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1 University of Geneva
2 University Hospital of Geneva
3 HUG GENEVA
* To whom correspondence should be addressed. E-mail: eric.feraille{at}unige.ch.
The renal cortico-papillary osmotic gradient is generated by sodium reabsorption in the thick ascending limb. The antidiuretic hormone vasopressin (AVP) increases collecting duct water permeability by enhancing aquaporin-2 (AQP2) water channel insertion in the apical membrane of principal cells, allowing water to passively flow along the osmotic gradient from the tubule lumen to the interstitium. In addition to short-term AQP2 redistribution between intracellular compartments and the cell surface, AQP2 whole-cell abundance is tightly regulated. AVP is a major transcriptional activator of the AQP2 gene and stimulation of insulin and calcium-sensing receptors respectively potentiate and reduce its action. Extracellular tonicity is another key factor that determines the levels of AQP2 abundance. Its effect is dependent on activation of the tonicity-responsive enhancer binding protein that reinforces AVP-induced AQP2 transcriptional activation. Conversely, activation of the NF-
B transcriptional factor by pro-inflammatory factors reduces AQP2 gene transcription. Aldosterone additionally regulates AQP2 whole-cell abundance by simultaneously reducing AQP2 gene transcription and stimulating AQP2 mRNA translation. These examples illustrate how cross-talk between various stimuli regulates AQP2 abundance in collecting duct principal cells and consequently contributes to maintaining body water homeostasis.
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