Dietary control of the renal reabsorption and excretion of α2u-globulin

Dietary protein supply is a factor in controlling the excretion of proteins in the urine. As early as 1926, Addis, Mackay, and Mackay observed that male rats on a 69% protein diet excreted more urinary proteins than did those on a 17% diet [1]. Protein deficiency had the opposite effect, resulting in a suppression of the proteinuria [2]. Of the total urinary proteins excreted by the adult male rat, approximately 30% is a sex-dependent globulin called α2u [3,4], which is synthesized by the liver [5] and controlled synergistically by androgens and glucocorticoids [6]. Dietary protein supply also had a profound influence on the excretion of α2u [4]. On a 0% casein diet, the excretion was reduced to approximately 1 mg/24 hours compared with a normal of 10 to 15mg. On a 50% casein diet, rats excreted 30 to 50 mg/24 hours, an increase of more than 100% above the normal [4].Early studies also suggested that high protein diets exaggerated the leakage of plasma proteins caused by a spontaneous nephrotic syndrome observed in male rats [7, 8]. Rats previously castrated did not exhibit an increased excretion of urinary protein on a 50% casein diet, whereas supplementation with testosterone restored the augmented proteinuria [9]. This suggested that the elevated excretion of urinary protein was dependent on the presence of androgens. It is now known that a high-protein diet caused an increased excretion of α2u without at the same time leading to a compensatory, stimulated hepatic biosynthesis. Conceivably, the increased excretion of α2u was the consequence of an altered state of renal reabsorption [4]. The purpose of the present communication was to compare the degree of renal reabsorption under three different dietary conditions and to determine whether the kidneys controlled the urinary excretion of α2u by altering its reabsorption