“…Recent studies with WNK4 KO mice indicate that physiologic activation of SPAK, OSR1, and NCC by a low sodium diet are all dependent on WNK4 (21). However, the requirement for regulatory co-factors, such as the calcium-binding protein 39 (Cab39, also called mouse protein-25, MO25), which activates SPAK/OSR1 in vitro by binding to and stabilizing the active conformation (22,23) is presently unknown. Most importantly, it still remains unclear whether SPAK, OSR1, or both kinases are required for physiological stimulation of NCC.…”