2015
DOI: 10.1152/ajpcell.00065.2015
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Revisiting the NaCl cotransporter regulation by with-no-lysine kinases

Abstract: The renal thiazidesensitive Na ϩ -Cl Ϫ cotransporter (NCC) is the salt transporter in the distal convoluted tubule. Its activity is fundamental for defining blood pressure levels. Decreased NCC activity is associated with salt-remediable arterial hypotension with hypokalemia (Gitelman disease), while increased activity results in salt-sensitive arterial hypertension with hyperkalemia (pseudohypoaldosteronism type II; PHAII). The discovery of four different genes causing PHAII revealed a complex multiprotein sy… Show more

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Cited by 47 publications
(29 citation statements)
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“…9 Chronic AngII regulation of NCC and its phosphorylation have been attributed to the stimulation of a WNK-SPAK kinase cascade. 10, 11 Indeed, our own studies show that renal cortical SPAK (Ste20/SPS-1 related proline-alanine rich kinase) is stimulated during chronic AngII infusion hypertension and that if intrarenal production of AngII is prevented, both the NCC and SPAK stimulation are blocked and the rise in blood pressure is blunted. 4, 8 …”
Section: Introductionmentioning
confidence: 91%
“…9 Chronic AngII regulation of NCC and its phosphorylation have been attributed to the stimulation of a WNK-SPAK kinase cascade. 10, 11 Indeed, our own studies show that renal cortical SPAK (Ste20/SPS-1 related proline-alanine rich kinase) is stimulated during chronic AngII infusion hypertension and that if intrarenal production of AngII is prevented, both the NCC and SPAK stimulation are blocked and the rise in blood pressure is blunted. 4, 8 …”
Section: Introductionmentioning
confidence: 91%
“…Because WNK4 is also a key regulator of distal tubular membrane abundance of the Na + :Cl − cotransporter NCC [68], the finding that FGF23 signaling activates WNK4 in distal tubular epithelium prompted us to examine FGF23-induced changes in renal sodium handling. NCC is a key molecule for distal tubular sodium and chloride reabsorption, and sodium reabsorption in the distal nephron is mainly regulated through NCC and the epithelial sodium channel ENaC.…”
Section: Distal Tubular Calcium and Sodium Transportmentioning
confidence: 99%
“…WNK phosphorylates and activates SPAK or OSR which in turn stimulates NCC activity by phosphorylation [54;56]. Gain-of-function mutations of WNK1 and WNK4 are responsible for increasing NCC activity in the DCT thereby causing familial hyperkalemic hypertension [57;58]. Thus, WNK-SPAK-mediated NCC phosphorylation plays a key role in the regulation of K excretion and K homeostasis.…”
Section: Expression Of Kir41 Along the Nephron Segmentsmentioning
confidence: 99%