title: Regulation of apical localization of the thiazide-sensitive NaCl cotransporter by WNK4 in polarized epithelial cells.
abstract: Missense mutations in the WNK4 gene have been postulated to cause pseudohypoaldosteronism type II (PHAII), an autosomal-dominant disorder characterized by hyperkalemia and hypertension. Previous reports using Xenopus oocytes showed that wild-type WNK4 expression inhibited surface expression of the thiazide-sensitive NaCl cotransporter (NCC), while a disease-causing mutant lost the inhibitory effect on NCC surface expression. To determine if these changes observed in oocytes really occur in polarized epithelial cells, we generated stable MDCK II cell lines expressing NCC alone or NCC plus wild-type WNK4 or a disease-causing (D564A) WNK4. In contrast to the apical localization of NCC without co-expression of WNK4, immunofluorescence microscopy and biotin surface labeling revealed that this apical localization was equally decreased by both the wild-type and the mutant WNK4 expression. Apical localizations of two PHAII-unrelated apical transporters, sodium-independent amino acid transporter, BAT1 and bile salt export pump, Bsep, were also found to be decreased by both wild-type and mutant WNK4 expression. These results indicate that the regulation of NCC was not related to the disease-causing mutation and not restricted to the PHAII-related specific transporters. The regulation of intracellular localization of NCC by WNK4 might not be involved in the pathogenesis of PHAII.
authors.affiliation: Department of Nephrology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima Bunkyo, Tokyo 113-8519, Japan.
authors.forename: Sung-Sen
authors.initials: SS
authors.lastname: Yang
authors.forename: Kozue
authors.initials: K
authors.lastname: Yamauchi
authors.forename: Tatemitsu
authors.initials: T
authors.lastname: Rai
authors.forename: Atsushi
authors.initials: A
authors.lastname: Hiyama
authors.forename: Eisei
authors.initials: E
authors.lastname: Sohara
authors.forename: Tatsunori
authors.initials: T
authors.lastname: Suzuki
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Itoh
authors.forename: Shin
authors.initials: S
authors.lastname: Suda
authors.forename: Sei
authors.initials: S
authors.lastname: Sasaki
authors.forename: Shinichi
authors.initials: S
authors.lastname: Uchida
mesh_terms: D000818:Animals; D002460:Cell Line; D004285:Dogs; D004847:Epithelial Cells / Q000378:metabolism; D017346:Protein Serine-Threonine Kinases / Q000235:genetics / Q000378:metabolism*; D011955:Receptors, Drug / Q000378:metabolism*; D049992:Sodium Chloride Symporters; D027981:Symporters / Q000378:metabolism*
chemical_list: D011955:Receptors, Drug; D049992:Sodium Chloride Symporters; D027981:Symporters; C064415:thiazide receptor; D017346:Protein Serine-Threonine Kinases