title: [Renal K-ATPases: structure, function and dysfunction].
abstract: Na,K-ATPase and H,K-ATPase consist of two transmembrane proteins, the larger of which (catalytic subunit) exchanges extracellular K+ against intracellular Na+ or proton, at the expense of ATP hydrolysis. Cloning of four isoforms of Na,K-ATPase and two isoforms of H,K-ATPase has provided a molecular basis to the functional heterogeneity of these ATPases. Besides its house keeping functions, renal Na,K-ATPase energizes most solute and water transports along the whole nephron. For this purpose, it utilizes about 80% of renal metabolic energy. H,K-ATPase, which is restricted to the renal collecting duct, has a more limited role: it energizes K+ reabsorption during hypokalemia and, along with H-ATPase, participates to acid/base homeostasis. Dysregulation of tubular Na,K-ATPase and H,K-ATPase are involved in physiopathological alterations. For examples, results are presented which show the relationships that exist between a) Na+ retention during experimental nephrotic syndrome and stimulation of collecting duct Na,K-ATPase, and b) kaliuretic effect of loop diuretics and inhibition of collecting duct H,K-ATPase.
authors.affiliation: CEA Saclay, Laboratoire de biologie intégrée des cellules rénales, Unité 1859 associée au CNRS, Gif sur Yvette.
authors.forename: B
authors.initials: B
authors.lastname: Buffin-Meyer
authors.forename: G
authors.initials: G
authors.lastname: Deschênes
authors.forename: A
authors.initials: A
authors.lastname: Doucet
mesh_terms: D000818:Animals; D004791:Enzyme Inhibitors; D017506:H(+)-K(+)-Exchanging ATPase / Q000737:chemistry* / Q000502:physiology*; D006801:Humans; D006973:Hypertension / Q000201:enzymology; D007668:Kidney / Q000201:enzymology*; D009404:Nephrotic Syndrome / Q000201:enzymology; D000254:Sodium-Potassium-Exchanging ATPase / Q000737:chemistry* / Q000502:physiology*
chemical_list: D004791:Enzyme Inhibitors; D017506:H(+)-K(+)-Exchanging ATPase; D000254:Sodium-Potassium-Exchanging ATPase
vernacular_title: K-ATPases rénales: structure, fonctions et dysfonctionnements.