Response to hypertonicity in mesothelial cells: role of Na+/myo-inositol co-transporter.

Background. During peritoneal dialysis, the peritoneal mesothelium is exposed continually to hypertonic dialysates. The purpose of this study is to see if rat mesothelial cells have an osmoregulatory mechanism to adapt to hypertonic environment. Methods. The intracellular content of organic osmolytes was measured by HPLC methods. Myo-inositol transport activity was measured by Na + -dependent uptake of [ 3 H]myo-inositol, mRNA abundance for the Na + /myo-inositol co-transporter (SMIT) was examined by Northern and slot-blot analyses. Results. In isotonic mesothelial cells, only myo-inositol could be detected. After switching to hypertonic medium made by addition of NaCI, myo-inositol content gradually increased and peaked at 48 h after the switch. The myo-inositol content in hypertonic cells increased > 7-fold over the value in isotonic cells. The contents of betaine and glycerophosphorylcholine (GPC) also increased but were less than that of myo-inositol. Sorbitol was not accumulated in this condition. When glucose was used to increase medium osmolality, all of the four osmolytes were increased by hypertonicity (myo-inositol > sorbitol >GPC> betaine). Thus, myo-inositol is the most abundant osmolyte in the mesothelial cells. Na + -dependent myo-inositol uptake in hypertonic cells was ∼ 7-fold the uptake in isotonic cells, reaching a maximum 16 h after switching to a hypertonic medium. The uptake rate increased as medium osmolality increased from 300 to 500 mosm/kg. SMIT mRNA rapidly increased after increasing medium osmolality, reaching a maximum 8 h after the switch. The relative increase in the mRNA abundance was ∼1 times isotonic levels. Conclusions. Mesothelial cells respond to extracellular hypertonicity by increasing SMIT mRNA abundance, myo-inositol transport activity and accumulating myo-inositol into the cells.