Unique chloride-sensing properties of WNK4 permit the distal nephron to modulate potassium homeostasis

Andrew S. Terker, Chong Zhang, Kayla J. Erspamer, Gerardo Gamba, Chao-Ling Yang, David Ellison

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

Dietary potassium deficiency activates thiazide-sensitive sodium chloride cotransport along the distal nephron. This may explain, in part, the hypertension and cardiovascular mortality observed in individuals who consume a low-potassium diet. Recent data suggest that plasma potassium affects the distal nephron directly by influencing intracellular chloride, an inhibitor of the with-no-lysine kinase (WNK)-Ste20p-related proline- and alanine-rich kinase (SPAK) pathway. As previous studies used extreme dietary manipulations, we sought to determine whether the relationship between potassium and NaCl cotransporter (NCC) is physiologically relevant and clarify the mechanisms involved. We report that modest changes in both dietary and plasma potassium affect NCC in vivo. Kinase assay studies showed that chloride inhibits WNK4 kinase activity at lower concentrations than it inhibits activity of WNK1 or WNK3. Also, chloride inhibited WNK4 within the range of distal cell chloride concentration. Mutation of a previously identified WNK chloride-binding motif converted WNK4 effects on SPAK from inhibitory to stimulatory in mammalian cells. Disruption of this motif in WNKs 1, 3, and 4 had different effects on NCC, consistent with the three WNKs having different chloride sensitivities. Thus, potassium effects on NCC are graded within the physiological range, which explains how unique chloride-sensing properties of WNK4 enable it to mediate effects of potassium on NCC in vivo.Kidney International advance online publication, 30 September 2015; doi:10.1038/ki.2015.289.

Original languageEnglish (US)
JournalKidney International
DOIs
StateAccepted/In press - Sep 30 2015

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Nephrons
Chlorides
Potassium
Homeostasis
Phosphotransferases
Dietary Potassium
Proline
Alanine
Lysine
Potassium Deficiency
Thiazides
Sodium Chloride
Publications
Diet
Hypertension
Kidney
Mutation
Mortality

ASJC Scopus subject areas

  • Nephrology

Cite this

Unique chloride-sensing properties of WNK4 permit the distal nephron to modulate potassium homeostasis. / Terker, Andrew S.; Zhang, Chong; Erspamer, Kayla J.; Gamba, Gerardo; Yang, Chao-Ling; Ellison, David.

In: Kidney International, 30.09.2015.

Research output: Contribution to journalArticle

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