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Pharmacological targeting of SPAK kinase in disorders of impaired epithelial transport.


ABSTRACT: INTRODUCTION:The mammalian SPS1-related proline/alanine-rich serine-threonine kinase SPAK (STK39) modulates ion transport across and between epithelial cells in response to environmental stimuli such osmotic stress and inflammation. Research over the last decade has established a central role for SPAK in the regulation of ion and water transport in the distal nephron, colonic crypts, and pancreatic ducts, and has implicated deregulated SPAK signaling in NaCl-sensitive hypertension, ulcerative colitis and Crohn's disease, and cystic fibrosis. Areas covered: We review recent advances in our understanding of the role of SPAK kinase in the regulation of epithelial transport. We highlight how SPAK signaling - including its upstream Cl- sensitive activators, the WNK kinases, and its downstream ion transport targets, the cation- Cl- cotransporters contribute to human disease. We discuss prospects for the pharmacotherapeutic targeting of SPAK kinase in specific human disorders that feature impaired epithelial homeostasis. Expert opinion: The development of novel drugs that antagonize the SPAK-WNK interaction, inhibit SPAK kinase activity, or disrupt SPAK kinase activation by interfering with its binding to MO25?/? could be useful adjuncts in essential hypertension, inflammatory colitis, and cystic fibrosis.

SUBMITTER: Zhang J 

PROVIDER: S-EPMC6081737 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Pharmacological targeting of SPAK kinase in disorders of impaired epithelial transport.

Zhang Jinwei J   Karimy Jason K JK   Delpire Eric E   Kahle Kristopher T KT  

Expert opinion on therapeutic targets 20170712 8


<h4>Introduction</h4>The mammalian SPS1-related proline/alanine-rich serine-threonine kinase SPAK (STK39) modulates ion transport across and between epithelial cells in response to environmental stimuli such osmotic stress and inflammation. Research over the last decade has established a central role for SPAK in the regulation of ion and water transport in the distal nephron, colonic crypts, and pancreatic ducts, and has implicated deregulated SPAK signaling in NaCl-sensitive hypertension, ulcer  ...[more]

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