The aquaporin 2 (AQP2) water channel, expressed in kidney collecting ducts, contributes critically to water homeostasis in mammals. Animals lacking or having significantly reduced levels of AQP2, however, have not only urinary concentrating abnormalities but also renal tubular defects that lead to neonatal mortality from renal failure. Here, we show that AQP2 is not only a water channel but also an integrin-binding membrane protein that promotes cell migration and epithelial morphogenesis. AQP2 expression modulates the trafficking and internalization of integrin b1, facilitating its turnover at focal adhesions. In vitro, disturbing the interaction between AQP2 and integrin b1 by mutating the RGD motif led to reduced endocytosis, retention of integrin b1 at the cell surface, and defective cell migration and tubulogenesis. Similarly, in vivo, AQP2-null mice exhibited significant retention of integrin b1 at the basolateral membrane and had tubular abnormalities. In summary, these data suggest that the water channel AQP2 interacts with integrins to promote renal epithelial cell migration, contributing to the structural and functional integrity of the mammalian kidney. Aquaporin 2 (AQP2) is a water channel that mediates water absorption through the apical membrane of the principal cells of the kidney collecting ducts, and contributes critically to water homeostasis in mammals. Under physiologic conditions, the trafficking of AQP2 is regulated mainly by vasopressin via a well established signaling pathway that results in the elevation of cAMP, activation of protein kinase A (PKA) and phosphorylation of AQP2. [1][2][3] In addition to regulated trafficking, AQP2 also constitutively recycles between intracellular vesicles and the cell membrane. 4,5 Critical protein/protein interactions that orchestrate the regulated and constitutive trafficking of AQP2 have been extensively investigated and include actin and microtubules, SNAREs, Rab proteins, heat shock protein 70, clathrin, and others. 6-9 However, emerging data from AQP2 knockout and transgenic animals suggested an unusual aspect of AQP2 biology. As expected, induction of AQP2 deficiency in mice results in a urinary concentrating defect known as diabetes insipidus (DI). However, these animals also presented with neonatal mortality from renal failure with renal tubular abnormalities. [10][11][12] This striking phenotype was thought to result from their profound polyuria. However, mice