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Publication : Role of WNK4 and kidney-specific WNK1 in mediating the effect of high dietary K<sup>+</sup> intake on ROMK channel in the distal convoluted tubule.

First Author  Wu P Year  2018
Journal  Am J Physiol Renal Physiol Volume  315
Issue  2 Pages  F223-F230
PubMed ID  29667910 Mgi Jnum  J:281418
Mgi Id  MGI:6367854 Doi  10.1152/ajprenal.00050.2018
Citation  Wu P, et al. (2018) Role of WNK4 and kidney-specific WNK1 in mediating the effect of high dietary K(+) intake on ROMK channel in the distal convoluted tubule. Am J Physiol Renal Physiol 315(2):F223-F230
abstractText  With-no-lysine kinase 4 (WNK4) and kidney-specific (KS)-WNK1 regulate ROMK (Kir1.1) channels in a variety of cell models. We now explore the role of WNK4 and KS-WNK1 in regulating ROMK in the native distal convoluted tubule (DCT)/connecting tubule (CNT) by measuring tertiapin-Q (TPNQ; ROMK inhibitor)-sensitive K(+) currents with whole cell recording. TPNQ-sensitive K(+) currents in DCT2/CNT of KS- WNK1(-/-) and WNK4(-/-) mice were significantly smaller than that of WT mice. In contrast, the basolateral K(+) channels (a Kir4.1/5.1 heterotetramer) in the DCT were not inhibited. Moreover, WNK4(-/-) mice were hypokalemic, while KS- WNK1(-/-) mice had normal plasma K(+) levels. High K(+) (HK) intake significantly increased TPNQ-sensitive K(+) currents in DCT2/CNT of WT and WNK4(-/-) mice but not in KS- WNK1(-/-) mice. However, TPNQ-sensitive K(+) currents in the cortical collecting duct (CCD) were normal not only under control conditions but also significantly increased in response to HK in KS- WNK1(-/-) mice. This suggests that the deletion of KS-WNK1-induced inhibition of ROMK occurs only in the DCT2/CNT. Renal clearance study further demonstrated that the deletion of KS-WNK1 did not affect the renal ability of K(+) excretion under control conditions and during increasing K(+) intake. Also, HK intake did not cause hyperkalemia in KS- WNK1(-/-) mice. We conclude that KS-WNK1 but not WNK4 is required for HK intake-induced stimulation of ROMK activity in DCT2/CNT. However, KS-WNK1 is not essential for HK-induced stimulation of ROMK in the CCD, and the lack of KS-WNK1 does not affect net renal K(+) excretion.
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