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REVIEW

Regulation of the epithelial sodium channel by membrane trafficking

¹Department of Cell Biology and Physiology and ²Renal Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Submitted 14 April 2008 ; accepted in final form 27 May 2008

ABSTRACT

The epithelial Na⁺ channel (ENaC) is a major regulator of salt and water reabsorption in a number of epithelial tissues. Abnormalities in ENaC function have been directly linked to several human disease states including Liddle's syndrome, psuedohypoaldosteronism, and cystic fibrosis and may be implicated in states as diverse as salt-sensitive hypertension, nephrosis, and pulmonary edema. ENaC activity in epithelial cells is highly regulated both by open probability and number of channels. Open probability is regulated by a number of factors, including proteolytic processing, while ENaC number is regulated by cellular trafficking. This review discusses current understanding of apical membrane delivery, cell surface stability, endocytosis, retrieval, and recycling of ENaC and the molecular partners that have so far been shown to participate in these processes. We review known sites and mechanisms of hormonal regulation of trafficking by aldosterone, vasopressin, and insulin. While many details of the regulation of ENaC trafficking remain to be elucidated, knowledge of these mechanisms may provide further insights into ENaC activity in normal and disease states.

clathrin-mediated endocytosis; deubiquitination; vesicle recycling

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