epithelial cells, and the effects of its deletion on acid-base homeostasis. We observed GPR4 expression in the kidney cortex, in the outer and inner medulla, in isolated kidney collecting ducts, and in cultured outer and inner medullary collecting duct cells (mOMCD1 and mIMCD3). Cultured mOMCD1 cells exhibited pH-dependent accumulation of intracellular cAMP, characteristic of GPR4 activation; GPR4 knockdown attenuated this accumulation. In vivo, deletion of GPR4 decreased net acid secretion by the kidney and resulted in a nongap metabolic acidosis, indicating that GPR4 is required to maintain acid-base homeostasis. Collectively, these findings suggest that GPR4 is a pH sensor with an important role in regulating acid secretion in the kidney collecting duct. Daily changes in the amount of protein in the diet produce fluctuations in metabolic net acid production. The kidneys adjust to these daily variations, ensuring tight correlation between acid production and excretion. 1,2 In humans, net acid excretion significantly correlates with changes in blood P CO2 , pH, and bicarbonate levels. 2 Physiologic changes of P CO2 , pH, and bicarbonate concentrations can therefore regulate net acid excretion, but this regulation is poorly understood.The recently discovered family of "proton-activated" G protein-coupled receptors (GPCRs) represents candidate pH sensors capable of relaying information about local and/or systemic pH to acidsecreting cells in the kidney. [3][4][5][6][7] Several investigators have demonstrated that GPR4 (G protein-coupled receptor 4), 4,8,9 OGR1 (ovarian cancer G protein-coupled receptor 1, GPR68), 4,10 -12 and TDAG8 (T cell death-associated gene 8, GPR65) can be stimulated by a reduction in extracellular pH to induce second messenger generation. [13][14][15][16] An elegant study by Ludwig et al. 4 demonstrated that mutation of specific putative proton-accepting histidine residues in OGR1 significantly impaired acid-stimulated phosphoinositide generation. Ex vivo studies from OGR1 knockouts indicate that OGR1 is the pH sensor, mediating the release of calcium from the bone during metabolic acidosis. 12 Analysis of aortic rings isolated from GPR4 knockout mice indicated that GPR4 acts as a pH sensor in blood vessels, regulating the outgrowth of new