Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Physiol+Renal+Physiol 2020 ; 319 (6): F1043-F1053 Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
NaCl cotransporter activity and Mg(2+) handling by the distal convoluted tubule #MMPMID33135481
Maeoka Y; McCormick JA
Am J Physiol Renal Physiol 2020[Dec]; 319 (6): F1043-F1053 PMID33135481show ga
The genetic disease Gitelman syndrome, knockout mice, and pharmacological blockade with thiazide diuretics have revealed that reduced activity of the NaCl cotransporter (NCC) promotes renal Mg(2+) wasting. NCC is expressed along the distal convoluted tubule (DCT), and its activity determines Mg(2+) entry into DCT cells through transient receptor potential channel subfamily M member 6 (TRPM6). Several other genetic forms of hypomagnesemia lower the drive for Mg(2+) entry by inhibiting activity of basolateral Na(+)-K(+)-ATPase, and reduced NCC activity may do the same. Lower intracellular Mg(2+) may promote further Mg(2+) loss by directly decreasing activity of Na(+)-K(+)-ATPase. Lower intracellular Mg(2+) may also lower Na(+)-K(+)-ATPase indirectly by downregulating NCC. Lower NCC activity also induces atrophy of DCT cells, decreasing the available number of TRPM6 channels. Conversely, a mouse model with increased NCC activity was recently shown to display normal Mg(2+) handling. Moreover, recent studies have identified calcineurin and uromodulin (UMOD) as regulators of both NCC and Mg(2+) handling by the DCT. Calcineurin inhibitors paradoxically cause hypomagnesemia in a state of NCC activation, but this may be related to direct effects on TRPM6 gene expression. In Umod(-/-) mice, the cause of hypomagnesemia may be partly due to both decreased NCC expression and lower TRPM6 expression on the cell surface. This mini-review discusses these new findings and the possible role of altered Na(+) flux through NCC and ultimately Na(+)-K(+)-ATPase in Mg(2+) reabsorption by the DCT.