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Cation-coupled chloride cotransporters: chemical insights and disease implications.


ABSTRACT: Cation-coupled chloride cotransporters (CCCs) modulate the transport of sodium and/or potassium cations coupled with chloride anions across the cell membrane. CCCs thus help regulate intracellular ionic concentration and consequent cell volume homeostasis. This has been largely exploited in the past to develop diuretic drugs that act on CCCs expressed in the kidney. However, a growing wealth of evidence has demonstrated that CCCs are also critically involved in a great variety of other pathologies, motivating most recent drug discovery programs targeting CCCs. Here, we examine the structure-function relationship of CCCs. By linking recent high-resolution cryogenic electron microscopy (cryo-EM) data with older biochemical/functional studies on CCCs, we discuss the mechanistic insights and opportunities to design selective CCC modulators to treat diverse pathologies.

SUBMITTER: Portioli C 

PROVIDER: S-EPMC8461084 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Cation-coupled chloride cotransporters: chemical insights and disease implications.

Portioli Corinne C   Ruiz Munevar Manuel José MJ   De Vivo Marco M   Cancedda Laura L  

Trends in chemistry 20211001 10


Cation-coupled chloride cotransporters (CCCs) modulate the transport of sodium and/or potassium cations coupled with chloride anions across the cell membrane. CCCs thus help regulate intracellular ionic concentration and consequent cell volume homeostasis. This has been largely exploited in the past to develop diuretic drugs that act on CCCs expressed in the kidney. However, a growing wealth of evidence has demonstrated that CCCs are also critically involved in a great variety of other pathologi  ...[more]

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