Sands JM, Kim D. Urea and NaCl regulate UT-A1 urea transporter in opposing directions via TonEBP pathway during osmotic diuresis. Am J Physiol Renal Physiol 296: F67-F77, 2009. First published October 22, 2008 doi:10.1152/ajprenal.00143.2008.-In our previous studies of varying osmotic diuresis, UT-A1 urea transporter increased when urine and inner medullary (IM) interstitial urea concentration decreased. The purposes of this study were to examine 1) whether IM interstitial tonicity changes with different urine urea concentrations during osmotic dieresis and 2) whether the same result occurs even if the total urinary solute is decreased. Rats were fed a 4% high-salt diet (HSD) or a 5% high-urea diet (HUD) for 2 wk and compared with the control rats fed a regular diet containing 1% NaCl. The urine urea concentration decreased in HSD but increased in HUD. In the IM, UT-A1 and UT-A3 urea transporters, CLC-K1 chloride channel, and tonicity-enhanced binding protein (TonEBP) transcription factor were all increased in HSD and decreased in HUD. Next, rats were fed an 8% low-protein diet (LPD) or a 0.4% low-salt diet (LSD) to decrease the total urinary solute. Urine urea concentration significantly decreased in LPD but significantly increased in LSD. Rats fed the LPD had increased UT-A1 and UT-A3 in the IM base but decreased in the IM tip, resulting in impaired urine concentrating ability. The LSD rats had decreased UT-A1 and UT-A3 in both portions of the IM. CLC-K1 and TonEBP were unchanged by LPD or LSD. We conclude that changes in CLC-K1, UT-A1, UT-A3, and TonEBP play important roles in the renal response to osmotic diuresis in an attempt to minimize changes in plasma osmolality and maintain water homeostasis.UT-A3 urea transporter; CLC-K1 chloride channel; TonEBP transcription factor THE UT-A1 UREA TRANSPORTER plays a key role in urine concentration in mammals (21). In our previous studies, SpragueDawley rats made diabetic with streptozotocin had a great increase in UT-A1 abundance in both inner medullary (IM) base and tip to conserve water despite the ongoing osmotic diuresis (2, 12, 13). In contrast, diabetic Brattleboro rats (which lack vasopressin) did not increase UT-A1 protein abundance, and vasopressin-treated diabetic Brattleboro rats increased UT-A1 protein abundance more than nondiabetic vasopressintreated Brattleboros (14). This suggests that vasopressin and another factor (or factors) work together to increase UT-A1 abundance.Rats with NaCl diuresis induced by feeding of a high-salt diet also had a significant increase in UT-A1 abundance in both portions of the IM. However, rats with urea diuresis induced by feeding of urea did not increase UT-A1 abundance in either portion of IM, regardless of the severity of the osmotic diuresis (12). Rats with diabetes or NaCl diuresis have relatively decreased urea in the total urinary solute since the excretion of other solutes (glucose or NaCl) is increased, whereas rats fed a high-protein or -urea diet have an increase of urea in the total urinary solute, suggestin...