" /> Proximal Tubule Bicarbonate Reclamation Pathway - CISMeF





Preferred Label : Proximal Tubule Bicarbonate Reclamation Pathway;

NCIt related terms : Proximal tubule bicarbonate reclamation;

Alternative definition : KEGG: One of the major tasks of the renal proximal tubule (PT) is to secrete acid into the tubule lumen, thereby reabsorbing approximately 80% of the filtered bicarbonate (HCO3(-)), as well as generating new HCO3(-) for regulating blood pH. In the tubular lumen, filtered HCO3(-) combines with H( ) in a reaction catalyzed by CA IV. The CO2 thus produced rapidly diffuses into the tubular cells and is combined with water to produce intracellular H( ) and HCO3(-), catalyzed by soluble cytoplasmic CA II. HCO3(-) is then cotransported with Na( ) into blood via the NBC-1. The intracellular H( ) produced by CA II is secreted into the tubular lumen predominantly via the NHE-3. The PT creates the new HCO3(-) by taking glutamine and metabolizing it to two molecules each of NH4( ) and HCO3(-). The NH4( ) is excreted into the tubular lumen, and the HCO3(-), which is new HCO3(-), is returned to the blood, where it replaces the HCO3(-) lost earlier in the titration of nonvolatile acids.;

KEGG ID : hsa04964;

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11/05/2025


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