Role of NH3 and NHFormula transporters in renal acid-base transport

Division of Nephrology, Hypertension and Transplantation, University of Florida College of Medicine, Gainesville, FL 32610, USA.
AJP Renal Physiology (Impact Factor: 3.25). 11/2010; 300(1):F11-23. DOI: 10.1152/ajprenal.00554.2010
Source: PubMed


Renal ammonia excretion is the predominant component of renal net acid excretion. The majority of ammonia excretion is produced in the kidney and then undergoes regulated transport in a number of renal epithelial segments. Recent findings have substantially altered our understanding of renal ammonia transport. In particular, the classic model of passive, diffusive NH3 movement coupled with NH4+ "trapping" is being replaced by a model in which specific proteins mediate regulated transport of NH3 and NH4+ across plasma membranes. In the proximal tubule, the apical Na+/H+ exchanger, NHE-3, is a major mechanism of preferential NH4+ secretion. In the thick ascending limb of Henle's loop, the apical Na+-K+-2Cl- cotransporter, NKCC2, is a major contributor to ammonia reabsorption and the basolateral Na+/H+ exchanger, NHE-4, appears to be important for basolateral NH4+ exit. The collecting duct is a major site for renal ammonia secretion, involving parallel H+ secretion and NH3 secretion. The Rhesus glycoproteins, Rh B Glycoprotein (Rhbg) and Rh C Glycoprotein (Rhcg), are recently recognized ammonia transporters in the distal tubule and collecting duct. Rhcg is present in both the apical and basolateral plasma membrane, is expressed in parallel with renal ammonia excretion, and mediates a critical role in renal ammonia excretion and collecting duct ammonia transport. Rhbg is expressed specifically in the basolateral plasma membrane, and its role in renal acid-base homeostasis is controversial. In the inner medullary collecting duct (IMCD), basolateral Na+-K+-ATPase enables active basolateral NH4+ uptake. In addition to these proteins, several other proteins also contribute to renal NH3/NH4+ transport. The role and mechanisms of these proteins are discussed in depth in this review.

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Available from: Jill W Verlander, May 01, 2015
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    • "The liver plays a major role in detoxifying the molecule into urea and glutamine, preventing its accumulation in the organism. In parallel, renal ammonium production and subsequent urinary elimination constitute an important process to maintain acid/base homeostasis [2]. The process is even more capital upon acid challenge, as generally happens with a classical Western acid diet [3], [4]. "
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    ABSTRACT: Proteins of the conserved Mep-Amt-Rh family, including mammalian Rhesus factors, mediate transmembrane ammonium transport. Ammonium is an important nitrogen source for the biosynthesis of amino acids but is also a metabolic waste product. Its disposal in urine plays a critical role in the regulation of the acid/base homeostasis, especially with an acid diet, a trait of Western countries. Ammonium accumulation above a certain concentration is however pathologic, the cytotoxicity causing fatal cerebral paralysis in acute cases. Alteration in ammonium transport via human Rh proteins could have clinical outcomes. We used a yeast-based expression assay to characterize human Rh variants resulting from non synonymous single nucleotide polymorphisms (nsSNPs) with known or unknown clinical phenotypes and assessed their ammonium transport efficiency, protein level, localization and potential trans-dominant impact. The HsRhAG variants (I61R, F65S) associated to overhydrated hereditary stomatocytosis (OHSt), a disease affecting erythrocytes, proved affected in intrinsic bidirectional ammonium transport. Moreover, this study reveals that the R202C variant of HsRhCG, the orthologue of mouse MmRhcg required for optimal urinary ammonium excretion and blood pH control, shows an impaired inherent ammonium transport activity. Urinary ammonium excretion was RHcg gene-dose dependent in mouse, highlighting MmRhcg as a limiting factor. HsRhCG(R202C) may confer susceptibility to disorders leading to metabolic acidosis for instance. Finally, the analogous R211C mutation in the yeast ScMep2 homologue also impaired intrinsic activity consistent with a conserved functional role of the preserved arginine residue. The yeast expression assay used here constitutes an inexpensive, fast and easy tool to screen nsSNPs reported by high throughput sequencing or individual cases for functional alterations in Rh factors revealing potential causal variants.
    PLoS ONE 08/2013; 8(8):e71092. DOI:10.1371/journal.pone.0071092 · 3.23 Impact Factor
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    • "Rh glycoproteins are expressed specifically in tissues in which ammonia transport is necessary for normal biological functioning. They are highly expressed in the kidneys, where ammonia formation and transport are central to renal regulation of acid–base homeostasis (Eladari et al. 2002, Quentin et al. 2003, Verlander et al. 2003, Weiner & Verlander 2011). In liver, Rh glycoproteins are expressed in perivenous hepatocytes, which mediate high-affinity ammonia metabolism (Weiner et al. 2003). "
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    ABSTRACT: The rhesus glycoproteins, Rh B glycoprotein (RHBG) and Rh C glycoprotein (RHCG), are recently identified ammonia transporters. Rhcg expression is necessary for normal male fertility, but its specific cellular expression is unknown, and Rhbg has not been reported to be expressed in the male reproductive tract. This study sought to determine the specific cellular expression of Rhcg, to determine whether Rhbg is expressed in the male reproductive tract, and, if so, to determine which cells express Rhbg using real-time RT-PCR, immunoblot analysis, and immunohistochemistry. Both Rhbg and Rhcg were expressed throughout the male reproductive tract. In the testis, high levels of Rhbg were expressed in Leydig cells, and Rhcg was expressed in spermatids during the later stages of their maturation (steps 13-16) in stages I-VIII of the seminiferous epithelium cycle. In the epididymis, basolateral Rhbg was present in narrow cells in the initial segment, in principal cells in the upper corpus, and in clear cells throughout the epididymis. Apical Rhcg immunolabel was present in principal cells in the caput and upper corpus epididymidis and in clear cells in the middle and lower corpus and cauda epididymidis. In the vas deferens, apical Rhcg immunolabel and basolateral Rhbg immunolabel were present in some principal cells and colocalized with H(+)-ATPase immunolabel. We conclude that both Rhbg and Rhcg are highly expressed in specific cells in the male reproductive tract where they can contribute to multiple components of male fertility.
    Reproduction 07/2013; 146(3):283-96. DOI:10.1530/REP-13-0154 · 3.17 Impact Factor
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    • "at the basolateral membrane; they were also used to identify two carbonic anhydrases (membrane-bound CA15a and cytosolic CA2-like a) in HR ionocytes and to demonstrate that the epithelial transport functions of HR cells are related to not only H+ secretion but also to Na+ and HCO3− uptake and ammonium excretion [24, 72, 73, 76, 83, 92, 119]. HR-type ionocytes in zebrafish are analogous to proximal tubular cells and type A intercalated cells of the kidney, in terms of transporter expression and function [13, 98, 113]. The activity of H+, NH4+, and Na+, and Na+ accumulation can be examined in real time at a single ionocyte or in the body skin of a live embryo by SIET [75, 92, 93] and sodium green fluorescence microscopy [24], respectively. "
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    ABSTRACT: Zebrafish (Danio rerio) possesses several advantages as an experimental organism, including the applicability of molecular tools, ease of in vivo cellular observation and functional analysis, and rapid embryonic development, making it an emerging model for the study of integrative and regulatory physiology and, in particular, the epithelial transport associated with body fluid ionic homeostasis. Zebrafish inhabits a hypotonic freshwater environment, and as such, the gills (or the skin, during embryonic stages) assume the role of the kidney in body fluid ionic homeostasis. Four types of ionocyte expressing distinct sets of transporters have been identified in these organs: H(+)-ATPase-rich, Na(+)-K(+)-ATPase-rich, Na(+)-Cl(-) cotransporter-expressing and K(+)-secreting cells; these ionocytes perform transepithelial H(+) secretion/Na(+) uptake/NH4 (+) excretion, Ca(2+) uptake, Na(+)/Cl(-) uptake, and K(+) secretion, respectively. Zebrafish ionocytes are analogous to various renal tubular cells, in terms of ion transporter expression and function. During embryonic development, ionocyte progenitors develop from epidermal stem cells and then differentiate into different types of ionocyte through a positive regulatory loop of Foxi3a/-3b and other transcription factors. Several hormones, including cortisol, vitamin D, stanniocalcin-1, calcitonin, and isotocin, were found to participate in the control pathways of ionic homeostasis by precisely studying the target ion transport pathways, ion transporters, or ionocytes of the hormonal actions. In conclusion, the zebrafish model not only enhances our understanding of body fluid ion homeostasis and hormonal control in fish but also informs studies on mammals and other animal species, thereby providing new insights into related fields.
    Pflügers Archiv - European Journal of Physiology 04/2013; 465(9). DOI:10.1007/s00424-013-1269-1 · 4.10 Impact Factor
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