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1 University of California San Diego & VAMS
2 Eberhard-Karls-University of Tuebingen
3 Free University Berlin
4 Graduate School of Medicine, Tokyo Medical and Dental University
* To whom correspondence should be addressed. E-mail: vvallon{at}ucsd.edu.
The Na-Cl-cotransporter NCC is expressed in the distal convoluted tubule, activated by phosphorylation, and has been implicated in renal NaCl and K+ homeostasis. The serum and glucocorticoid inducible kinase 1 (SGK1) contributes to renal NaCl retention and K+ excretion, at least in part by stimulating the epithelial sodium channel and Na+/K+-ATPase in the downstream segments of aldosterone-sensitive Na+/K+ exchange. Here we confirmed in wild-type mice (WT) that dietary NaCl restriction increases renal NCC expression and its phosphorylation at Thr53, Thr58 and Ser71, respectively. This response, however, was attenuated in mice lacking Sgk1 (-/-), which may contribute to impaired NaCl retention in those mice. Total renal NCC expression and phosphorylation at Thr53, Thr58 and Ser71 in WT were greater under low compared with high K+ diet. This finding is consistent with a regulation of NCC to modulate Na+ delivery to downstream segments of Na+/K+ exchange, thereby modulating K+ excretion. Dietary K+-dependent variation in renal expression of total NCC and phosphorylated NCC were not attenuated in Sgk1-/- mice. In fact, high K+ diet-induced NCC suppression was enhanced in Sgk1-/- mice. The hyperkalemia induced in Sgk1-/- mice by a high K+ diet may have augmented NCC suppression, thereby increasing Na+ delivery and facilitating K+ excretion in downstream segments of impaired Na+/K+ exchange. In summary, changes in NaCl and K+ intake altered NCC expression and phosphorylation, an observation consistent with a role of NCC in NaCl and K+ homeostasis. The two maneuvers dissociated plasma aldosterone levels from NCC expression and phosphorylation implicating additional regulators. Regulation of NCC expression and phosphorylation by dietary NaCl restriction appears to involve SGK1.
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