[PDF][PDF] Magnesium and calcium homeostasis depend on KCTD1 function in the distal nephron

AG Marneros - Cell reports, 2021 - cell.com
Cell reports, 2021cell.com
Summary Magnesium (Mg 2+) homeostasis depends on active transcellular Mg 2+ reuptake
from urine in distal convoluted tubules (DCTs) via the Mg 2+ channel TRPM6, whose activity
has been proposed to be regulated by EGF. Calcium (Ca 2+) homeostasis depends on
paracellular reabsorption in the thick ascending limbs of Henle (TALs). KCTD1 promotes
terminal differentiation of TALs/DCTs, but how its deficiency affects urinary Mg 2+ and Ca 2+
reabsorption is unknown. Here, this study shows that DCT1-specific KCTD1 inactivation …
Summary
Magnesium (Mg2+) homeostasis depends on active transcellular Mg2+ reuptake from urine in distal convoluted tubules (DCTs) via the Mg2+ channel TRPM6, whose activity has been proposed to be regulated by EGF. Calcium (Ca2+) homeostasis depends on paracellular reabsorption in the thick ascending limbs of Henle (TALs). KCTD1 promotes terminal differentiation of TALs/DCTs, but how its deficiency affects urinary Mg2+ and Ca2+ reabsorption is unknown. Here, this study shows that DCT1-specific KCTD1 inactivation leads to hypomagnesemia despite normal TRPM6 levels because of reduced levels of the sodium chloride co-transporter NCC, whereas Mg2+ homeostasis does not depend on EGF. Moreover, KCTD1 deficiency impairs paracellular urinary Ca2+ and Mg2+ reabsorption in TALs because of reduced NKCC2/claudin-16/-19 and increased claudin-14 expression, leading to hypocalcemia and consequently to secondary hyperparathyroidism and progressive metabolic bone disease. Thus, KCTD1 regulates urinary reabsorption of Mg2+ and Ca2+ by inducing expression of NCC in DCTs and NKCC2/claudin-16/-19 in TALs.
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