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Distinct cell types along thick ascending limb express pathways for monovalent and divalent cation transport
Hasan Demirci, Jessica P. Bahena-Lopez, Alina Smorodchenko, Xiao-Tong Su, Jonathan W. Nelson, Chao-Ling Yang, Joshua N. Curry, Xin-Peng Duan, Wen-Hui Wang, Yuliya Sharkovska, Ruisheng Liu, Duygu Elif Yilmaz, Catarina Quintanova, Katie Emberley, Ben Emery, Nina Himmerkus, Markus Bleich, David H. Ellison, Sebastian Bachmann
Hasan Demirci, Jessica P. Bahena-Lopez, Alina Smorodchenko, Xiao-Tong Su, Jonathan W. Nelson, Chao-Ling Yang, Joshua N. Curry, Xin-Peng Duan, Wen-Hui Wang, Yuliya Sharkovska, Ruisheng Liu, Duygu Elif Yilmaz, Catarina Quintanova, Katie Emberley, Ben Emery, Nina Himmerkus, Markus Bleich, David H. Ellison, Sebastian Bachmann
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Research Article Metabolism Nephrology

Distinct cell types along thick ascending limb express pathways for monovalent and divalent cation transport

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Abstract

Kidney thick ascending limb (TAL) cells reabsorb sodium, potassium, calcium, and magnesium and contribute to urinary concentration. These cells are typically viewed as a single type that recycles potassium across the apical membrane and generates a lumen-positive transepithelial voltage driving calcium and magnesium reabsorption, though variability in potassium channel expression has been reported. Additionally, recent transcriptomic analyses suggest that different cell types exist along this segment, but classifications have varied and have not led to a new consensus model. We used immunolocalization, electrophysiology, and enriched single-nucleus RNA-Seq to identify TAL cell types in rats, mice, and humans. We identified 3 major TAL cell types defined by expression of potassium channels and claudins. One has apical potassium channels, has low basolateral potassium conductance, and is bordered by a monovalent cation-permeable claudin. A second lacks apical potassium channels, has high basolateral potassium conductance, and is bordered by calcium- and magnesium-permeable claudins. A third type also lacks apical potassium channels and has high basolateral potassium conductance, but these cells are ringed by monovalent cation-permeable claudins. The recognition of diverse cell types may resolve longstanding questions about how solute transport can be modulated selectively and how disruption of these cells leads to human disease.

Authors

Hasan Demirci, Jessica P. Bahena-Lopez, Alina Smorodchenko, Xiao-Tong Su, Jonathan W. Nelson, Chao-Ling Yang, Joshua N. Curry, Xin-Peng Duan, Wen-Hui Wang, Yuliya Sharkovska, Ruisheng Liu, Duygu Elif Yilmaz, Catarina Quintanova, Katie Emberley, Ben Emery, Nina Himmerkus, Markus Bleich, David H. Ellison, Sebastian Bachmann

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Figure 1

Immunostaining for ROMK, Kir4.1, and CaSR distribution in rat kidney TAL.

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Immunostaining for ROMK, Kir4.1, and CaSR distribution in rat kidney TAL...
(A) ROMK immunostaining is identified using an antibody that recognizes all 3 ROMK isoforms (see also Supplemental Table 1) by luminal signal in a subset of cells lining TAL profiles across renal parenchymal zones; DAPI blue nuclear staining. White bars in epithelia identify cell borders between ROMK-positive and ROMK-negative cells. (B and C) Transmission electron microscopy showing overview (B) and detail (C) of ROMK-positive and ROMK-negative adjacent cells; arrowhead marks junctional area between positive and negative cells (C); immunoperoxidase staining. Scale bars indicated. (D) Numerical evaluation of ROMK-negative cells across the zones; values are means ± SD from n = 5 rats; *P < 0.05; ***P < 0.001, by 1-way ANOVA and post hoc comparisons. (E) Kir4.1 immunostaining is identified as basolateral signal in a subset of medullary TAL (mTAL) epithelial cells. (F) Double immunostaining for Kir4.1 and ROMK shows mutually exclusive signals in mTAL. (G) Numerical evaluation of Kir4.1-negative cells across zones; values are means ± SD from n = 4 rats; ****P < 0.0001, by 1-way ANOVA and post hoc comparisons. (H) Double immunostaining for CaSR and ROMK show mutually exclusive signals in mTAL. White bars mark the borders between ROMK-positive and -negative cells. To reflect underlying structure, a differential interference contrast (DIC) filter was used. DAPI blue nuclear staining: scale bars indicated.

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