Chanoux RA, Shubin CB, Robay A, Suaud L, Rubenstein RC. Hsc70 negatively regulates epithelial sodium channel trafficking at multiple sites in epithelial cells. Am J Physiol Cell Physiol 305: C776 -C787, 2013. First published July 24, 2013 doi:10.1152/ajpcell.00059.2013The epithelial sodium channel (ENaC) plays an important role in homeostasis of blood pressure and of the airway surface liquid, and excess function of ENaC results in refractory hypertension (in Liddle's syndrome) and impaired mucociliary clearance (in cystic fibrosis). The regulation of ENaC by molecular chaperones, such as the 70-kDa heat shock protein Hsc70, is not completely understood. Our previously published data suggest that Hsc70 negatively affects ENaC activity and surface expression in Xenopus oocytes; here we investigate the mechanism by which Hsc70 acts on ENaC in epithelial cells. In Madin-Darby canine kidney cells stably expressing epitope-tagged ␣␥-ENaC and with tetracycline-inducible overexpression of Hsc70, treatment with 5 g/ml doxycycline increased total Hsc70 expression 20%. This increase in Hsc70 expression led to a decrease in ENaC activity and surface expression that corresponded to an increased rate of functional ENaC retrieval from the cell surface. In addition, Hsc70 overexpression decreased the association of newly synthesized ENaC subunits. These data support the hypothesis that Hsc70 inhibits ENaC functional expression at the apical surface of epithelia by regulating ENaC biogenesis and ENaC trafficking at the cell surface.ENaC; chaperone; heat shock protein; trafficking; epithelia THE CRITICAL ROLE of the epithelial sodium channel (ENaC) in maintaining salt and water homeostasis in a number of organ systems is evidenced by the severe conditions caused by ENaC dysregulation (18,51,67). In the absence of ENaC in pseudohypoaldosteronism type 1, the kidney wastes salt, which leads to hypotension (20,48,52). In contrast, ENaC functional overexpression in the distal nephron results in salt-sensitive hypertension, such as in Liddle's syndrome (10,27,47,50,52,55).ENaC also plays an important role in the airway epithelia. In patients with cystic fibrosis (CF), ENaC activity appears relatively increased, which is hypothesized to cause airway surface liquid volume depletion, decreased mucociliary clearance, and increased bacterial colonization of the airway (39). It is therefore critical to understand the mechanisms underlying ENaC regulation to better understand disease pathophysiology in these organs.ENaC is likely a heterotrimer of three homologous subunits, ␣, , and ␥. This hypothesized structure is based on the structure of a related ENaC/degenerin family member, the acid-sensing ion channel (30), as well as recent atomic force microscopy data (62). Each subunit of ENaC contains NH 2 -and COOH-terminal intracellular domains, as well as a large extracellular domain with many glycosylation sites (8, 9). As with many secreted and membrane proteins, ENaC subunits are most likely assembled in the endoplasmic reticulum (ER). E...