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Departments of 1Medicine and 2Pharmacology, University of California, and 3Veterans Affairs San Diego Healthcare System, San Diego, California; 4Department of Physiology, University of Tübingen, Tübingen; 5Department of Biology, Chemistry, and Pharmacy, University of Berlin, Berlin, Germany; and 6Department of Nephrology, Tokyo Medical and Dental University, Tokyo, Japan
Submitted 21 January 2009 ; accepted in final form 25 June 2009
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 Na+ channel and Na+-K+-ATPase in the downstream segments of aldosterone-sensitive Na+/K+ exchange. In this study 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 (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.
with-no-lysine kinases; diuretic; epithelial sodium channel; intake; sodium chloride
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