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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Renal+Physiol
2016 ; 310
(10
): F1008-12
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Metformin, an AMPK activator, stimulates the phosphorylation of aquaporin 2 and
urea transporter A1 in inner medullary collecting ducts
#MMPMID26962099
Klein JD
; Wang Y
; Blount MA
; Molina PA
; LaRocque LM
; Ruiz JA
; Sands JM
Am J Physiol Renal Physiol
2016[May]; 310
(10
): F1008-12
PMID26962099
show ga
Nephrogenic diabetes insipidus (NDI) is characterized by production of very large
quantities of dilute urine due to an inability of the kidney to respond to
vasopressin. Congenital NDI results from mutations in the type 2 vasopressin
receptor (V2R) in ?90% of families. These patients do not have mutations in
aquaporin-2 (AQP2) or urea transporter UT-A1 (UT-A1). We tested adenosine
monophosphate kinase (AMPK) since it is known to phosphorylate another
vasopressin-sensitive transporter, NKCC2 (Na-K-2Cl cotransporter). We found AMPK
expressed in rat inner medulla (IM). AMPK directly phosphorylated AQP2 and UT-A1
in vitro. Metformin, an AMPK activator, increased phosphorylation of both AQP2
and UT-A1 in rat inner medullary collecting ducts (IMCDs). Metformin increased
the apical plasma membrane accumulation of AQP2, but not UT-A1, in rat IM.
Metformin increased both osmotic water permeability and urea permeability in
perfused rat terminal IMCDs. These findings suggest that metformin increases
osmotic water permeability by increasing AQP2 accumulation in the apical plasma
membrane but increases urea permeability by activating UT-A1 already present in
the membrane. Lastly, metformin increased urine osmolality in mice lacking a V2R,
a mouse model of congenital NDI. We conclude that AMPK activation by metformin
mimics many of the mechanisms by which vasopressin increases urine-concentrating
ability. These findings suggest that metformin may be a novel therapeutic option
for congenital NDI due to V2R mutations.
|AMP-Activated Protein Kinases/drug effects/*metabolism
[MESH]