When the internal and external Na⁺ concentrations are equal, the movement of Na⁺ depends on the membrane potential:
At –50 mV: The inside of the cell is negative, and Na⁺ (a positive ion) will move into the cell.
At +50 mV: The inside of the cell is positive, and Na⁺ will move out of the cell.
At 0 mV: There is no electrical driving force, so there will be no net movement of Na⁺.
The equilibrium potential for Na⁺ can be calculated using the Nernst equation:
At physiological temperature (37°C or 310 K), it simplifies to:
If [Naₒ⁺] = 10 × [Naᵢ⁺], then:
Thus, the equilibrium potential for Na⁺ is approximately +61.5 mV.
The equilibrium potential for K⁺ can be calculated using the Nernst equation:
If [Kᵢ⁺] = 10 × [Kₒ⁺]:
Thus, the equilibrium potential for K⁺ is approximately –61.5 mV.
The membrane potential (Eₘ) can be estimated using the Goldman-Hodgkin-Katz ( GHK ) equation. If
Since (
In this case, (
Thus, Eₘ is approximately +61.5 mV.
Liddle syndrome increases the activity of epithelial sodium channels (ENaC), leading to increased Na⁺ reabsorption.
Membrane potential: Since more Na⁺ is reabsorbed, the epithelial cell luminal membrane becomes more positive (depolarized).
K⁺ secretion: A more positive membrane potential decreases the electrochemical gradient for K⁺ secretion, leading to reduced K⁺ secretion, which can cause hypokalemia (low blood K⁺ levels).