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</script>Dietary potassium deficiency, common in modern diets, raises blood pressure and enhances salt sensitivity. Potassium homeostasis requires a molecular switch in the distal convoluted tubule (DCT), which fails in familial hyperkalemic hypertension (pseudohypoaldosteronism type 2), activating the thiazide-sensitive NaCl cotransporter, NCC. Here, we show that dietary potassium deficiency activates NCC, even in the setting of high salt intake, thereby causing sodium retention and a rise in blood pressure. The effect is dependent on plasma potassium, which modulates DCT cell membrane voltage and, in turn, intracellular chloride. Low intracellular chloride stimulates WNK kinases to activate NCC, limiting potassium losses, even at the expense of increased blood pressure. These data show that DCT cells, like adrenal cells, sense potassium via membrane voltage. In the DCT, hyperpolarization activates NCC via WNK kinases, whereas in the adrenal gland, it inhibits aldosterone secretion. These effects work in concert to maintain potassium homeostasis.
Physiology, Pseudohypoaldosteronism, Blood Pressure, Protein Serine-Threonine Kinases, Cell Line, Membrane Potentials, Minor Histocompatibility Antigens, Electrolytes, Mice, Chlorides, Animals, Humans, Solute Carrier Family 12, Member 3, Potassium Channels, Inwardly Rectifying, Sodium Chloride, Dietary, Kidney Tubules, Distal, Molecular Biology, Mice, Knockout, Mice, Inbred BALB C, Potassium, Dietary, Cell Biology, Mice, Inbred C57BL, Potassium
Physiology, Pseudohypoaldosteronism, Blood Pressure, Protein Serine-Threonine Kinases, Cell Line, Membrane Potentials, Minor Histocompatibility Antigens, Electrolytes, Mice, Chlorides, Animals, Humans, Solute Carrier Family 12, Member 3, Potassium Channels, Inwardly Rectifying, Sodium Chloride, Dietary, Kidney Tubules, Distal, Molecular Biology, Mice, Knockout, Mice, Inbred BALB C, Potassium, Dietary, Cell Biology, Mice, Inbred C57BL, Potassium
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