WNK1 kinase isoform switch regulates renal potassium excretion

JB Wade, L Fang, J Liu, D Li, CL Yang… - Proceedings of the …, 2006 - National Acad Sciences
JB Wade, L Fang, J Liu, D Li, CL Yang, AR Subramanya, D Maouyo, A Mason, DH Ellison
Proceedings of the National Academy of Sciences, 2006National Acad Sciences
Members of the WNK family of serine/threonine kinases have been implicated as important
modulators of salt homeostasis, regulating the balance between renal sodium reabsorption
and potassium excretion. Gain-of-expression mutations in the WNK1 gene uncouple Na+
and K+ balance and cause a familial disorder of diminished renal potassium excretion,
excessive sodium retention, and hypertension (pseudohypoaldosteronism type II or
Gordon's syndrome). Alternative splicing of the WNK1 gene produces a kidney-specific short …
Members of the WNK family of serine/threonine kinases have been implicated as important modulators of salt homeostasis, regulating the balance between renal sodium reabsorption and potassium excretion. Gain-of-expression mutations in the WNK1 gene uncouple Na+ and K+ balance and cause a familial disorder of diminished renal potassium excretion, excessive sodium retention, and hypertension (pseudohypoaldosteronism type II or Gordon’s syndrome). Alternative splicing of the WNK1 gene produces a kidney-specific short form of WNK1 (KS-WNK1) and a more ubiquitous long form (L-WNK1), but it is not clear how either of these isoforms influence renal potassium excretion. Here we demonstrate that KS-WNK1 and L-WNK1 converge in a pathway to regulate the renal outer-medullary K+ channel, Kir1.1. Reconstitution studies in Xenopus oocytes reveal that L-WNK1 significantly inhibits Kir1.1 by reducing cell surface localization of the channel. A catalytically inactive L-WNK1 mutant has no inhibitory effect on Kir1.1, indicating that channel inhibition depends on kinase activity. KS-WNK1, lacking an intact kinase domain, does not directly alter Kir1.1. Instead, KS-WNK1 negatively regulates L-WNK1 to release Kir1.1 from inhibition. Acute dietary potassium loading increases the relative abundance of KS-WNK1 to L-WNK1 transcript and protein in the kidney, indicating that physiologic up-regulation of Kir1.1 activity involves a WNK1 isoform switch and KS-WNK1-mediated release from L-WNK1 inhibition. Thus, these observations provide evidence for the physiological regulation of Na+ and K+ balance by a kinase isoform switch mechanism.
National Acad Sciences