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INVITED REVIEW

Regulation of the epithelial Na⁺ channel (ENaC) by phosphatidylinositides

¹Department of Physiology, University of Texas Health Science Center, San Antonio, Texas; and ²Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama

The epithelial Na⁺ channel (ENaC) is an end-effector of diverse cellular signaling cascades, including those with phosphatidylinositide second messengers. Recent evidence also suggests that in some instances, phospatidylinositides can directly interact with ENaC to increase channel activity by increasing channel open probability and/or membrane localization. We review here findings relevant to regulation of ENaC by phosphatidylinositol 4,5-bisphosphate (PIP₂) and phosphatidylinositol 3,4,5-triphosphate (PIP₃). Similar to its actions on other ion channels, PIP₂ is permissive for ENaC openings having a direct effect on gating. The PIP₂ binding site in ENaC involved in this regulation is most likely localized to the NH₂ terminus of -ENaC. PIP₃ also affects ENaC gating but, rather than being permissive, augments open probability. The PIP₃ binding site in ENaC involved in this regulation is localized to the proximal region of the COOH terminus of -ENaC just following the second transmembrane domain. In complementary pathways, PIP₃ also impacts ENaC membrane levels through both direct actions on the channel and via a signaling cascade involving phosphoinositide 3-OH kinase (PI3-K) and the aldosterone-induced gene product serum and glucocorticoid-inducible kinase. The putative PIP₃ binding site in ENaC involved in direct regulation of channel membrane levels has not yet been identified.

phosphatidylinositol 4,5-bisphosphate; phosphatidylinositol 3,4,5-triphosphate; receptor tyrosine kinase; insulin G protein-coupled receptor

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