Distal potassium handling based on flow modulation of maxi-K channel activity.
Distal potassium handling based on flow modulation of maxi-K channel activity.
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DOI：
10.1097/mnh.0b013e32832c75d8
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发表时间：
2009-07
影响因子：
3.2
通讯作者：
Huang CL
中科院分区：
文献类型：
--
作者：
Rodan AR;Huang CL
Studies on the mechanisms of distal K+ secretion have highlighted the importance of the renal outer-medullary K+ (ROMK) and maxi-K channels. This review considers several human disorders characterized by hypo- and hyperkalemia, as well as mouse models of these disorders, and the mechanisms by which ROMK and maxi-K may be dysregulated. Analysis of knockout mice lacking ROMK, a model for type II Bartter’s syndrome, has shown a role for maxi-K in distal K+ secretion. Knockout mice lacking either the α or β1 subunits of maxi-K also show deficits in flow-dependent K+ secretion. Analysis of transgenic and knock-in mouse models of pseudohypoaldsoteronism type II (PHA2), in which mutant forms of with-no-lysine kinase 4 (WNK4) are expressed, suggests ways in which ROMK and maxi-K may be dysregulated to result in hyperkalemia. Modeling studies also provide insights into the role of Na+ delivery versus flow in K+ secretion. The importance of both ROMK and maxi-K to distal K+ secretion is now well-established, but the relative role each of these two channels plays in normal and diseased states has not been definitively established. Analysis of human and animal model data can generate hypotheses for future experiments.
