Distal convoluted tubule Cl concentration is modulated via K+ channels and transporters

XT Su, NJ Klett, A Sharma, CN Allen… - American Journal …, 2020 - journals.physiology.org
XT Su, NJ Klett, A Sharma, CN Allen, WH Wang, CL Yang, DH Ellison
American Journal of Physiology-Renal Physiology, 2020journals.physiology.org
Cl−-sensitive with-no-lysine kinase (WNK) plays a key role in regulating the thiazide-
sensitive Na+-Cl− cotransporter (NCC) in the distal convoluted tubule (DCT). Cl− enters
DCT cells through NCC and leaves the cell across the basolateral membrane via the Cl−
channel ClC-K2 or K+-Cl− cotransporter (KCC). While KCC is electroneutral, Cl− exit via ClC-
K2 is electrogenic. Therefore, an alteration in DCT basolateral K+ channel activity is
expected to influence Cl− movement across the basolateral membrane. Although a role for …
Cl-sensitive with-no-lysine kinase (WNK) plays a key role in regulating the thiazide-sensitive Na+-Cl cotransporter (NCC) in the distal convoluted tubule (DCT). Cl enters DCT cells through NCC and leaves the cell across the basolateral membrane via the Cl channel ClC-K2 or K+-Cl cotransporter (KCC). While KCC is electroneutral, Cl exit via ClC-K2 is electrogenic. Therefore, an alteration in DCT basolateral K+ channel activity is expected to influence Cl movement across the basolateral membrane. Although a role for intracellular Cl in the regulation of WNK and NCC has been established, intracellular Cl concentrations ([Cl]i) have not been directly measured in the mammalian DCT. Therefore, to measure [Cl]i in DCT cells, we generated a transgenic mouse model expressing an optogenetic kidney-specific Cl-Sensor and measured Cl fluorescent imaging in the isolated DCT. Basal measurements indicated that the mean [Cl]i was ~7 mM. Stimulation of Cl exit with low-Cl hypotonic solutions decreased [Cl]i, whereas inhibition of KCC by DIOA or inhibition of ClC-K2 by NPPB increased [Cl]i, suggesting roles for both KCC and ClC-K2 in the modulation of [Cl]i . Blockade of basolateral K+ channels (Kir4.1/5.1) with barium significantly increased [Cl]i. Finally, a decrease in extracellular K+ concentration transiently decreased [Cl]i, whereas raising extracellular K+ transiently increased [Cl]i, further suggesting a role for Kir4.1/5.1 in the regulation of [Cl]i. We conclude that the alteration in ClC-K2, KCC, and Kir4.1/5.1 activity influences [Cl]i in the DCT.
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