Adenylyl cyclases (AC) catalyze formation of cAMP, a critical component of G protein-coupled receptor signaling. So far, nine distinct membrane-bound AC isoforms (AC1-9) and one soluble AC (sAC) have been identified and, except for AC8, all of them are expressed in the kidney. While the role of ACs in renal cAMP formation is well established, we are just beginning to understand the function of individual AC isoforms, particularly with regard to hormonal regulation of transporter and channel phosphorylation, membrane abundance, and trafficking. This review focuses on the role of different AC isoforms in regulating renal water and electrolyte transport in health as well as potential pathological implications of disordered AC isoform function. In particular, we focus on modulation of transporter and channel abundance, activity, and phosphorylation, with an emphasis on studies employing genetically modified animals. As will be described, it is now evident that specific AC isoforms can exert unique effects in the kidney that may have important implications in our understanding of normal physiology as well as disease pathogenesis.homeostasis; parathyroid hormone; renal disease; signaling; vasopressin NINE DIFFERENT MEMBRANE-BOUND adenylyl cyclase (AC) isoforms in mammals have been described; all of them are key enzymes in catalyzing the conversion of ATP to cAMP. The membrane-bound ACs (which is what this review refers to, unless stated otherwise) have two membrane clusters that each contain six transmembrane domains and three large cytoplasmic domains (N, C1a/b and C2a/b). C1a and C2a form the catalytic core complex; they are highly conserved and homologous to one another. The N-terminal domain varies between AC isoforms and plays a regulatory role (46).A given cell type can express several AC isoforms, binds numerous agonists that modify cAMP production, and has a wide range of cAMP-dependent effects. This begs the question as to how cAMP is able to mediate such a variety of effects yet do this in a specific and highly regulated manner. This review focuses on one aspect of such specificity, namely, the role of unique AC isoforms in mediating particular biological actions in the kidney. However, it is important to briefly discuss the other key factors that play a role in allowing cAMP to exert so many functions, yet in a highly directed manner.The classic paradigm was that G proteins interacted randomly with ACs; i.e., each AC molecule's activity reflected the relative influence of potentially several G protein-coupled receptors (GPCR). However, studies using fluorescent energy transfer-based intracellular probes indicate that AC-derived cAMP (and its downstream effectors) is confined to specific regions within the cell (3,22). Furthermore, recent studies suggest that cAMP synthesis by specific AC isoforms can occur in vesicular compartments due to sustained activity of specific internalized receptors (3). Such association between GPCRs and ACs is likely due, at least in part, to A-kinaseanchoring proteins (AKAPs) th...