The thiazide-sensitive Na+-Cl- cotransporter: molecular biology, functional properties, and regulation by WNKs

The thiazide-sensitive Na+-Cl(-) cotransporter is the major salt reabsorption pathway in the distal convoluted tubule, which is located just after the macula densa at the beginning of the aldosterone-sensitive nephron. This cotransporter was identified at the molecular level in the early 1990s by th...

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Bibliographic Details
Published in:American journal of physiology. Renal physiology 2009-10, Vol.297 (4), p.F838-F848
Main Author: Gamba, Gerardo
Format: Article
Language:English
Subjects:
Animals
Diuretics
Homeostasis
Humans
Kidney Diseases - metabolism
Kidney Tubules - metabolism
Kidneys
Molecular biology
Molecules
Protein-Serine-Threonine Kinases - metabolism
Receptors, Drug - metabolism
Review
Salt
Sodium
Sodium Chloride - metabolism
Sodium Chloride Symporters - metabolism
Water - metabolism
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Summary:The thiazide-sensitive Na+-Cl(-) cotransporter is the major salt reabsorption pathway in the distal convoluted tubule, which is located just after the macula densa at the beginning of the aldosterone-sensitive nephron. This cotransporter was identified at the molecular level in the early 1990s by the pioneering work of Steven C. Hebert and coworkers, opening the molecular area, not only for the Na+-Cl(-) cotransporter but also for the family of electroneutral cation-coupled chloride cotransporters that includes the loop diuretic-sensitive Na+-K+-2Cl(-) cotransporter of the thick ascending limb of Henle's loop. This work honoring the memory of Steve Hebert presents a brief review of our current knowledge about salt and water homeostasis generated as a consequence of cloning the cotransporter, with particular emphasis on the molecular biology, physiological properties, human disease due to decreased or increased activity of the cotransporter, and regulation of the cotransporter by a family of serine/threonine kinases known as WNK. Thus one of the legacies of Steve Hebert is a better understanding of salt and water homeostasis.
ISSN:1931-857X
1522-1466
DOI:10.1152/ajprenal.00159.2009