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Distinct cell types along thick ascending limb express pathways for monovalent and divalent cation transport
Hasan Demirci, … , David H. Ellison, Sebastian Bachmann
Hasan Demirci, … , David H. Ellison, Sebastian Bachmann
Published June 5, 2025
Citation Information: JCI Insight. 2025;10(13):e190992. https://doi.org/10.1172/jci.insight.190992.
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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 5

Regional expression of key proteins in TAL cell types and comparative analysis of TAL diversity: enriched-TAL versus whole-kidney TAL subset in RNA-Seq datasets.

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Regional expression of key proteins in TAL cell types and comparative an...
Heatmap showing regional gene expression patterns in TAL cell types. Pth1r and Casr transcripts are highest in TAL-β cells, peaking in the cortex. Avpr2 and Kcnt1 are enriched in claudin 10–positive TAL-α and TAL-γ cells, with highest levels in the medulla. Slc9a2 (NHE2) is primarily expressed in the cortex (TAL-α and TAL-β), while Slc9a3 (NHE3) is medulla enriched, peaking in TAL-γ cells. Data normalization and scaling: Gene expression data were normalized and scaled using a z-score to compare relative expression levels across clusters. “Avg Exp” indicates the z-scored mean gene expression within a cluster. (B–D) Comparative analysis of the enriched-TAL dataset with Slc12a1-positive TAL subsets extracted from a previously published whole-kidney RNA-Seq dataset (16). (B) UMAP comparing TAL cell types. The enriched-TAL dataset reveals 3 distinct TAL cell types: TAL-α, TAL-β, and TAL-γ, alongside MD and proliferating (Prolif) cells. In contrast, the whole-kidney TAL subset (16) predominantly identifies 2 TAL cell types (TAL-α and TAL-β) and MD cells. (C) UMAP illustrating the origin of TAL cells by kidney zone according to authors. In the enriched-TAL dataset, cells are derived from dissected cortex and medulla. In the whole-kidney dataset, kidney zones are designated as Zone 1 (cortex), Zone 2 (outer medulla), and Zone 3 (inner medulla) (16). (D) UMAP displaying Kcnj10 (Kir4.1) expression in both the enriched-TAL dataset and the whole-kidney TAL subset (16).

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