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EDITORIAL FOCUS
1Division of Nephrology and Hypertension, Department of Medicine, 2Division of Nephrology, Department of Pediatrics, Oregon Health and Science University, and 3Portland Veterans Affairs Medical Center, Portland, Oregon
Submitted 30 September 2005 ; accepted in final form 6 January 2006
| ABSTRACT |
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hypertension; calcium balance; hypotonicity; osmoregulation
The WNK family of kinases was described by Xu et al. (38) in a screen for novel mitogen-activated protein (MAP)/extracellular signal-regulated protein kinase (ERK) kinase (MEK) family members in rat brain. Interest in these putative kinases increased when mutations in the WNK1 and WNK4 genes were causally linked to severe hypertension (35) in a subset of patients diagnosed with familial hyperkalemia and hypertension (also known as Gordon's syndrome or pseudohypoaldosteronism type II). Because of the clinical and biochemical abnormalities associated with this disease, aberrant regulation of the thiazide-sensitive Na+-Cl cotransporter of the distal convoluted tubule was suspected. Yang et al. (43) and Wilson et al. (36) subsequently showed that WNK4 downregulates expression of the thiazide-sensitive Na+-Cl cotransporter, and some, but not all, disease-causing point mutants did not. In contrast, WNK1 exhibited no effect with respect to thiazide-sensitive Na+-Cl cotransporter function; however, the kinase blunted the inhibitory effect of WNK4 (43). Biochemically, WNK kinases are activated by a variety of stimuli, including hypertonicity and hypotonicity (17, 38). Because WNK kinases and TRPV4 are osmotically responsive and expressed in the distal nephron (35, 41), among other sites, we speculated that WNKs may participate in the regulation of this cation channel.
| METHODS |
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-glycerophosphate, and 2 mM sodium pyrophosphate] for 30 min at 4°C. The protein concentrations were determined by the Bradford method (Bio-Rad). ImmunoPure streptavidin beads (40 µl; Pierce Biotechnology) were added to
3 mg of biotinylated protein, and the mixture was incubated at 4°C for 4 h. The beads were washed five times with ice-cold PBS and eluted with 1x SDS sample buffer. The eluted proteins were immunoblotted with anti-V5 antibody as described above.
Transient transfection and fura 2 ratiometry.
HEK-293 cells were transiently transfected with Lipofectamine PLUS (Life Technologies) in accordance with the manufacturer's directions using 15 µl of PLUS reagent, 30 µl of Lipofectamine, and 10 µg of plasmid DNA reagent per 100-mm dish of cells. After 48 h, the cells were harvested, washed, and resuspended in 10 ml of Hanks' balanced salt solution [HBSS; 130 mM NaCl, 4.7 mM KCl, 1.25 mM CaCl2, 1.18 mM MgSO4, 5 mM glucose, and 15 mM HEPES (pH 7.5)] supplemented with 2 µM fura 2-AM and 100 µl of 2% Pluronic F-127 (20% stock solution in DMSO; Molecular Probes, Eugene, OR) per 100-mm dish and then incubated for 45 min at 37°C. The cells were pelleted at 1,000 g for 5 min at 25°C, resuspended with 12 ml of HBSS to achieve final concentration of
28 x 107 cells/ml, and maintained on ice for 30 min. The suspended fura 2-loaded cells (50 µl) were assayed for intracellular Ca2+ concentration in a cuvette filled with prewarmed (37°C) HBSS (in the presence or absence of extracellular Ca2+) under constant gentle stirring (2-ml final volume) as previously reported (41). Fluorescent emission was monitored at 510 nm and recorded at 1-s intervals in the presence of alternating excitation at 340 and 380 nm using a fluorescence spectrophotometer (model F-2500, Hitachi Instruments, Naperville, IL). Calibration of the fura 2 signal was performed as previously described (27) using a fura 2·Ca2+ dissociation constant of 224 nM (11). For each experiment, data from three separate cuvettes of treated cells were averaged; experiments were repeated at least three times. Murine WNK4 and rat WNK1 cDNAs were the kind gifts of Dr. David Ellison and Dr. Chao-Ling Yang, and Dr. Melanie Cobb, respectively. Rat WNK1 protein (NP_446246
[GenBank]
) diverges from mouse (NP_941992
[GenBank]
) and human (NP_061852
[GenBank]
) WNK1, in that it lacks 247 amino acids spanning residues 7921038 of the canonical human WNK1 sequence. After alignment with the human WNK1 gene (NC_000012
[GenBank]
; nucleotides 732993888219), this corresponds precisely to the absence of exons 11 and 12; alternative splicing of these exons in mRNA from rat kidney has been described elsewhere (25). Nonetheless, all full-length rat WNK1 protein sequences returned via National Center for Biotechnology Information protein search (http://www.ncbi.nlm.nih.gov/) similarly lack these two exons (Q9JIH7, NP_446246
[GenBank]
, and AAF74258
[GenBank]
). Most in vitro and cell culture studies have used this identical clone originally isolated by Xu et al. (38).
Mutated amino acid residues in murine WNK4 differ from their human counterparts on the basis of numbering of the conceptual translation products from NM_175579 [GenBank] for mouse and NM_032387 [GenBank] for human. The human disease-causing WNK4 mutants hWNK4E562K and hWNK4Q565E correspond to mouse mWNK4E559K and mWNK4Q562E, respectively, in the present study. Putative kinase-dead murine WNK4 is mWNK4D318A. These point mutants, as well as kinase-dead WNK1K233M and WNK1S382A, were generated via site-directed mutagenesis (QuikChange, Stratagene) in accordance with the manufacturer's directions. The SMART online resource (http://smart.embl-heidelberg.de/) was used for determination of conserved motifs in rat WNK1 and murine WNK4. Three putative coiled-coil domains were detected in rat WNK1 using the Coils2 program [based on the algorithm of Lupas et al. (21)] at residues 194217, 563597, and 18141841. No coiled-coil domains were detected in murine WNK4, although there was substantial sequence homology between the isoforms at the first and third putative coiled-coil domains.
Image processing and statistical analysis.
For quantitation of autoradiograms, exposed films were scanned (Canon LiDE80) and data were reduced using ImageJ (http://rsb.info.nih.gov/ij/; National Institutes of Health) and Excel (Microsoft). For all depicted scans of enhanced chemiluminescence exposures of immunoblots, contrast was improved by decreasing the maximum input level from 255 to
175 (Adobe PhotoShop CS) to mimic the true appearance of the exposed film. In Fig. 3A, some intervening lanes were digitally removed to preserve consistency with Fig. 3, B and C; all lanes in Fig. 3A are from the same exposure of the same autoradiogram. Where data are shown, all experiments were performed a minimum of three times. Values are means ± SE (Excel, Microsoft), and, where indicated, the number of independent experiments is shown. Where multiple comparisons were performed, statistical significance was attributed using the Student's t-test [for correlated samples using raw data or for independent samples using normalized data (VassarStats; http://faculty.vassar.edu/lowry/VassarStats.html)], in accordance with the false discovery rate procedure, where Pi < di (9) (where Pi is significance level associated with comparison i and di is critical significance level); this latter approach is used to test the validity, in parallel, of more than one null hypothesis.
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| RESULTS |
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-phorbol 12,13-didecanoate (4
-PDD; Fig. 1D), and this effect was abolished in the absence of extracellular Ca2+. Vector-transfected (Fig. 1, B and E) and untransfected (Fig. 1, C and F) HEK-293 cells exhibited a much more modest, but reproducible, increment in intracellular Ca2+ in response to both activators of TRPV4, and these effects were similarly dependent on the presence of extracellular Ca2+. By immunoblot analysis, we were unable to detect TRPV4 in vector-transfected or untransfected HEK-293 cells, although expression was abundant in the TRPV4 transfectants (Fig. 1G).
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-PDD (Fig. 2, A and B). For rigorous quantitation, comparisons were made using the increment in intracellular Ca2+ (as assessed via fura 2 ratiometry) at a time of maximal stimulus responsiveness (i.e., at 75 s of treatment). The pooled data (Fig. 2, C and D) show that the inhibitory effect of WNK4 was substantial and highly statistically significant.
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-PDD (Fig. 2, B and D). Because the conceptual translation of the rat WNK1 cDNA diverges considerably from that of the reported human and murine clones (see METHODS) and the present studies employed a TRPV4 cDNA of human origin, additional experiments were performed such that the effect of rat WNK1 vis-à-vis murine and human TRPV4 could be assessed in parallel; the effect of rat WNK1 was equivalent, regardless of the species of origin of TRPV4 (data not shown). In some model systems, WNK1 may influence the effect of WNK4 (17, 44). Therefore, we tested the effect of coexpression of WNK1 and WNK4 with TRPV4. There was no potentiation of the inhibitory response with respect to hypotonicity (Fig. 2, A and C) or 4
-PDD (Fig. 2, B and D) when both kinases were transfected in combination; however, we could not completely exclude a modest antagonistic effect of WNK1 on the WNK4 effect. We speculated that WNK4 may influence trafficking of TRPV4 to the plasma membrane, as was demonstrated for several Cl transport proteins. HEK-293 cells were transiently transfected with TRPV4, in the presence or absence of cotransfection with WNK4 or WNK1. Transfectants were then subjected to cell surface biotinylation, and biotinylated proteins were isolated with avidin-agarose beads. WNK4 and WNK1 downregulated TRPV4 cell surface expression to a degree commensurate with the effect of these kinases on agonist-dependent Ca2+ entry (Fig. 3, A and B). Consistent with the intracellular Ca2+ data, there was neither abrogation nor potentiation when WNK1 and WNK4 kinases were expressed in concert (Fig. 3, A and B). Expression of either WNK kinase alone, or in combination, failed to influence total expression of TRPV4 as determined via anti-TRPV4 immunoblotting of whole cell lysates prepared from the transient transfectants (Fig. 3, A and C). Therefore, the WNK effect with respect to TRPV4 function appeared to operate primarily at the level of cell surface localization of the channel.
We next sought to establish the dependence of the WNK4-inducible downregulation of TRPV4 activity on WNK4 kinase activity. A point mutation abolishing WNK4 activity (kinase-dead D318A-WNK4) had been previously described. Heterologous expression of this mutant was used to demonstrate that WNK4 kinase activity was required for WNK4-dependent inhibition of thiazide-sensitive Na+-Cl cotransporter (36, 43) but not WNK4-dependent inhibition of ROMK activity (16). On cotransfection with TRPV4, this "kinase-dead" WNK4 was inert with respect to TRPV4 function, in marked contrast to wild-type WNK4. This effect was evident whether TRPV4 was activated by hypotonicity (Fig. 4A) or 4
-PDD (Fig. 4B). These data suggested that kinase activity was necessary for the WNK4 effect.
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-PDD served as the activator of TRPV4 (Fig. 4B), although statistical significance was not achieved using this stimulus. In general, the effect of these point mutants was intermediate between the effect of wild-type WNK4 and empty vector control. We conclude that intrinsic kinase activity of WNK4 is potentially instrumental in its downmodulatory effect vis-à-vis TRPV4 function and that disease-causing point mutants of WNK4, in general, are less effective in this respect than wild-type WNK4. Consistent with this model, cell surface expression of TRPV4 was not downregulated by the kinase-dead WNK4, and the effect of the disease-causing WNK4 mutants was diminished with respect to wild-type WNK4 (data not shown; n = 2).
WNK1 exhibits intrinsic kinase activity (38). To establish a role for this function in the WNK1 effect on TRPV4 localization, we employed two strategies to disrupt WNK1 kinase activity. Lys233 is believed to be the catalytic lysine for WNK1; mutation of this residue to Met resulted in near-total loss of WNK1 kinase activity (38). Ser382 of WNK1 was expected to be phosphorylated on the basis of sequence similarity with other well-studied protein kinases (e.g., MAP kinases). When Ser382 was mutated to Ala, the resultant protein exhibited negligible kinase activity (39). We tested the effect of these WNK1 point mutants on TRPV4-dependent Ca2+ entry. In general, the effect of these mutants was intermediate between those of empty vector control and wild-type WNK1 (Fig. 5, A and B). In the TRPV4 response to hypotonicity, both kinase-dead mutants significantly decreased Ca2+ entry relative to empty vector control (Fig. 5A). The effect of WNK1K233M did not differ from that of wild-type WNK1; however, WNK1S382A was less effective than wild-type WNK1 at suppressing Ca2+ entry in response to hypotonic stress (Fig. 5A). Although a similar trend was observed in the cell response to 4
-PDD, in this setting the effect of the kinase-deficient mutants did not differ dramatically from that of wild-type WNK1 (Fig. 5B). We conclude that intrinsic kinase activity of WNK1 likely plays a modest role, at best, in the regulation of TRPV4 localization.
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We next sought to define the WNK4 domains responsible for downregulation of TRPV4 expression and function. Mouse WNK4 has a kinase domain spanning approximately residues 171429 [as analyzed via the SMART website (http://smart.embl-heidelberg.de/); Fig. 6A]. Immediately downstream of the kinase domain is an "autoinhibitory domain," which is reasonably well conserved between WNK1 and WNK4. WNK1 has a number of coiled-coil domains potentially mediating protein-protein interactions (38). It has been suggested that WNK4 has a number of corresponding domains (33). However, although there is significant homology between WNK1 and WNK4 at two of these putative domains (corresponding to residues 147167 and residues 11111138 in murine WNK4), we were unable to detect coiled-coil domains when the Coils2 program was used to screen WNK4 directly. WNK4 deletion mutants were designed to eliminate the first putative coiled-coil domain and nearly all the kinase domain (
29366-mWNK4), the autoinhibitory domain and second putative coiled-coil domain (
366794-mWNK4), the COOH terminus, including the third putative coiled-coil domain (
6771211-mWNK4), and the extreme COOH terminus containing only the third coiled-coil domain and adjacent residues (
10861211-mWNK4; Fig. 4A). The NH2-terminal WNK4 mutants
29366-mWNK4 and
366794-mWNK4 exhibited preservation of the inhibitory effect vis-à-vis TRPV4 activity in response to hypotonicity (Fig. 6, B and D) or 4
-PDD (Fig. 6, C and E), even in the absence of an intact kinase domain. The COOH-terminal deletion mutant
6771211-mWNK4 and the extreme COOH-terminal mutant
10861211-mWNK4 were essentially devoid of inhibitory effect (Fig. 6, BE). These data establish the essential nature of the WNK4 extreme COOH terminus for effecting the downregulation of TRPV4 function and, in contrast to our observations using a kinase-dead WNK4 mutant, suggested the dispensability of the kinase domain.
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470717, as assessed via the DAS Transmembrane Prediction Server (8) (http://www.sbc.su.se/
miklos/DAS/; Fig. 7A). TRPV4 also has as many as six ankyrin binding domains (Fig. 7A), which are believed to be instrumental in protein-protein interaction. Without disturbing the membrane-spanning domains (which would eliminate the cell surface expression we wished to quantitate), we generated a series of deletion mutants of the TRPV4 NH2 and COOH termini (Fig. 7A). Four of five mutants were abundantly expressed on transient transfection when whole cell lysates were immunoblotted for TRPV4 (Fig. 7B); in all four of these cases, the mutant TRPV4 trafficked to the plasma membrane in appreciable quantities, as assessed via cell surface biotinylation (Fig. 7B). In all but one of these highly expressed mutants, downregulation in response to WNK4 cotransfection was preserved (Fig. 7B). Specifically, the
2147-TRPV4 mutant, although abundantly expressed, was not downregulated by WNK4 coexpression (Fig. 7, B and C). (Data for the
157299-TRPV4 mutant could not be obtained because of the negligible level of expression of the mutant and are absent from Fig. 7C.) These data suggested that a feature of the TRPV4 NH2 terminus separate from the ankyrin binding domains was required for the WNK4 effect. Interestingly, and somewhat paradoxically, deletion of a slightly larger domain (in the
2157-TRPV4 mutant) did not abrogate WNK4 responsiveness (Fig. 7, B and C). In an effort to reconcile this discrepancy, we generated two more deletion mutants of TRPV4:
189467-TRPV4, absent all six of the putative ankyrin domains, and
1189-TRPV4, absent the NH2 terminus upstream of the ankyrin domains (Fig. 7A). Both mutants were subject to downregulation by WNK4 coexpression (data not shown; n = 2). In aggregate, these data supported a role for a unique configuration of the NH2 terminus (present in the
2157-TRPV4 mutant but absent from the
2147-TRPV4 mutant) and/or the membrane-spanning region (by the process of elimination). Because of the gross nature of these deletion mutants and the anticipated effect on channel function, Ca2+ entry data in response to TRPV4 agonists were not sought.
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| DISCUSSION |
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-PDD. WNK4 has been characterized primarily as an inhibitor of Cl transport. On coexpression in a heterologous model system, WNK4 downregulates expression of the thiazide-sensitive Na+-Cl cotransporter (36, 43), as well as the Na+-K+-2Cl cotransporter and the apical Cl/HCO3 exchanger (14). With respect to the effect of WNK4 on paracellular Cl transport, conflicting data have emerged. One group observed that WNK4 had no effect on paracellular Cl transport (42), whereas others noted an increase in activity (15). In addition to Cl transport, activity of the K+ channel ROMK is also decreased by coexpression of WNK4 (16).
Disease-causing mutants of human WNK4 include a series of individual missense mutations affecting a small cluster of polar, and primarily positively charged, residues (E559K, D561A, and Q562E). In the present study, mutations in murine WNK4 corresponding to these disease-causing mutations in human WNK4 exhibited a partial loss of inhibitory effect relative to wild-type WNK4. The effect of WNK4 disease-causing mutations in other models has been variable. Mutant WNK4Q562E exhibited a blunted inhibitory effect vis-à-vis activity of the thiazide-sensitive Na+-Cl cotransporter; however, mutants WNK4E559K and WNK4D561A were as effective as wild-type WNK4 in this capacity (36, 43). With respect to ROMK, disease-causing mutants produced an unexpected finding: the ability of WNK4 to inhibit ROMK activity was potentiated, rather than blocked, by mutants WNK4Q562E and WNK4E559K (16).
The effect of WNK1 in the present model exhibits similarities to other model systems; however, there are important differences. In the present study, WNK4 and WNK1 blunted the effect of two different activators of TRPV4. In contrast, in isolation, WNK1 was unable to influence function of the thiazide-sensitive Na+-Cl cotransporter in prior studies by Yang et al. (43). For these studies, a rat WNK1 cDNA clone, the conceptual translation of which differs significantly from that of the reported human and murine WNK1 clones (see METHODS), was used. However, because Yang et al. used this identical clone for their studies, we do not believe this is the basis for our contrasting observations.
Conflicting data emerge with respect to the requirement for intrinsic kinase activity of WNKs in downregulating TRPV4. Specifically, WNK4 mutated for a key residue within the kinase domain (D318) resulting in a kinase-dead phenotype was less effective than wild-type WNK4 at blocking TRPV4 function. In contrast, deletion of nearly the entire kinase domain (including this key residue) failed to abolish the WNK4 effect. Kinase activity has been a variable requirement for WNK4 effect on channel and transporter activity. For example, inhibition of the thiazide-sensitive Na+-Cl cotransporter by WNK4 expression was prevented if the kinase-dead WNK4 mutant was used instead (36, 43). However, the WNK4 effect on ROMK appeared to be independent of WNK4 kinase activity, because it was observed even with the kinase-dead (D318A) WNK4 mutant (16). It is conceivable that this charged residue, essential for kinase activity, serves an additional role in WNK4 function. This possibility is further supported by the seemingly modest role of intrinsic kinase activity in the ability of WNK1 to downregulate TRPV4 (Fig. 5).
After initial uncertainty, a role for TRPV4 in central osmoregulation in mammals appears secure (19, 24). The contribution of the abundant renal expression of TRPV4 to this process remains unresolved (18, 28, 29). The extent to which the abnormal salt and water metabolism in mice harboring TRPV4 targeted deletions is reflective of hypothalamic vs. renal inactivation of this channel has not been explored. Renal TRPV4 is restricted to tubule segments lacking constitutive apical water permeability (i.e., sites distal to the genu of the loop of Henle) and localizes to the basolateral membrane in these sites (29). We speculate that TRPV4 may function as a distal nephron sensor of interstitial solute and water and, indirectly, of transcellular resorption via the proximal nephron (7). In the distal nephron, TRPV4 is coexpressed with WNK1 and WNK4 (35, 41). Osmotically responsive WNK kinases may influence expression and function of TRPV4 in this tissue.
The syndrome of familial hyperkalemia and hypertension is causally linked to overexpression of WNK1 or to inactivating mutations in WNK4 (35). Patients with WNK1 mutations exhibit normocalciuria (2), whereas those with mutations in WNK4 manifest hypercalciuria (23). Mayan and colleagues, who correctly predicted constitutive overactivity of the thiazide-sensitive Na+-Cl cotransporter in this syndrome before the elucidation of the molecular phenotype (23), recently proposed that mutant WNK4 causes hypercalciuria by influencing a Ca2+ channel or transporter (22). A WNK4 and TRPV4 functional interaction may be perturbed in the setting of WNK4 mutation.
It is important to emphasize that TRPV4 is not the only candidate Ca2+ channel in this part of the nephron. Although the role of TRPV5 and TRPV6 in regulation of urinary Ca2+ excretion has appropriately received much attention (12), TRPV4 potentially participates in this process as well. As described above, TRPV4 is highly expressed along the distal nephron (29). In addition, there was a trend toward lower plasma Ca2+ levels in TRPV4/ mice than in TRPV4+/+ controls [8.8 ± 0.3 vs. 9.8 ± 0.4 (SE) mg/dl, n = 10 (24)]; however, these data did not reach statistical significance in this important, but relatively small, study. Therefore, TRPV4 may influence systemic, as well as local, Ca2+ balance; both may be perturbed by altered WNK abundance or function. An effect of WNK4 on TRPV5 function has been described in preliminary fashion by Peng and colleagues (26); however, inconsistent with the aberrant Ca2+ balance accompanying familial hyperkalemia and hypertension, disease-causing WNK4 mutants were indistinguishable from wild-type WNK4 in in vitro assays of TRPV5 function. Therefore, it is possible that mutant WNK4-induced aberrant regulation of TRPV4 or TRPV6 or another Ca2+ transport protein is operative in this disease.
The molecular mechanism through which WNKs influence TRPV4 targeting and function is unclear. WNK1 may function as a MAP kinase kinase kinase kinase (i.e., a "MAP4K") in the ERK5 pathway; its downstream effects are sensitive to an inhibitor of MEK5 (40). Interestingly, very similar to TRPV4, the function of ERK5 and its upstream activators is regulated by anisotonicity (1, 32), suggesting a physiological signaling "module" encompassing WNKs and TRPV4. WNKs also serve as substrates for the kinase Akt/protein kinase B (13, 31), which is itself an effector of the anisotonicity-responsive phosphatidylinositol 3-kinase pathway (30, 45). Because intrinsic kinase activity is not an absolute requirement for the WNK effect on TRPV4, it is conceivable that these large kinases also act via a scaffolding mechanism, perhaps transiently bridging TRPV4 and another effector. Alternatively, WNK activation may indirectly liberate a small molecule intermediate that influences TRPV4 trafficking; this latter model is consistent with our inability to demonstrate a direct interaction between WNK kinases and TRPV4.
WNKs are believed to influence trafficking of clathrin-coated endocytic vesicles in a dynamin-dependent fashion (16). An analogous, although biochemically distinct, mechanism of rapid, agonist-dependent shuttling to and from the cell membrane has recently been described for a TRP channel. Specifically, growth factor-dependent insertion of TRPC5 appears to require phosphatidylinositol 3-kinase activity and the Rho family GTPase Rac1 (5). As suggested above, phosphatidylinositol 3-kinase may function upstream of WNK activation, biochemically linking these two mechanisms.
In summary, these data support a role for WNK kinases in regulating the subcellular localization of TRPV4. Inasmuch as WNK kinases and TRPV4 are responsive to changes in ambient tonicity, it is tempting to speculate that they jointly participate in an osmosensing or osmotically responsive signal transduction pathway in the distal nephron or elsewhere.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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J.-B. Peng and D. G. Warnock WNK4-mediated regulation of renal ion transport proteins Am J Physiol Renal Physiol, October 1, 2007; 293(4): F961 - F973. [Abstract] [Full Text] [PDF] |
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F. Lang, V. Vallon, M. Knipper, and P. Wangemann Functional significance of channels and transporters expressed in the inner ear and kidney Am J Physiol Cell Physiol, October 1, 2007; 293(4): C1187 - C1208. [Abstract] [Full Text] [PDF] |
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Y. Jiang, W. B. Ferguson, and J.-B. Peng WNK4 enhances TRPV5-mediated calcium transport: potential role in hypercalciuria of familial hyperkalemic hypertension caused by gene mutation of WNK4 Am J Physiol Renal Physiol, February 1, 2007; 292(2): F545 - F554. [Abstract] [Full Text] [PDF] |
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B. Nilius, G. Owsianik, T. Voets, and J. A. Peters Transient Receptor Potential Cation Channels in Disease Physiol Rev, January 1, 2007; 87(1): 165 - 217. [Abstract] [Full Text] [PDF] |
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G. Gamba TRPV4: a new target for the hypertension-related kinases WNK1 and WNK4 Am J Physiol Renal Physiol, June 1, 2006; 290(6): F1303 - F1304. [Full Text] [PDF] |
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