Potassium intake modulates the thiazide-sensitive sodium-chloride cotransporter (NCC) activity via the Kir4.1 potassium channel.

Potassium intake modulates the thiazide-sensitive sodium-chloride cotransporter (NCC) activity via the Kir4.1 potassium channel.
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钾摄入量通过 Kir4.1 钾通道调节噻嗪类敏感的氯化钠协同转运蛋白 (NCC) 活性。

DOI:
10.1016/j.kint.2017.10.023
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发表时间:
2018-04
影响因子:
19.6
通讯作者:
Ellison DH
Ellison DH
中科院分区:
医学1区
文献类型:
--
作者:
Wang MX;Cuevas CA;Su XT;Wu P;Gao ZX;Lin DH;McCormick JA;Yang CL;Wang WH;Ellison DH

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远曲小管(DCT)中的Kir4.1在感知血浆K+和调节噻嗪类药物敏感的Na-Cl共转运体(NCC)中起关键作用。本研究的目的是测试饮食中K+摄入是否调节Kir4.1,以及这是否在K+饮食对NCC的影响中起重要作用。高K+ (HK)摄入抑制了Kcnj10flox/flox(对照或WT)小鼠DCT基底外侧40ps K+通道(Kir4.1/5.1异聚体),降低了基底外侧K+电导,并使DCT膜去极化。相反,低K+ (LK)摄入激活Kir4.1,增加K+电流,并使DCT膜超极化。然而,在诱导型肾特异性Kir4.1敲除(KS-Kir4.1 KO)小鼠中,饮食K+摄入量对DCT基底外侧K+电导和膜电位的影响完全不存在。此外,hk的摄入减少了NCC的表达,而lk的摄入增加了NCC的表达丰度,只有在WT小鼠中,而在KS-Kir4.1 KO小鼠中没有。肾清除率研究表明,氢氯噻嗪(HCTZ)在WT小鼠中引起的尿钠,LK增加,HK减少。Kir4.1的破坏显著增加了基础尿Na+排泄,但消除了HCTZ的利钠作用。最后,K+限制加重了KS-Kir4.1 KO小鼠的低钾血症和代谢性碱中毒,HK饮食只能部分纠正。综上所述,Kir4.1在膳食K+摄入量对NCC活性和K+稳态的影响中发挥了重要作用。
Kir4.1 in the distal convoluted tubule (DCT) plays a key role in sensing plasma K+ and in modulating the thiazide-sensitive Na-Cl cotransporter (NCC). The aim of current study was to test whether dietary K+ intake modulates Kir4.1, and whether this is essential for mediating the effect of K+ diet on NCC. High K+ (HK) intake inhibited the basolateral 40 pS K+ channel (a Kir4.1/5.1 heterotetramer) in the DCT, decreased basolateral K+ conductance, and depolarized the DCT membrane in Kcnj10flox/flox (control or WT) mice. In contrast, low K+ (LK) intake activated Kir4.1, increased K+ currents, and hyperpolarized the DCT membrane. These effects of dietary K+ intake on the basolateral K+ conductance and membrane potential in the DCT were, however, completely absent in inducible kidney-specific Kir4.1 knockout (KS-Kir4.1 KO) mice. Furthermore, HK-intake decreased whereas LK-intake increases the abundance of NCC expression only in WT but not in KS-Kir4.1 KO mice. Renal clearance studies demonstrated that LK augmented, while HK diminished, hydrochlorothiazide (HCTZ)-induced natriuresis in WT mice. Disruption of Kir4.1 significantly increased basal urinary Na+ excretion but it abolished the natriuretic effect of HCTZ. Finally, hypokalemia and metabolic alkalosis in KS-Kir4.1 KO mice were exacerbated by K+ restriction and only partially corrected by HK diet. We conclude that Kir4.1 plays an essential role in mediating the effect of dietary K+ intake on NCC activity and K+ homeostasis.
DOI: 10.1038/ng1877
发表时间: 2006-10-01
期刊: NATURE GENETICS
影响因子: 30.8
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发表时间: 2008-12-01
影响因子: 19.6
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