Antagonistic Regulation of ROMK by Long and Kidney-Specific WNK1 Isoforms

WNK kinases are serine-threonine kinases with an atypical placement of the catalytic lysine. Intronic deletions with increased expression of a ubiquitous long WNK1 transcript cause pseudohypoaldosteronism type 2 (PHA II), characterized by hypertension and hyperkalemia. Here, we report that long WNK1...

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Published inProceedings of the National Academy of Sciences - PNAS Vol. 103; no. 5; pp. 1615 - 1620
Main Authors Lazrak, Ahmed, Liu, Zhen, Huang, Chou-Long
Format Journal Article
LanguageEnglish
Published United States National Academy of Sciences 31.01.2006
National Acad Sciences
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Summary:WNK kinases are serine-threonine kinases with an atypical placement of the catalytic lysine. Intronic deletions with increased expression of a ubiquitous long WNK1 transcript cause pseudohypoaldosteronism type 2 (PHA II), characterized by hypertension and hyperkalemia. Here, we report that long WNK1 inhibited ROMK1 by stimulating its endocytosis. Inhibition of ROMK by long WNK1 was synergistic with, but not dependent on, WNK4. A smaller transcript of WNK1 lacking the N-terminal 1-437 amino acids is expressed highly in the kidney. Whether expression of the KSWNK1 (kidney-specific, KS) is altered in PHA II is not known. We found that KS-WNK1 did not inhibit ROMK1 but reversed the inhibition of ROMK1 caused by long WNK1. Consistent with the lack of inhibition by KS-WNK1, we found that amino acids 1-491 of the long WNK1 were sufficient for inhibiting ROMK. Dietary K⁺ restriction decreases ROMK abundance in the renal cortical-collecting ducts by stimulating endocytosis, an adaptative response important for conservation of K⁺ during K⁺ deficiency. We found that K⁺ restriction in rats increased whole-kidney transcript of long WNK1 while decreasing that of KS-WNK1. Thus, KS-WNK1 is a physiological antagonist of long WNK1. Hyperkalemia in PHA II patients with PHA II mutations may be caused, at least partially, by increased expression of long WNK1 with or without decreased expression of KS-WNK1.
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Conflict of interest statement: No conflicts declared.
To whom correspondence should be addressed. E-mail: chou-long.huang@utsouthwestern.edu.
A.L. and Z.L. contributed equally to this work.
Communicated by Steven C. Hebert, Yale University School of Medicine, New Haven, CT, December 8, 2005
Abbreviations: CCV, clathrin-coated vesicle; HEK, human embryonic kidney; KS, kidney-specific; PHA II, pseudohypoaldosteronism type II; siRNA, small interference RNA.
Author contributions: A.L., Z.L., and C.-L.H. designed research; A.L. and Z.L. performed research; A.L., Z.L., and C.-L.H. analyzed data; and C.-L.H. wrote the paper.
ISSN:0027-8424
1091-6490
DOI:10.1073/pnas.0510609103