2021
DOI: 10.15252/emmm.202114273
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Molecular mechanisms for the modulation of blood pressure and potassium homeostasis by the distal convoluted tubule

Abstract: Epidemiological and clinical observations have shown that potassium ingestion is inversely correlated with arterial hypertension prevalence and cardiovascular mortality. The higher the dietary potassium, the lower the blood pressure and mortality. This phenomenon is explained, at least in part, by the interaction between salt reabsorption in the distal convoluted tubule (DCT) and potassium secretion in the connecting tubule/collecting duct of the mammalian nephron: In order to achieve adequate K+ secretion lev… Show more

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Cited by 17 publications
(17 citation statements)
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“…Aldosterone is the most important hormone in the regulation of Na + homeostasis in the distal nephron. One may argue that aldosterone regulates Na + homeostasis directly in the connecting tubule and the CD, and indirectly in DCT [40]. However, due to the technical difficulty, the role of aldosterone in DCT may have been underestimated [41].…”
Section: Plos Onementioning
confidence: 99%
“…Aldosterone is the most important hormone in the regulation of Na + homeostasis in the distal nephron. One may argue that aldosterone regulates Na + homeostasis directly in the connecting tubule and the CD, and indirectly in DCT [40]. However, due to the technical difficulty, the role of aldosterone in DCT may have been underestimated [41].…”
Section: Plos Onementioning
confidence: 99%
“…NCC, encoded by the SLC12A3 gene, is expressed in the distal convoluted tubule in the kidney, responsible for sodium reabsorption and playing a pivotal role in extracellular fluid volume and blood pressure control (8)(9)(10)(11). Malfunction of NCC leads to renal Na + waste and hypotension, causing Gitelman syndrome, a widely reported inherited kidney disease, depicted by metabolic alkalosis and hypokalemia, along with urinary calcium, hypocalcemia, and hypomagnesaemia (5,12).…”
Section: Introductionmentioning
confidence: 99%
“…As the two ions co-transported by Ncc, Na + and Cl − have been reported to affect the functional regulation of Ncc. In the tubule epithelial cells of mammalian kidneys, the protein activity and uptake function of Ncc are regulated by intracellular Cl − concentration, which is mediated by post-translational modification via the WNK-SPAK signaling pathways [ 33 , 34 ]. In rodents, the amount of NaCl in the diet affects renal Ncc protein expression and/or its activity [ 35 , 36 ].…”
Section: Discussionmentioning
confidence: 99%