Wang, Wen-Hui. Regulation of ROMK (Kir1.1) channels: new mechanisms and aspects. Am J Physiol Renal Physiol 290: F14 -F19, 2006; 10.1152/ajprenal. 00093.2005.-This brief review attempts to provide an overview regarding recent developments in the regulation of ROMK channels. Studies performed in ROMK null mice suggest that ROMK cannot only form hometetramers such as the small-conductance (30-pS) K channels but also construct heterotetramers such as the 70-pS K channel in the thick ascending limb (TAL). The expression of ROMK channels in the plasma membrane is regulated by protein tyrosine kinase (PTK), serum and glucorticoid-induced kinase (SGK), and with-no-lysine-kinase 4. PTK is involved in mediating the effect of low K intake on ROMK channel activity. Increases in superoxide anions induced by low dietary K intake are responsible for the stimulation of PTK expression and tyrosine phosphorylation of ROMK channels. Finally, a recent study indicated that ROMK channels can be monoubiquitinated and monoubiquitination regulates the surface expression of ROMK channels.THE ROMK CHANNEL PLAYS AN important role in K recycling in the thick ascending limb (TAL) and K secretion in the connecting tubule (CT) and cortical collecting duct (CCD) (16,19,34,43,45,61). Although maxi-K channels are also possibly involved in the regulation of K secretion in the CCD (66, 67), it is generally agreed that ROMK channels are mainly responsible for K secretion under normal conditions. The regulation of ROMK channels has been extensively studied, and a recent review has provided extensive coverage regarding the regulatory mechanism of ROMK in the past (16). Thus this review is meant to emphasize the newest developments in the field, which may not have been included in previous reviews. Several studies have identified new amino acids that are involved in the regulation of pH sensitivity of ROMK1 channels in addition to lysine residue 80 (14). Also, it has been shown that changes in extracellular K concentrations can affect the sensitivity of ROMK channels to cell pH (9, 49). Although these topics are important to an understanding of the function of ROMK channels, they are beyond the focus of the present review.
ROMK IS A KEY COMPONENT OF THE APICAL K CHANNELS IN THE TALApical K channels play an important role in K recycling, which is essential for maintaining the normal function of the Na-K-Cl cotransporter in the TAL (16, 61). Patch-clamp experiments demonstrated that two types of K channels, a 30-to 40-and a 70-to 80-pS, are expressed in the apical membrane of the TAL (3, 59, 62). It is well established that the 30-pS K channel is related to ROMK because it has similar biophysical properties and regulatory mechanisms to that in native tubules (61). However, it is not clear whether ROMK is also involved in forming the apical 70-pS K channel. The observation that the loss-of-function mutations of ROMK result in severe salt wasting and metabolic alkalosis (Bartter's disease) (34, 51) indicates strongly that ROMK is an important component o...