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The epithelial sodium channel ?-subunit is processed proteolytically in human kidney.


ABSTRACT: The epithelial sodium channel (ENaC) of the kidney is necessary for extracellular volume homeostasis and normal arterial BP. Activity of ENaC is enhanced by proteolytic cleavage of the ?-subunit and putative release of a 43-amino acid inhibitory tract from the ?-subunit ectodomain. We hypothesized that proteolytic processing of ?ENaC occurs in the human kidney under physiologic conditions and that proteinuria contributes to aberrant proteolytic activation. Here, we used monoclonal antibodies (mAbs) with specificity to the human 43-mer inhibitory tract (N and C termini, mAbinhibit, and mAb4C11) and the neoepitope generated after proteolytic cleavage at the prostasin/kallikrein cleavage site (K181-V182 and mAbprostasin) to examine human nephrectomy specimens. By immunoblotting, kidney cortex homogenate from patients treated with angiotensin II type 1 receptor antagonists (n=6) or angiotensin-converting enzyme inhibitors (n=6) exhibited no significant difference in the amount of full-length or furin-cleaved ?ENaC or the furin-cleaved-to-full-length ratio of ?ENaC compared with homogenate from patients on no medication (n=5). Patients treated with diuretics (n=4) displayed higher abundance of full-length and furin-cleaved ?ENaC, with no significant change in the furin-cleaved-to-full-length ?ENaC ratio. In patients with proteinuria (n=6), the inhibitory tract was detected only in full-length ?ENaC by mAbinhibit. Prostasin/kallikrein-cleaved ?ENaC was detected consistently only in tissue from patients with proteinuria and observed in collecting ducts. In conclusion, human kidney ?ENaC is subject to proteolytic cleavage, yielding fragments compatible with furin cleavage, and proteinuria is associated with cleavage at the putative prostasin/kallikrein site and removal of the inhibitory tract within ?ENaC.

SUBMITTER: Zachar RM 

PROVIDER: S-EPMC4279735 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature

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