Purpose of Review
Renal potassium (K) secretion plays a key role in maintaining K homeostasis. The classic mechanism of renal K secretion is focused on the connecting tubule (CNT) and cortical collecting duct (CCD) in which K is uptaken by basolateral Na-K-ATPase and it is secreted into lumen by apical ROMK (Kir1.1) and Ca2+ –activated big conductance K channel (BK). Recently, genetic studies and animal models have indicated that inwardly rectifying K channel 4.1 (Kir4.1 or Kcnj10) in distal convoluted tubule (DCT) may play a role in the regulation of K secretion in the aldosterone-sensitive distal nephron (ASDN) by targeting NaCl cotransporter (NCC). This review summarizes recent progresses regarding the role of Kir4.1 in the regulation of NCC and K secretion.
Recent Findings
Kir4.1 is expressed in the basolateral membrane of the DCT and plays a predominant role in contributing to the basolateral K conductance and in participating in the generation of negative membrane potential. Kir4.1 is also the substrate of src-family tyrosine kinase (SFK) and the stimulation of SFK activates Kir4.1 activity in the DCT. The genetic deletion or functional inhibition of Kir4.1 depolarizes the membrane of the DCT, inhibits ste20-proline-alanine rich kinase (SPAK) and suppresses NCC activity. Moreover, the down-regulation of Kir4.1 increases ENaC expression in the collecting duct and urinary K excretion. Finally, the mice with low Kir4.1 activity in the DCT are hypomagnesemia and hypokalemia.
Summary
Recent progress in exploring the regulation and the function of Kir4.1 in the DCT strongly indicates that Kir4.1plays an important role in initiating the regulation of renal K secretion by targeting NCC and it may serves as a K sensor in the kidney.