Our previous studies of microperfused single proximal tubule showed that flow-dependent Na + and HCO 3 − reabsorption is due to a modulation of both NHE3 and vacuolar H + -ATPase (V-ATPase) activity. An intact actin cytoskeleton was indicated to provide a structural framework for proximal tubule cells to transmit mechanical forces and subsequently modulate cellular functions. In this study, we have used mouse proximal tubule (MPT) cells as a model to study the role of fluid shear stress (FSS) on apical NHE3 and V-ATPase and basolateral Na/K-ATPase trafficking and expression. Our hypothesis is that FSS stimulates both apical and basolateral transporter expression and trafficking, which subsequently mediates salt and volume reabsorption. We exposed MPT cells to 0.2 dynes/cm 2 FSS for 3 h and performed confocal microscopy and Western blot analysis to compare the localization and expression of both apical and basolateral transporters in control cells and cells subjected to FSS. Our findings show that FSS leads to an increment in the amount of protein expression, and a translocation of apical NHE3 and V-ATPase from the intracellular compartment to the apical plasma membrane and Na/K-ATPase to the basolateral membrane. Disrupting actin by cytochalasin D blocks the FSS-induced changes in NHE3 and Na/K-ATPase, but not V-ATPase. In contrast, FSS-induced V-ATPase redistribution and expression are largely inhibited by colchicine, an agent that blocks microtubule polymerization. Our findings suggest that the actin cytoskeleton plays an important role in FSS-induced NHE3 and Na/K-ATPase trafficking, and an intact microtubule network is critical in FSS-induced modulation of V-ATPase in proximal tubule cells. , Cl − , and water reabsorption, as well as distal Na + absorption and K + secretion (1-5). In the kidney proximal tubule, glomerular tubular balance (GTB) allows for a rapid response to the changes of glomerular filtration rate (GFR) and provides for a nearly proportional change in Na + and HCO 3 − in the fluid filtered from the glomeruli (1). The physiological importance of this regulation is to prevent loss of solute following increases in GFR, and to preserve adequate distal delivery of sodium and fluid when GFR is reduced. This highly regulated uptake of Na + and HCO 3 − depends on the activity of a group of transport proteins that are located on the luminal and peritubular membrane of proximal tubule cells. Sodium reabsorption across the proximal tubule is driven by basolateral sodium pumps (Na/K-ATPase) and enters through apical NHE3. HCO 3 − reabsorption is regulated by apical transporters NHE3 and vacuolar H + -ATPase (V-ATPase) in tandem with the basolateral Na + /HCO 3 − cotransporter (NBC). We have previously investigated the role of FSS in modulating Na + and HCO 3 − reabsorption in mouse proximal tubule (MPT) using an in vitro microperfusion technique. Our findings indicated that both NHE3 (3, 6) and V-ATPase (3) activities were enhanced by increases in luminal flow rate. These experiments confirmed that bo...