Ferná ndez, Esperanza, Montserrat Carrascal, Ferran Rousaud, Joaquín Abiá n, Antonio Zorzano, Manuel Palacín, and Josep Chillaró n. rBAT-b 0,ϩ AT heterodimer is the main apical reabsorption system for cystine in the kidney. Am J Physiol Renal Physiol 283: F540-F548, 2002. First published March 19, 2002 10.1152/ajprenal. 00071.2002Mutations in the rBAT and b 0,ϩ AT genes cause type I and non-type I cystinuria, respectively. The disulfide-linked rBAT-b 0,ϩ AT heterodimer mediates high-affinity transport of cystine and dibasic amino acids (b 0,ϩ -like activity) in heterologous cell systems. However, the significance of this heterodimer for cystine reabsorption is unknown, as direct evidence for such a complex in vivo is lacking and the expression patterns of rBAT and b 0,ϩ AT along the proximal tubule are opposite. We addressed this issue by biochemical means. Western blot analysis of mouse and human kidney brush-border membranes showed that rBAT and b 0,ϩ AT were solely expressed as heterodimers of identical size and that both proteins coprecipitated. Moreover, quantitative immunopurification of b 0,ϩ AT followed by SDS-PAGE and mass spectrometry analysis established that b 0,ϩ AT heterodimerizes exclusively with rBAT. Together with cystine reabsorption data, our results demonstrate that a decreasing expression gradient of heterodimeric rBATb 0,ϩ AT along the proximal tubule is responsible for virtually all apical cystine reabsorption. As a corollary of the above, there should be an excess of rBAT expression over that of b 0,ϩ AT protein in the kidney. Indeed, complete immunodepletion of b 0,ϩ AT did not coprecipitate Ͼ20-30% of rBAT. Therefore, another rBAT-associated subunit may be present in latter parts of the proximal tubule. proximal tubule; heterodimeric amino acid transporter; expression gradient CLASSIC CYSTINURIA IS DUE to the impaired renal reabsorption of cystine and dibasic amino acids. Low cystine solubility causes the deposition of cystine calculi, which eventually leads to kidney failure (34). Reabsorption of cystine has been the object of a great research effort (32, 39). Dent and Rose (12) proposed a defective apical cystine transporter shared with dibasic amino acids as the main cause for cystinuria. Evidence for this hypothesis came recently with the identification of the two cystinuria genes: SLC3A1, which codes for the rBAT protein and is responsible for type I cystinuria, and SLC7A9, which codes for b 0,ϩ AT and causes non-type I cystinuria (5,14,40). Together, mutations in these two genes account for ϳ80% of cystinuria patients (16,33). b 0,ϩ AT and rBAT belong to the family of heteromeric amino acid transporters (HAT), which are made up of two structurally different subunits (10,51,54). The heavy subunit is a type II membrane glycoprotein, whereas the light subunit is an unglycosylated membrane protein bearing 12 putative transmembrane domains. Two conserved cysteines form a disulfide-linked heterodimer between the two subunits (37). A trafficking role has been proposed for the heavy sub...