The kidney regulates body fluid, ion and acid/base homeostasis through the interaction of a host of channels, transporters and pumps within specific tubule segments, specific cell types and specific plasma membrane domains. Furthermore, renal epithelial cells have adapted to function in an often unique and challenging environment that includes high medullary osmolality, acidic pHs, variable blood flow and constantly changing apical and basolateral 'bathing' solutions. In this review, we focus on selected protein trafficking events by which kidney epithelial cells regulate body fluid, ion and acid-base homeostasis in response to changes in physiological conditions. We discuss aquaporin 2 and G-protein-coupled receptors in fluid and ion balance, the vacuolar H 1 -adenosine triphosphatase (V-ATPase) and intercalated cells in acid/base regulation and acidification events in the proximal tubule degradation pathway. Finally, in view of its direct role in vesicle trafficking that we outline in this study, we propose that the V-ATPase itself should, under some circumstances, be considered a fourth category of vesicle 'coat' protein (COP), alongside clathrin, caveolin and COPs.
Trafficking of Aquaporin 2 -the Vasopressin-Responsive Water ChannelAquaporin 2 is the vasopressin (VP)-sensitive water channel that is involved in urinary concentration. After VP is released from the posterior pituitary upon an increase in plasma osmolality or decrease in volume, it interacts with the vasopressin type 2 receptor (V2R) on collecting duct principal cells, increases cyclic AMP (cAMP), induces protein kinase A (PKA) phosphorylation of AQP2 at serine 256 in the C-terminus and shifts AQP2 localization from intracellular vesicles to the plasma membrane (Figure 1) (1-3). This greatly increases epithelial water permeability and allows urinary concentration to occur by osmotic equilibration of the luminal fluid with the hypertonic interstitium. Defects in the V2R/AQP2 signaling pathway lead to nephrogenic diabetes insipidus -a disease in which over 15 L of dilute urine can be produced each day (4,5).