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Ca2+-permeable TRPV4 channel serves as the sensor of tubular flow thus being well-suited to govern mechanosensitive K+ transport in the distal renal tubule. Here, we directly tested whether TRPV4 function is significant in affecting K+ balance. We employed balance metabolic cage studies and systemic measurements with different K+ feeding regimens: high (5% K+), regular (0.9% K+), and low (+) in newly created transgenic mice with selective TRPV4 deletion in the renal tubule (TRPV4fl/fl-Pax8Cre) and their littermate controls (TRPV4fl/fl). Deletion was verified by the absence of TRPV4 protein expression and the lack of TRPV4-dependent Ca2+ influx. There were no differences in plasma electrolytes, baseline urinary volume, and K+ levels at the baseline. In contrast, plasma K+ levels were significantly elevated in TRPV4fl/fl-Pax8Cre mice on high K+ intake. K+ loaded knockouts exhibited lower urinary K+ levels than TRPV4fl/fl mice, which was accompanied by higher aldosterone levels by day 7. Moreover, TRPV4fl/fl-Pax8Cre mice had more efficient renal K+ conservation and higher plasma K+ levels in the state of dietary K+ deficiency. H+-K+ ATPase levels were significantly increased in TRPV4fl/fl-Pax8Cre mice on regular and especially on low K+ diet pointing to an augmented K+ reabsorption in the collecting duct. Consistently, we found a significantly faster pHi recovery after intracellular acidification, as an index of H+-K+ ATPase activity, in split-opened collecting ducts from TRPV4fl/fl-Pax8Cre mice. In summary, our results demonstrate an indispensable pro-kaliuretic role of TRPV4 in the renal tubule in controlling K+ balance and urinary K+ excretion during variations in dietary K+ intake.

Hypertension is the major clinically relevant problem affecting millions of people in the US. The renal collecting duct is known to play a critical role in setting salt-sensitivity of blood pressure. Originally, the majority of clinical and basic effort has been devoted to defining the detrimental roles of elevated dietary Na+ in pathophysiology of hypertension. However, emerging evidence indicates that the dietary Cl- is as important for blood pressure control. The collecting duct has two independent types of cells: principal and intercalated having different functions and physiological roles. Principal cells regulate Na+ reabsorption, whereas intercalated cells are responsible for transport of Cl-. ClC-K2 is a Cl- permeable channel abundantly expressed on the basolateral membrane of several distal nephron segments from the thick ascending limb to the collecting duct. Loss-of-function mutations in ClC-Kb (human orthologue of ClC-K2) cause Bartter’s syndrome type 3, which is associated with urinary salt wasting and hypotension. While the function of ClC-Kb in the thick ascending limb and distal convoluted tubule are thought to be responsible for the salt-wasting phenotype in patients with Bartter’s syndrome, the role of the channel in the collecting duct intercalated cells is not known. To address this critical gap, we compared the blood pressure phenotype and systemic Cl- balance in newly created mice with deletion of ClC-K2 in the renal nephron (RN-KO) and selectively in intercalated cells (IC-KO) using cre-loxP strategy. Since the commonly used Na+ deficient diet only partially reduces chloride content and does not lead to appreciable reduction in blood pressure in rodents, we used the diet lacking both Na+ and Cl-. As anticipated, RN-KO ClC-K2 mice had lower blood pressure on both regular and NaCl deficient diets when compared to the respective genetic controls (WT). In addition, the mutants exhibited larger urinary volume and Cl- wasting in response to dietary Cl- restriction. Importantly, IC-KO ClC-K2 mice had comparable blood pressure on regular diet, but became more hypotonic when compared to WT in response to dietary NaCl deficiency. Moreover, patch clamp studies in freshly isolated collecting ducts from WT mice revealed that ClC-K2 activity is proportionally increased to the amount of Cl- reduction in a diet suggesting that ClC-K2 is instrumental in augmenting Cl- reabsorption during Cl- deficiency.In conclusion, our results demonstrate, for the first time, the significance of ClC-K2 function in the collecting duct intercalated cells in setting salt sensitivity of blood pressure. This research was supported by NIH-NIDDK DK117865, DK119170, AHA EIA35260097 (to O. Pochynyuk) and AHA-19CDA34660148 (to V. N. Tomilin). This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Mechanical stress arising from elevated fluid flow is an important regulator of the water-electrolyte transport in the collecting duct (CD). It is well established that mechano-sensitive TRPV4 Ca2+-permeable channel mediates intracellular Ca2+ ([Ca2+]i) responses to high flow in these cells. Piezo1, a Ca2+-permeable channel directly activated by the plasma membrane stretch, is a recent arrival at this scene. Piezo1 expression has been reported in the CD. However, its functional significance is yet to be determined. Here, we applied a combination of Ca2+ imaging and confocal microscopy in freshly isolated split-opened CDs to investigate a potential interplay between TRPV4 and Piezo1 in mediating [Ca2+]i signaling in the CD. Immunofluorescent analysis of split-opened CDs showed presence of Piezo1 in both AQP2-positive (principal cells, PC) and -negative (intercalated cells, IC) with higher intensity in the former. Importantly, Piezo1 was apparent on both apical and basolateral membrane of CD cells. Piezo1 agonists, Yoda-1 (20μM) and Jedi2 (500μM) acutely increase [Ca2+]i in both principal and intercalated cells. The responses were abolished when extracellular Ca2+ was buffered with EGTA suggesting a direct Ca2+ influx via Piezo1. Interestingly, we detected two disparate calcium responses to Piezo1 activation with the majority (70%) cells showing a fast transient response with a sustained plateau, whereas the remaining (30%) population had much slower gradual calcium increase to the same plateau level. Subsequent immunofluorescent analysis revealed that fast Ca2+ responses were attributed to PC, whereas responses with slow kinetics corresponded to IC. Consistently, PCs have ~3 fold higher Piezo-1 signal when compared to neighbor ICs. We next tested whether Piezo1 activity depends on TRPV4 status. Genetic deletion and pharmacological inhibition of TRPV4 with GSK2193874 did not affect Piezo1-dependent elevations in [Ca2+]i. However, high K+ diet, which is known to elevate the flow in the CD and augment both TRPV4 activity and expression, led to diminished Piezo1 responses to Yoda-1. In summary, our results are consistent with the view that Piezo1 and TRPV4 are functional in both principal and intercalated cells of the collecting duct and operate independently to modulate mechanosensitive [Ca2+]i signaling. We hypothesize that augmented TRPV4-dependent [Ca2+]i is compensated by the diminished activity of Piezo1 to account for elevated flow rate upon increased K+ intake. This research was supported by NIH-NIDDK DK117865, DK119170, AHA EIA35260097 (to O. Pochynyuk) and AHA-19CDA34660148 (to V. N. Tomilin). This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Mechanosensitive Ca2+-permeable transient receptor potential vanilloid type 4 (TRPV4) channel plays a dominant role in maintaining intracellular Ca2+ ([Ca2+]i) homeostasis and flow-sensitive [Ca2+]i signaling in the distal segments of renal tubule and collecting duct. Polycystic kidney disease (PKD) manifests as progressive cyst growth with cystic cells exhibiting exacerbated cAMP-dependent fluid secretion along with deficient mechanosensitivity and reduced basal [Ca2+]i levels, and impaired TRPV4 activity. In this study, we tested how regulation of renal TRPV4 function by elevated dietary K+ intake modulates the rate of cystogenesis and mechanosensitive [Ca2+]i signaling in cystic cells of PCK453 rats (1 m.o.), a homologous model of human autosomal recessive PKD (ARPKD), where cyst development is restricted to the collecting duct. One month treatment with both high KCl (5% K+) and KB/C (5% K+ with bicarbonate to citrate in 4:1 ratio) diets significantly increased kidney TRPV4 levels in PCK453 rats when compared to the control group fed regular diet (0.9% K+). High KCl diet also caused an increased TRPV4-dependent Ca2+ influx, higher basal [Ca2+]i, and partial restoration of mechanosensitivity in freshly isolated monolayers of cystic cells. Unexpectedly, high KB/C diet induced an opposite effect by reducing TRPV4 activity and further worsening [Ca2+]i homeostasis. Importantly, high KCl diet decreased, whereas high KB/C diet further increased cAMP levels, as was assessed by the extent of cAMP-dependent translocation of AQP2 water channel to apical membrane in cystic cells. At the systemic level, high KCl diet fed PCK453 rats had significantly lower kidney-to-bodyweight ratio and reduced cystic area in renal sections. The beneficial effects of high KCl diet were negated by a concomitant administration of an orally active TRPV4 antagonist, GSK2193874, resulting in greater kidney weight and accelerated cystogenesis, when compared to these values in control rats. In a similar manner, high KB/C diet exacerbated renal manifestations of ARPKD, consistent with deficient TRPV4 activity in cystic cells. Moreover, KCl+GSK2193874 and high KB/C treated PCK453 rats have increased urinary levels of a renal injury marker, KIM-1.In conclusion, we demonstrate that TRPV4 channel activity negatively regulates cAMP levels in cystic cells upon variations in K+ intake thus attenuating (high activity) or accelerating (low activity) ARPKD progression in PCK453 rats. We propose that pharmacological or dietary means leading to TRPV4 stimulation might be useful to counteract PKD progression in the clinical setting. This research was supported by NIH-NIDDK DK117865, DK119170, AHA EIA35260097 (to O. Pochynyuk) and AHA-19CDA34660148 (to V. N. Tomilin). This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

The renal collecting duct is known to play a critical role in many physiological processes, including systemic water–electrolyte homeostasis, acid–base balance, and the salt sensitivity of blood pressure. ClC-K2 (ClC-Kb in humans) is a Cl−-permeable channel expressed on the basolateral membrane of several segments of the renal tubule, including the collecting duct intercalated cells. ClC-Kb mutations are causative for Bartters’ syndrome type 3 manifested as hypotension, urinary salt wasting, and metabolic alkalosis. However, little is known about the significance of the channel in the collecting duct with respect to the normal physiology and pathology of Bartters’ syndrome. In this review, we summarize the available experimental evidence about the signaling determinants of ClC-K2 function and the regulation by systemic and local factors as well as critically discuss the recent advances in understanding the collecting-duct-specific roles of ClC-K2 in adaptations to changes in dietary Cl− intake and maintaining systemic acid–base homeostasis.

The non-catalytic COOH-terminal module formed after proteolytic cleavage of full-length mammalian tyrosyl-tRNA synthetase displays dual function: tRNA binding ability and cytokine activity. With the aim to explore the intramolecular dynamics of C-module in solution we used fluorescence spectroscopy to study conformational changes of isolated protein. We used information from fluorescence spectra and computational model for characterization of a microenvironment of a single tryptophan residue (Trp144). Its fluorescence parameters and protection from quenching by Cs+ ions indicate the internal localization--buried into protein globule. The fluorescence quenching of Trp144 by acrylamide suggests rapid conformation dynamics of the C-module in nanosecond time scale. The temperature-induced conformational changes in the C-module were monitored by the fluorescence measurements of Trp144 emission and by red-edge excitation shift. An emission maximum shift up to approximately 349 nm and significant decrease of the red-edge shift effect at 37-52 degrees C indicated a major conformational transition of Trp144 from buried native state into highly relaxing polar solvent environment.