Decreased lithium disposition to cerebrospinal fluid in rats with glycerol-induced acute renal failure

Rie Sakae, Atsuko Ishikawa, Tomoko Niso, Yukiko Komori, Tetsuya Aiba, Hiromu Kawasaki, Yuji Kurosaki

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)


Purpose. The lithium disposition to cerebrospinal fluid (CSF) was evaluated in rats with acute renal failure (ARF) to examine whether electrolyte homeostasis of the CSF is perturbed by kidney dysfunction. In addition, the effects of renal failure on choroid plexial expressions of the Na +-K+-2Cl- co-transporter (NKCC1) and Na +/H+ exchanger (NHE1) were also studied. Methods. After lithium was intravenously administered at a dose of 4 mmol/kg, its concentration profile in plasma was evaluated by collecting plasma specimens, while that in CSF was monitored with a microdialysis probe in the lateral ventricles. NKCC1 and NHE1 expressions were measured via the Western immunoblot method using membrane specimens prepared from the choroid plexus in normal and ARF rats. Results. The lithium concentration in CSF of ARF rats was 30% lower than that of normal rats, while their plasma lithium profiles were almost the same, indicating that the lithium disposition to CSF was decreased in ARF rats. It was revealed that the choroid plexial expression of NKCC1 was increased by 40% in ARF rats, but that of NHE1 was unchanged. Conclusion. ARF decreases the lithium disposition to CSF, possibly by promoting lithium efflux from CSF due to increased NKCC1 expression in the choroid plexus.

Original languageEnglish
Pages (from-to)2243-2249
Number of pages7
JournalPharmaceutical research
Issue number10
Publication statusPublished - Oct 2008


  • Acute renal failure
  • Cerebrospinal fluid (CSF)
  • Choroid plexus
  • Lithium
  • Na-K-2Cl co-transporter (NKCC1)

ASJC Scopus subject areas

  • Biotechnology
  • Molecular Medicine
  • Pharmacology
  • Pharmaceutical Science
  • Organic Chemistry
  • Pharmacology (medical)


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