Lithium Substitution and the Distribution of Sodium in the Rat Tail Artery By Sydney M. Friedman Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 ABSTRACT The exchange of lithium (Li) with sodium (Na) was explored in an effort to quantify cellular Na in the rat tail artery. Two phases of cellular Na were demonstrated by the kinetics of exchange at 37°C. Cellular Na, was rapidly lost following cell disruption and increased in proportion to potassium (K) loss during conventional Na enrichment in a Kfree medium. Cooling to 2°C almost abolished the transmembrane movement of Li; therefore, a simple 30-minute incubation in cold Li medium removed extracellular but not cellular Na. To prove that the residual Na after such a wash in cold Li was cellular, we demonstrated that Na exchanges readily with Li even at 2°C after cells are disrupted, increases slowly in proportion to K loss during prolonged cooling, and increases rapidly in a precise one-to-one ratio with K loss when active Na transport is stopped by incubation in a K-free medium. Cellular Na in the normal artery was about 20-25 mmoles/kg dry weight when cellular K was about 225 mmolesAg dry weight. In arteries from rats with deoxycorticosterone acetate-induced hypertension of 8 weeks duration, a 13% fall in cellular K was balanced one to one by an increase in cellular Na. KEY WORDS vascular smooth muscle potassium deoxycorticosterone vascular cations hypertension • An understanding of the role of sodium (Na) in the regulation of vascular smooth muscle tension depends largely on reasonable measurements of intracellular Na. Although reciprocal movements of Na and potassium (K) have been observed in association with acute vasoconstriction (1,2), it is difficult to make equally definite statements about the steady-state conditions of sustained hypertension. Accurate estimates of cellular Na are also basic to the interpretation of electrophysiological measurements. There is, as yet, no simple way to differentiate cellular from extracellular phases of Na in vascular tissue. All of the methods applied to the problem so far have been indirect; they are based on the use of a marker to measure free extracellular fluid volume so that the Na which it contains can be subtracted from the measured total in the tissue (3). An analysis of isotope washout curves subdivides the remaining Na into extracellular and intracellular components. This method is capable of considerable precision but depends, in the last analysis, on the acceptability of the extracellular fluid volume measurements (4, 5). From the Department of Anatomy, The University of British Columbia, Vancouver, Canada. This work was supported by grants from the Medical Research Council of Canada and the British Columbia Heart Foundation. Received May 25, 1973. Accepted for publication November 14, 1973. 168 blood vessels Ion exchange procedures offer, at least theoretically, the possibility of a direct approach to the definition of Na distribution that is independent of the vagaries of the free fluid volume. Palaty et al. (6) used this principle in a limited way to examine Na binding in the arterial wall. It is possible, however, to differentiate cellular Na from all noncellular components, provided a substitute monovalent ion acceptable to the paracellular matrix as an exchanger and relatively restricted in its entrance to the cell is available. Lithium (Li) is an obvious choice, because the affinity of chondroitin sulfate, a reasonable representative of the polyanionic gel of blood vessels (7), is slightly greater for Li than it is for Na throughout the physiological range (8). Therefore, we studied Li substitution in the rat tail artery. A simple method for measuring cellular Na and the basic measurements in the tail artery of normal and hypertensive rats are presented. Methods The physiological salt solutions listed in Table 1 were based on normal Krebs solution as it has been modified by Palaty (9). No difficulties developed when Li was substituted for Na in these solutions except when the removal of K necessitated the reintroduction of a trace amount of Na to preserve buffering capacity. Adult male albino rats weighing 300-400 g were anesthetized with sodium pentobarbital (50 mg/kg, ip). The ventral tail artery, weighing 20-30 mg, was excised and halved; each half was separately incubated in aerated physiological salt solution for 45-60 minutes. Any Circulation Research, VoL XXXIV, February 1974 169 Li EXCHANGE FOR Na AND K IN SMALL ARTERY TABLE 1 Millimolar Composition of Physiological Salt Solutions Normal physiological salt solution K-free solution Li-substituted solution K-free, Li-substituted solution Na K Ca Mg Cl HCO 3 HPO4 141.2 5 1.7 1.2 123.4 25 1.2 1.7 1.7 1.7 1.2 1.2 1.2 123.4 123.4 123.4 25 5 1.2 1.2 1.2 146.2 1.2 Li CO 3 Glucose 11 141.2 141.2 25 25 11 11 11 All solutions were aerated with 95% O2-5% CO2, and they had a pH of 7.4 ± 0.1 at 37° C. Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 traces of blood remaining in the lumen of the artery were removed at the end of this period before incubation was continued for another hour in fresh medium. Samples were then transferred to stoppered test tubes filled with K-free medium and refrigerated overnight at 3°C. The next morning, the arteries were transferred to continuously aerated physiological salt solution at 37°C, and the preparatory phase was completed with incubation for 3 hours at 37°C with a change to fresh medium after 1.5 hours. With this procedure, recommended by Jones and his associates (5, 10), the smooth muscle cells consistently reaccumulated high levels of K. The artery was then incubated in the experimental bathing solution as specified. At the end of the experimental incubation, the artery was blotted gently on filter paper, weighed in a stoppered glass weighing bottle, dried to a constant weight, and extracted for 7 days with 0.75M HNO3. Na, K, and Li were determined in the extract by an atomic absorption spectrophotometer with the usual precautions (11). Results are expressed as means ± SE in terms of mmoles/ kg dry weight unless noted otherwise. a continuous slow gain which was apparently inverse to the K loss, because its rate of approach to its limit was described by the same rate constant. The Li values were more variable than the K values, however, because they were greatly affected by small variations in the amount of water left clinging to the tissue after incubation. This finding suggests that Li enters cells continuously throughout the incubation, at first in exchange for Na and then, when active transport stops, mainly in exchange for K. If so, then the zero intercept of 263 mmoles/kg dry weight obtained for K loss could represent the initial value of cellular Na plus K. According to this interpretation, most of the extracellular Na, both free and site bound, is removed within a few minutes of exposure of the tissue to the Li-substituted medium; this process occurred too quickly at 37°C to allow subdivision of the ex- Results Na. K. AND Li EXCHANGES DURING LI SUBSTITUTION AT 37'C The changes in tissue cation composition observed when arteries were transferred from a normal medium to a medium in which Li replaced Na are shown in Figure 1. No loss of K was observed during the first 20 minutes of incubation, suggesting that active Na extrusion was maintained to this point. This observation was confirmed by the immediate K loss in artery samples incubated with 1 mM ouabain beginning in the last 15 minutes of preliminary incubation in normal medium and continuing for a subsequent 30 minutes after Li substitution. The loss of K can be described by a single exponential with a rate constant of -0.007 ± 0.0002/min and a zero intercept of 263 ± 7 mmoles/kg dry weight. Contrary to the observation with K, there was no apparent initial pause in the continuity of the curve describing Li uptake after the first 6 minutes of exposure. A very rapid initial uptake was followed by Circulation Researdi. Vol. XXXIV, February 1974 •As. ISO 540 FIGURE 1 Whole artery Na, K, and Li during incubation in Li medium (solid symbols) or in Li medium with 1 mM ouabain (open symbols) at 37°C. Each point is the average of six samples. The curve for K was fitted to a single exponential by the leastsquares method. The curve for Li was drawn as a mirror copy of that for K. SE is indicated by vertical lines when it exceeds symbol size. 170 FRIEDMAN Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 tracellular phases. The small amount of Na remaining after the initial rapid exchange with Li and tentatively identified as cellular is considered in greater detail in Figure 2. Two components could be differentiated: a very slow component that left at — 0.002/min from an initial value of 6 ± 1 mmoles/kg dry weight and a larger, fast component with a rate constant of — 0.044/min and a zero intercept of 15 ± 2 mmoles/kg dry weight. Although no great reliance can be placed on the absolute values obtained by such curve peeling, there can be little doubt that there were two phases which differed by more than a full order of magnitude. If both these phases are indeed cellular, then the faster phase might reflect a withdrawal of Na from the cytoplasm, and the slower phase might belong to membrane-limited intracellular structures such as the nucleus and the mitochondria. In total, about 21 mmoles/kg dry weight is involved. If this analysis is correct, then disruption of cell integrity should remove constraints to diffusion and permit the rapid substitution of all tissue Na with Li. Based on the experience of Friedman et al. (12) with the cell shattering that can be produced by ice crystals, alternate freezing and thawing was selected to achieve cell disruption. The residual Na in intact arteries after 7 and 10 minutes of incubation in the Li medium was compared with that in arteries dipped six times alternately into liquid nitrogen and into Li medium at 37°C during the first 2 minutes of these incubations. As shown in Figure 2, Na was almost wholly removed from the disrupted tissue even in the shorter interval. Na- EXCHANGE IN Na-ENRICHED ARTERIES DURING Li SUBSTITUTION AT 37#C Proof of the cellular location of two components of Na thus far rests on the demonstration that Li enters cells and exchanges for both, that the cell does not begin to lose K until about half of this Na is lost, and that most of both components is liberated following cell disruption. It still must be shown that the value of cellular Na so defined increases in proportion to K loss following conventional Na enrichment of cells by interruption of Na transport (13). Arteries were enriched with Na at the expense of cellular K by overnight incubation in K-free solution at 3°C following the standard procedure only to this point. The arteries were then transferred to fresh K-free medium at 37°C for a further 90-minute incubation before the start of Li substitution. They were then incubated in K-free Li-substituted medium at 37°C for varying times. To allow sufficient time to wash out extracellular Na, no samples were taken before 10 minutes. As shown in Figure 3, the dominant rate constant for Na loss was -0.051 ± 0.002/min; this value was similar to that derived earlier for the fast component of cellular Na. (The rate constant is not ap300 zoo ulOO E £ 80 Na a a> o 60 J40 Ie E a z 20 10 20 40 60 80 100 120 T i m e (min) ~~teo M O TIME (mini FIGURE 2 Enlarged logarithmic plot of the changes in Na during incuba tion in Li medium shown in Figure 1 before ( • ) and after (a cell disruption. Each point is the average of six samples, SE is in dicated by vertical lines. FIGURE 3 Whole artery Na during incubation in K-free Li-substituted medium at 37°C following overnight Na enrichment in K-free medium at 3°C. The curve was fitted to a single exponential by the least-squares method. Each point is the average of six samples, SE is indicated by vertical lines. Circulation Research, Vol. XXXIV, February 1974 Li EXCHANGE FOR Na AND K IN SMALL ARTERY preciably affected by introducing weighting for variance into the analysis.) A slow component, almost twice as large as that previously defined, was also observed. The initial value given by the zero intercept was 287 ± 16 mmoles/kg dry weight; this value was not significantly different from the original estimate of 263 ± 7 mmoles/kg dry weight for the sum of Na plus K in cells. Therefore, it must be concluded that these phases of Na are cellular. Also, the Na loss in this experiment was exactly balanced by the Li uptake. H«, K, AND LI EXCHANGES DURING U SUBSTITUTION AT 2*C soo ..••-• 400 <_ 300 * \200 S E c " 100 Ion COi Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 In these experiments, the exchange of extracellular Na with Li was too fast to permit identification of more than a single phase, although there must be at least two. Even the cellular exchange was too fast to permit accurate measurement of cellular Na without multiple data points. A study of Li exchanges at low temperature was accordingly undertaken in the expectation of reducing the transmembrane exchange rates for Na and Li (5, 14, 15). All of the monovalent cation exchanges were greatly slowed at 2°C (Fig. 4). Although the bulk exchange of Li for Na was sufficiently slowed from that observed at 37CC to indicate more than one phase, it was still substantially complete at 30 50 i 1 t W ,11 i Li • K j v 1 — k'-OOeShr"1 .11 \ Na * "~~-~-_ k- -0.042 hr"1 20 40 60 Time (mm) 1080 FIGURE 4 Whole artery Na, K, and Li during incubation in Li medium at 2°C. Each point is the average of six samples. S£ is indicated by vertical lines when it exceeds symbol size. Circulation Remrch, VoL XXXIV, February 1974 minutes. By this time, 370 mmoles/kg dry weight of Na had been lost from the tissue. This value compares well with the value for extracellular Na previously calculated as 360 mmoles/kg dry weight at 37CC. The measured residual Na of 25 mmoles/kg dry weight is close to the 21 mmoles/kg dry weight previously identified as cellular Na at 37°C. No significant further loss of Na or K or gain of Li was recorded in the first hour of Li incubation, showing that only a negligibly small amount of Li could have crossed the cell membrane in this time. The continuing slow rate of cellular K loss during immersion in the Li medium at 2°C calculated as a single exponential for the interval between 1 and 18 hours was -0.065/hour, and that for Na was —0.042/hour. The Li gain occurring over this very long period and corrected for the variation in total water was almost exactly equal to the loss of Na plusK. Therefore, it seems that Li exchanges only exceedingly slowly with cellular Na at low temperature so that a wash of the tissue for about 30 minutes in Li medium at 2°C removes extracellular Na and leaves behind cellular Na. If this phenomenon can be proved, low-temperature Li substitution provides a direct, simple way to evaluate cellular Na. Two methods were used to establish that the residual Na was indeed cellular: cell disruption and cellular Na enrichment. In the first experiment, tissues were cooled to 2° C for 1-4 hours in normal medium. At the end of the cooling period, each sample was rapidly transferred to the Li medium at 2°C for 30 minutes. Prolonged cooling in normal medium was expected to produce a slow loss of cellular K and a slow gain of cellular Na which would then be measured by washing out extracellular Na with the cold Li medium. To examine the possibility that only extracellular Na is exchanged in 30 minutes of incubation at 2°C, a group of tissues was disrupted by alternate freezing and thawing in the first 2 minutes of exposure to the Li medium. The total time during which the tissue was thawed in this procedure was well under 30 seconds. As shown in Figure 5, plotted simply rather than logarithmically because of the small changes involved, cellular Na increased at the expense of K over the 4-hour period. The ratio of exchange was less than one to one, but the variability of the K values rather than that of the Na values precluded a decision on this point. A significant increase in cellular Na was measured when only a 10% K loss had been reached. When the cells were disrupted 172 FRIEDMAN 240 240 200 I60 ; 220 E <- I 20 o.2IO £200 £• 190 ^ 180 \I7O 80 | Na 160 ^ Na. 140 120 Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 100 I20 ISO 240 60 Time (min) 20 60 FIGURE 5 Cellular Na and K during incubation in normal medium at 2°C as measured after a 30-minute wash in Li-substituted medium to remove extracellular Na (solid symbols) and after cell disruption (open symbols). Each point is the average of eleven samples, SE is indicated by vertical lines when it exceeds symbol size. 120 180 240 120 180 240 240 200 160 by the freeze-thaw technique, both cellular Na and K were readily washed out of the tissue even at 2°C. This experiment showed, then, the lower limit of usefulness of the method. To examine the upper limit, the time course of Na enrichment of cells in K-free medium was followed. Tissues were incubated for 1-4 hours in K-free medium at 37°C, and immediately following this incubation they were rapidly transferred to Li medium at 2°C for 30 minutes. During the 4-hour period, cells gained Na in a one to one relation to their loss of K (Fig. 6). The rate of K loss could be accurately expressed as a single exponential with a rate constant of -0.0090 ± 0.0003/min and a zero intercept of 263 ± 3 mmoles/kg dry weight. The same function described the Na gain almost as well. As shown in Table 2, the one-to-one exchange ratio was apparent in simple terms, since the loss of K of 211 mmoles/kg dry weight in the 4-hour period was almost exactly balanced by a gain of 196 mmoles/kg dry weight of Na. Furthermore, the value of cellular Na plus K at 4 hours was not significantly different from the value measured initially. To determine that the rate of exchange of cell cations 5'20 S IOO VI u E 80 o 60 o 40 E * 20 10 60 T i m e (min) FIGURE 6 A: Cellular Na during incubation in K-free medium at 37°C. B: Tissue K taken as cellular K. Extracellular Na was removed by a 30-minute wash in Li-substituted medium at 2"C. Curves were fitted to single exponentials by the least-squares method. Each point is the average of eleven samples, SE is indicated by vertical lines when it exceeds symbol size. with Li at 2CC was not changed by the experiment, ion values at 4 hours were measured after 30 Circulation Researdi, Vol. XXXIV, February 1974 173 Li EXCHANGE FOR Na AND K IN SMALL ARTERY TABLE 2 Cell Monovalent Cation Balance in Rat Tail Artery Incubated in K-Free Physiological Salt Solution Incubation (minutes) 2°C Li wash (minutes) Na, (mmoles/kg drywt) K, (mmoles/kg drywt) (Na + K), (mmoles/kg drywt) Lit (mmoles/kg drywt) H2O (liters/kg drywt) 0 240 240 30 30 60 30 20.8 ± 0.6 217 ± 7 217 ± 4 228 ± 7 17.2 ± 0.5 20.3 ± 1.0 -211 249 ± 7 234 ± 7 237 ± 10 353 ± 6 348 ± 7 367 -± 4 3.32 ± 0.04 3.27 ±0.05 3.39 ±0.06 Change 196 Six rats were tested for each incubation period. Nai - residual Na after cold Li wash, K, = total K less 7 mmoles in extracellular water, and Lit = total Li. Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 pense of K was observed in the incubated arteries from the hypertensive rats. The cellular location of most, if not all, of this change was indicated not only by the constancy of the sum of Na and K, but also by the uniform uptake of Li during the wash at 2°C in both groups; therefore, the sum of monovalent ions was the same in both groups. As usual, the K values in fresh arteries were moderately higher than those in incubated vessels (5,13). An increase in tissue Na and a tendency to a decrease in K were apparent in this experiment. minutes of washing in cold Li-substituted physiological salt solution and again after 60 minutes. There was no significant difference between the two sets of measurements. CELLULAR Na AND K IN THE TAIL ARTERY OF NORMAL AND HYPERTENSIVE RATS Because the Na remaining in the artery after a simple wash in cold Li medium for 30 minutes had been identified as cellular, a basic comparison of arteries from normal and hypertensive rats was undertaken. Hypertension was induced by five injections of deoxycorticosterone acetate (DOCA) (12.5 mg/kg, sc) administered at 3-day intervals and reinforced by 1% saline as drinking water. The rats had been under treatment for 8 weeks at the time of study. The results are presented in Table 3 with total Na and K values measured in fresh arteries from two similar groups of rats in separate parallel experiments. For these investigations, the tail artery was rapidly but gently excised (less than 30 seconds) and taken for processing without any liquid immersion stage. A significant enrichment of cellular Na at the ex- Discussion In general, the identification of cellular Na in these experiments depended on the demonstration that the Na was constrained by a diffusion barrier from free exchange with Li, that it shared this phase with K, that the barrier could be removed by cell disruption, and finally, that the amount of this phase was metabolically regulated. On these principles, two components of cellular Na were identified by Li exchange at 37°C. At 2°C the rate of Li exchange with cell cations was so slowed that it was possible to choose a time of exposure sufficiently TABLES Comparison of Cellular Na and Whole Tissue Na in Arteries from Normal and Hypertensive Rats Method Group 2° C Li, physio- Normal (9) logical salt solution (30 Hypertenminutes) sive (9) Fresh Normal (8) Hypertensive (8) Blood pressure (mm Hg) Na K° Na + K (mmoles/kg (mmoles/kg drywt) drywt) H2O (liter/kg drywt) Na + K + LI (mmoles/kg drywt) Systolic Diastollc 142 ± 2 86 ± 2 20.5 ± 1.1 218 ± 5 238 ± 6 3.29 ± 0.04 605 ± 5 199.± 2t 124 ± 4 135 ± It 72 ± 4 52.1 ± 1.8t 189 ± 2t 241 ± 3 3.29 ± 0.05 602 ± 10 336 ± 6 242 ± 4 197 ± 7t 123 ± 6t 382 ± 5t 228 ± 6 °K = total tissue ion not corrected for extracellular fluid content. tP<0.02. Circulation Research, VoL XXXIV, February 1974 174 Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 long to complete the ion exchange process in the unrestricted extracellular phase and yet sufficiently short to preclude significant cell exchange. Several important principles resulted from these observations. First, simple incubation of the rat tail artery for 30 minutes at 2°C in a physiological salt solution in which Na is replaced by Li washes out extracellular Na and provides a ready measure of cellular Na. Second, because this process involves ion substitution, the sum of cations in an experiment must remain constant within the limits of experimental accuracy. Where Na, Li, and K are the bulk cations, Mg and Ca can usually be neglected in drawing up the cation balance sheet. Third, as long as the cell membrane is not crossed by Li at 2°C, the sum of cellular Na and K will remain constant; conversely, a decrease in this sum coupled with an increase in Li indicates that the cell membrane has permitted the passage of Li despite the low temperature. To the degree that significant transmembrane Li exchange occurs at 2°C, cellular Na will be undervalued; this variable must be carefully controlled if absolute values are sought. In the first application of the method to the problems of hypertension, a decrease in cellular K of about 13% matched one to one by a gain in cellular Na was observed in established (8 week) DOCA hypertension. This observation is the first step toward an examination of the relation of transmembrane steady-state distribution of Na and K to sustained vasoconstrictive states. Before now there has been no proof that intracellular Na is in fact increased in any kind of hypertension (16). There is general agreement that, with tracer kinetics which describe the distribution of Na in arteries, at least three components can be distinguished (3). The first component exchanges very rapidly (t1/4 30-50 seconds), accounts for about 95% of the ion, is extracellular, and can be further subdivided (5,17, 18). The second component which is rather fast (^2.5-5 minutes) accounts for about 3% of the ion and is the subject of vigorous debate both as to its quantity and location. Earlier workers considered all of this component to be intracellular, although in the most recent detailed analysis it is all extracellular. All investigators agree that the third component which exchanges slowly (tiA 40-70 minutes) is cellular and accounts for about 2% of the total. The minimal values reported for cellular Na are 1.97 mmoles/kg wet weight and 2 mmoles/kg wet weight (5, 19). These low values were obtained by using strips of adventitia as the control or by using a FRIEDMAN superior marker for extracellular fluid and giving rigorous attention to diffusion kinetics (20). This value rises to 3.5 mmoles/kg wet weight in the calculations of Rorive (21) and is fourfold higher than this value in other studies (4). Some of the differences depend on the choice of marker for the extracellular water, but there are also differences in the state of the artery as well. It has repeatedly been pointed out that the transmembrane monovalent cation gradients in arterial tissue run downhill with very slight provocation; therefore, a convenient test of normality is the arterial K content. Although incubated arteries do not contain quite as much K as fresh vessels, they can certainly accumulate some 90% of the normal K complement (10, 13). If this K complement is not attained, it may be anticipated that elevated values of cellular Na will be observed. The problem of ion distribution in arterial tissue has been approached by studying the exchanges of one ion in bulk for another, either directly or indirectly (6, 22, 23). In an earlier work (6) two fractions of sodium in the arterial wall that can, by slow titration, be selectively and reversibly exchanged for other ions were quantitatively studied. These fractions are believed to be bound to the acid mucopolysaccharide-protein component of the paracellular matrix. The Li substitution procedure used in the present paper replaces extracellular Na quickly and does not permit a comparable subdivision into discrete phases. In other work (22, 23) using the substitution of Na by lactose, cellular Na was estimated to be less than 30 mmoles/kg dry weight, i.e., about 7 mmoles/kg wet weight. Although substitution of Na by a nonelectrolyte is, of course, open to the criticism that the ionic strength of the medium is grossly disturbed, the results compare well with the values for cellular Na of 20-25 mmoles/kg dry weight, i.e., 5-6 mmoles/kg wet weight, obtained by Li substitution. The small difference between this value and the lowest values obtained with radioisotopes as cited above probably reflects only the different arteries used and, to some degree, a slightly less complete restoration of the transmembrane K gradient in these small half arteries than that obtained in the whole vessel. One of the important reasons underlying the quest for firm data concerning cellular Na, apart from the study of hypertension, is the need to relate chemical activity to functional and electrical events. Therefore, the derived estimate of cellular Na in arterial tissue is usually expressed in terms of Circulation Research, Vol. XXXIV, februory 1974 175 Li EXCHANGE FOR Na AND K IN SMALL ARTERY Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 concentration. Because there is no direct way to measure cell water or make assumptions concerning its state, this procedure does not seem particularly useful. Based on our measurements with U Cinulin, cell water would be about 1.4 liters/kg dry weight and the intracellular concentration of Na would be about 14 mmoles/kg cell water. Inulin probably overestimates cell water, and not all of cellular Na can be in free solution; therefore, this estimate is at best a rough approximation. The Li substitution procedure evidently provides a very rapid, accurate estimation of cellular Na. The rat tail artery is particularly suitable for these studies since its wall thickness is only about 40/x, it is rich in smooth muscle cells, and it contains few other cell types (24). There is, however, no bar to other arteries, provided there is a reasonably short diffusion path to the smooth muscle cells. Acknowledgment hypertension of coarctation of the aorta of short duration. JClin Invest 47:1221-1229,1968. 8. SIMARD, S.J., AND FRIEDMAN, S.M.: Binding of some sodium substitutes to chondroitin sulfate. Experientia 26:834-836,1970. 9. PALATY. V.: Distribution of magnesium in the arterial wall. J Physiol (Lond) 218:353-368,1971. 10. JONES, A.W., AND KAHREMAN, G.: Ion exchange properties of 11. PALATY, V., GUSTAFSON, B.K., AND FRIEDMAN, S.M.: Role of the canine carotid artery. Biophys J 9:884-909,1969. protein-polysaccharides in hydration of the arterial wall. Can J Physiol Pharmacol 48:54-60,1970. 12. morphology in hypertensive states in the rat. Anat Rec 171:529-544,1971. 13. 16. 18. HAGEMEIJER, F., RORIVE, G., AND SCHOFFENIELS, E.: Ex- 19. change of 24Na and 42K in rat aortic smooth muscle fibers. Life Sci 4:2141-2149,1965. KEATINGE, W.R.: Sodium flux and electrical activity of arterial smooth muscle. J Physiol (Lond) 194:183-200, 1968. 20. BRADINC, A.F., AND JONES, A.W.: Distribution and kinetics and ionic distribution in the tail artery of rats. Circ Res 27:505-512,1970. regulation of vascular reactivity. In Pulmonary Circulation and Interstitial Space, edited by A. P. Fishman and H. H. Hecht. Chicago, University of Chicago Press, 1969, pp 173-186. 3. SOMLYO, A.P., AND SOMLYO, A.V.: Vascular smooth muscle: I. Normal structure, pathology, biochemistry, and biophysics. Pharmacol Rev 20:197-272,1968. 4. VILLAMIL, M.F., NACHEV. P., AND KLEEMAN, C.R.: Effect of of CoEDTA in smooth muscle, and its use as an extracellular marker. J Physiol (Lond) 200:387-401,1969. 21. RORIVE, G.: Distribution et echanges du sodium au niveau de l'aorte du rat. Arch Int Physiol Biochim 78:289-305, 1970. prolonged infusion of angiotensin II on ionic composition of the arterial wall. Am J Physiol 218:1281-1286, 1970. 22. 5. JONES, A.W., AND SWAIN, M.L.: Chemical and kinetic 23. 7. HOLLANDER, W., KRAMSCH, D.M., FARMELANT, M., AND MADOFF, I.M.: Arterial wall metabolism in experimental Circulation Research, VoL XXXIV, February 1974 FRIEDMAN, S.M., GUSTAFSON, B., AND FRIEDMAN, C.L.: Characteristics of temperature-dependent sodium exchanges in a small artery. Can J Physiol Pharmacol 46:681-685,1968. PALATY, V., GUSTAFSON, B., AND FRIEDMAN, S.M.: Sodium binding in the arterial wall. Can J Physiol Pharmacol 47:763-770,1969. FRIEDMAN, S.M., GUSTAFSON, B., HAMILTON, D., AND FRIED- MAN. C.L.: Compartments of sodium in a small artery. Can J Physiol Pharmacol 46:673-679,1968. analyses of sodium distribution in canine lingual artery. AmJ Physiol 223:1110-1118,1972. 6. GARRAHAN, F., VILLAMIL, M.F., AND ZADUNAISKY. J.A.: Sodium exchange and distribution in the arterial wall. Am J Physiol 209:955-960,1965. References FRIEDMAN, S.M., AND FRIEDMAN. C.L.: Electrolytes in the REUTER, H., BLAUSTEIN, M.P., AND HAEUSLER, G.: Na-Ca ex- change and tension development in arterial smooth muscle. Philos Trans R Soc Lond [Biol Sci] 265:87-94, 1973. 17. 2. PALATY, V., GUSTAFSON, B.K., AND FRIEDMAN, S.M.: Mainte- nance of the ionic composition of the incubated artery. Can J Physiol Pharmacol 49:106-112,1971. 14. GOODFORD, P.J.: Sodium content of the smooth muscle of the guinea-pig taenia coli. J Physiol (Lond) 163:411-422,1962. 15. STEPHENSON, E.W.: Sodium flux in the smooth muscle of frog stomach. J Gen Physiol 54:53-75,1969. I am indebted to Miss Maryette Mar for skilled technical assistance. 1. GUIGNARD, J.P., AND FRIEDMAN. S.M.: Intraluminal pressure FRIEDMAN, S.M., SCOTT, G.H., AND NAKASHIMA, M.: Vascular 24. FRIEDMAN, S.M., NAKASHIMA, M., AND MAR, M.: Morphologi- cal assessment of vasoconstriction and vascular hypertrophy in sustained hypertension in the rat. Microvasc Res 3:416-425,1971. Lithium Substitution and the Distribution of Sodium in the Rat Tail Artery SYDNEY M. FRIEDMAN Downloaded from http://circres.ahajournals.org/ by guest on June 16, 2017 Circ Res. 1974;34:168-175 doi: 10.1161/01.RES.34.2.168 Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1974 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7330. 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