona radiata interna, and a third fraction that caused a significant swelling of the egg envelope. All three fractions were proteolytically active. Agarose gel and polyacrylamide gel electrophoresis gave only two fractions that showed proteolytic activity and were capable of digesting the zona radiata interna. The presence of these two fractions may imply that hatching enzyme is stored as proenzyme in the hatching gland granules. Swelling of egg envelopes was also observed during envelope digestion by thermolysin, pronase, and 0.5-1.0 N NaOH. Moreover, breakdown by hatching enzyme and pepsin under suboptimal conditions showed a slight swelling of the envelope. These results demonstrate that substances capable of solubilizing the zona radiata interna may cause envelope swelling. The swelling of the envelopes probably represents an intermediate phase in the proteolysis of the zona radiata interna. The agar gel electrophoresis fraction of hatching gland homogenates that causes swelling may contain a physicochemically different form of hatching enzyme.

Ultraviolet-absorbing organic anions in uremic serum separated by capillary zone electrophoresis, and quantification of hippuric acid.

Organic anions accumulated in blood serum of patients with chronic renal failure were separated by a novel technique: closed-system capillary zone electrophoresis (CZE) in a pH6 carrier-electrolyte system. Hippuric acid (HA), p-hydroxyhippuric acid, and uric acid were identified by their co-elution with standards prepared in ultrafiltered normal serum and by comparison with the corresponding ultraviolet-detected peaks positively identified in the HPLC analyses. Analysis time for the entire profile is 8 min. Repeatabilities (CVs) of CZE migration times and peak areas of the three acids in serum samples were about 0.7% and 6%, respectively. We quantified HA in 10 ultrafiltered uremic serum samples and compared results with those by a previously described HPLC procedure. The very good agreement further supports the identification of hippuric acid. Accuracy and precision of the CZE method were similar to those for the HPLC gradient-elution method, but analysis time for HA (8 min) is much less than by HPLC (90 min). Our technique is very suitable for selective, rapid analysis for (ultraviolet-absorbing) anionic constituents in ultrafiltered uremic serum, without any sample pretreatment.

Drug protein binding in chronic renal failure: evaluation of nine drugs.

In this study, changes of protein binding of nine drugs were evaluated. In addition, theophylline and phenytoin, the two drugs with the most substantial and progressive decrease in protein binding, were further studied by high performance liquid chromatography (HPLC)-fractions of ultrafiltrate of normal and uremic serum, in an attempt to identify substances causing drug protein binding inhibition. There was a marked decline of the protein binding of theophylline, phenytoin and methotrexate (dialyzed patients vs. normals: -20.1, -16.0 and -15.1%, respectively). There was a rise in the protein binding of propranolol, cimetidine and clonidine. The changes observed for diazepam, prazosin and imipramine were less marked. For phenytoin, theophylline, methotrexate and diazepam, protein binding was inversely correlated to the serum creatinine (r = 0.87, 0.80, 0.79 and 0.67, P less than 0.001), and a less pronounced but still significant positive correlation was found for clonidine (r = 0.46, P less than 0.01). Ultrafiltrate, obtained during a hemofiltration session, inhibited protein binding of theophylline and phenytoin in a dose dependent way. After separation of this ultrafiltrate by HPLC, it appeared that for both theophylline and phenytoin at least a part of this inhibitory activity corresponded to the elution zone of hippuric acid. For theophylline two other inhibitory zones were further recognized: one corresponding to the elution zone of NaCl and one in which the responsible substance remained unidentified. Hippuric acid in solution inhibited protein binding of theophylline and phenytoin in a dose dependent way. In conclusion, protein binding of several drugs currently used in renal failure is affected in parallel with renal function, which might affect the therapeutic effectiveness of the drugs.(ABSTRACT TRUNCATED AT 250 WORDS)