IT HAD BEEN A FUNDAMENTAL dispute for several decades, whether water passes epithelia such as kidney proximal tubule or small intestine along the transcellular, paracellular, or both pathways.By discovery of the transmembranal aquaporin water channels (AQP), the molecular basis of the transcellular pathway was uncovered (1), but the molecular basis of the tight junctional pathway was not resolved at that time. Transcellular and paracellular water transport was, therefore, measured by methods that attempted to technically discriminate the two pathways. This turned out to be difficult, and as a result, the contribution of the paracellular pathway was estimated in the maximal range between 0 and 100%, depending on the method used for analysis (3).In recent years, several tight junction proteins were identified to form paracellular channels with selectivity for small cations (claudin-2, claudin-10b, and claudin-15) or anions (claudin-10a and claudin-17) (4). In consequence, new approaches were developed to measure transepithelial water transport before and after molecular perturbation of the tight junction by overexpression or downregulation of specific junctional proteins. In this way, the tight junctional contribution to transepithelial water transport could be analyzed.Using an overexpression study in the epithelial cell line MDCK-C7, Rosenthal et al. (8) identified claudin-2 to form a paracellular water channel. Claudin-2 is highly expressed in the proximal tubule of the kidney and is known as a paracellular cation channel (2). Thus, claudin-2 forms channels for both, small cations and water. Whereas this in vitro study employed claudin-2 overexpression, others were performed on claudin-2-deficient mice.In a very evident study published in the American Journal of Physiology-Renal Physiology, Schnermann et al. (9) measured proximal fluid reabsorption in wild-type mice and mice deficient for claudin-2, AQP-1, and both. In claudin-2-deficient mice, fluid reabsorption was reduced by 23% compared to wild-type mice. This result corroborates the concept of a claudin-2-based paracellular water permeability and convincingly demonstrates a paracellular contribution to proximal tubule fluid reabsorption of 25%. Schnermann et al. (9) performed a comprehensive analysis not only of proximal fluid reabsorption, but also on kidney and single-nephron filtration rate on a large number of mice. Furthermore, in a detailed expression analysis of wild-type mice and mice deficient for claudin-2, AQP1, and both, the authors demonstrated that the findings are due to the deletion of the specific protein and not to further alterations in gene expression.They showed that in mice deficient of AQP-1, which is highly expressed in both apical and basolateral membranes of proximal tubule cells and, thus, represents the main pathway for transcellular water movement, fluid reabsorption is reduced by 20%. The absence of AQP-1 causes a transepithelial osmotic difference, which induces fluid reabsorption across AQP1-independent transcellular pathwa...