Acidosis induces the appearance of vacuoles in the PT. (A) Live imaging of NAD(P)H signal in kidney slices, showing the appearance of vacuoles (arrows) in S2 segments of PTs after 1-hour incubation in pH 6.5 (n=6–7 different slices from five different animals). P<0.01 for pH 7.4 versus pH 6.5 after Mann–Whitney U test. (B) Mitochondrial NAD(P)H signal was significantly lower in PTs incubated at pH 7 for 3 hours when compared with controls. Data are presented as fluorescence intensity values after incubation in pH 7.4 or pH 7 buffer (n=19–27 PTs from five to eight kidney slices from four different animals). P<0.01 for pH 7.4 versus pH 7 after unpaired t test. Vacuoles (arrows) were also observed after 3 hours of incubation at pH 7 (n=5–8 different slices from four different animals). P<0.01 for pH 7.4 versus pH 7 after Mann–Whitney U test. (C) Blood pH and blood bicarbonate concentration, measured in animals 2, 3, 4, and 5 hours after acidosis was induced with 1.5 M NH4Cl, were significantly lower in comparison with control-treated animals (double-distilled (dd) H2O) (n=4–11 animals per group). Blood pH and bicarbonate (for all of the timepoints): P<0.01 for double-distilled (dd) H2O versus NH4Cl after unpaired t tests. (D) Antibody staining for the lysosomal marker LAMP1 and peroxisome-specific antibody PMP-70 was used to identify S1 (arrows) and S2 PT segments, respectively, in fixed kidney tissue. (E) Hematoxylin and eosin (H&E)-stained tissue 5 hours after induction of acidosis, showing vacuoles in PT segments, identified as S2 by a low LAMP1 signal. Scale bars = 20 µm. G, glomerulus.