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Kir4.2 mediates proximal potassium effects on glutaminase activity and kidney injury.


ABSTRACT: Inadequate potassium (K+) consumption correlates with increased mortality and poor cardiovascular outcomes. Potassium effects on blood pressure have been described previously; however, whether or not low K+ independently affects kidney disease progression remains unclear. Here, we demonstrate that dietary K+ deficiency causes direct kidney injury. Effects depend on reduced blood K+ and are kidney specific. In response to reduced K+, the channel Kir4.2 mediates altered proximal tubule (PT) basolateral K+ flux, causing intracellular acidosis and activation of the enzyme glutaminase and the ammoniagenesis pathway. Deletion of either Kir4.2 or glutaminase protects from low-K+ injury. Reduced K+ also mediates injury and fibrosis in a model of aldosteronism. These results demonstrate that the PT epithelium, like the distal nephron, is K+ sensitive, with reduced blood K+ causing direct PT injury. Kir4.2 and glutaminase are essential mediators of this injury process, and we identify their potential for future targeting in the treatment of chronic kidney disease.

SUBMITTER: Terker AS 

PROVIDER: S-EPMC9827473 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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Kir4.2 mediates proximal potassium effects on glutaminase activity and kidney injury.

Terker Andrew S AS   Zhang Yahua Y   Arroyo Juan Pablo JP   Cao Shirong S   Wang Suwan S   Fan Xiaofeng X   Denton Jerod S JS   Zhang Ming-Zhi MZ   Harris Raymond C RC  

Cell reports 20221201 12


Inadequate potassium (K<sup>+</sup>) consumption correlates with increased mortality and poor cardiovascular outcomes. Potassium effects on blood pressure have been described previously; however, whether or not low K<sup>+</sup> independently affects kidney disease progression remains unclear. Here, we demonstrate that dietary K<sup>+</sup> deficiency causes direct kidney injury. Effects depend on reduced blood K<sup>+</sup> and are kidney specific. In response to reduced K<sup>+</sup>, the chan  ...[more]

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