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David H. Ellison
Published in Volume 119, Issue 4
J Clin Invest. 2009; 119(4):763–766 doi:10.1172/JCI38835
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Figure 1
Schematic diagram of the anatomy, molecular pathways, and electrophysiology of Mg2+ transport along the distal nephron.

Top panel: Nephron segmentation, including the TAL and the DCT subsegments DCT1 and DCT2. Note that the transition from DCT1 to DCT2 is gradual. Middle panel: Transport pathways in these segments include Na+/K+-ATPase (~), the furosemide-sensitive Na+K+2Cl cotransporter (NKCC2), the Cl channel (CLCNKB), the epithelial Na+ channel (ENaC), and the thiazide-sensitive NaCl cotransporter (NCC). Mg2+ transport along the TAL is primarily paracellular. Along the DCT, however, it is mediated by TRPM6. Two K+ channels are present in the apical membrane: ROMK and, as shown by Glaudemans et al. in this issue of the JCI (5), Kv1.1 (see text for further details). K+ and Cl can exit DCT cells via a coupled K+/Cl cotransporter (KCC4) or a discrete K+ channel. Lower panel: Membrane voltages along each segment, in millivolts (mV). The basolateral voltage is similar in each cell type. VTE, transepithelial voltage. As postulated by Glaudemans et al. (5), a defective Kv1.1 (indicated by red X) should depolarize the apical membrane (red bars) along the DCT, leading to hyperpolarization of the transepithelial voltage.