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Magnesium and Calcium Homeostasis Depend on KCTD1 Function in the Distal Nephron

Magnesium (Mg(2+)) homeostasis depends on active transcellular Mg(2+) reuptake from urine in distal convoluted tubules (DCTs) via the Mg(2+) channel TRPM6, whose activity has been proposed to be regulated by EGF. Calcium (Ca(2+)) homeostasis depends on paracellular reabsorption in the thick ascendin...

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Detalles Bibliográficos
Autor principal: Marneros, Alexander G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869691/
https://www.ncbi.nlm.nih.gov/pubmed/33440155
http://dx.doi.org/10.1016/j.celrep.2020.108616
Descripción
Sumario:Magnesium (Mg(2+)) homeostasis depends on active transcellular Mg(2+) reuptake from urine in distal convoluted tubules (DCTs) via the Mg(2+) channel TRPM6, whose activity has been proposed to be regulated by EGF. Calcium (Ca(2+)) homeostasis depends on paracellular reabsorption in the thick ascending limbs of Henle (TALs). KCTD1 promotes terminal differentiation of TALs/DCTs, but how its deficiency affects urinary Mg(2+) and Ca(2+) reabsorption is unknown. Here, this study shows that DCT1-specific KCTD1 inactivation leads to hypomagnesemia despite normal TRPM6 levels because of reduced levels of the sodium chloride co-transporter NCC, whereas Mg(2+) homeostasis does not depend on EGF. Moreover, KCTD1 deficiency impairs paracellular urinary Ca(2+) and Mg(2+) reabsorption in TALs because of reduced NKCC2/claudin-16/-19 and increased claudin-14 expression, leading to hypocalcemia and consequently to secondary hyperparathyroidism and progressive metabolic bone disease. Thus, KCTD1 regulates urinary reabsorption of Mg(2+) and Ca(2+) by inducing expression of NCC in DCTs and NKCC2/claudin-16/-19 in TALs.