Journal of the American Society of Nephrology,
Journal Year:
2023,
Volume and Issue:
35(1), P. 7 - 21
Published: Nov. 22, 2023
Significance
Statement
In
the
kidney,
B1
H
+
-ATPase
subunit
is
mostly
expressed
in
intercalated
cells
(IC).
Its
importance
acid-secreting
type
A
ICs
evident
patients
with
inborn
distal
renal
tubular
acidosis
and
ATP6V1B1
mutations.
However,
protein
also
highly
alkali-secreting
non–type
where
its
function
incompletely
understood.
We
demonstrate
Atp6v1b1
knock
out
mice
that
critical
for
response
to
defend
against
alkalosis
during
an
alkali
load
or
chronic
furosemide
treatment.
These
findings
highlight
of
maintaining
acid–base
balance
metabolic
challenges
commonly
used
diuretics.
Background
Non–type
collecting
duct
system
express
luminal
Cl
−
/HCO
3
exchanger
pendrin
apical
and/or
basolateral
-ATPases
containing
isoform.
excrete
bicarbonate
alkalosis.
Mutations
(ATP6V1B1)
cause
due
role
acid
secretory
ICs.
The
has
remained
elusive.
Methods
examined
responses
−/−
+/+
treatment
furosemide.
Results
An
1
week
resulted
a
more
pronounced
hypokalemic
male
ATP6v1b1
versus
could
not
be
compensated
by
respiration.
Total
expression
activity
ex
vivo
microperfused
cortical
ducts
were
reduced,
β
2
-adrenergic
stimulation
was
blunted
mice.
Basolateral
strongly
although
B2
isoform
increased.
Ligation
assays
subunits
indicated
impaired
assembly
V
0
domains.
During
treatment,
showed
polyuria
hyperchloremia
.
pendrin,
water
channel
AQP2,
epithelial
sodium
ENaC
reduced.
Conclusions
Our
data
protecting
reveal
hitherto
unrecognized
need
proper
complexes
ability
stimulated.
Frontiers in Molecular Neuroscience,
Journal Year:
2023,
Volume and Issue:
16
Published: July 3, 2023
The
vacuolar-type
ATPase
(V-ATPase)
is
a
multisubunit
protein
composed
of
the
cytosolic
adenosine
triphosphate
(ATP)
hydrolysis
catalyzing
V1
complex,
and
integral
membrane
Vo,
responsible
for
proton
translocation.
largest
subunit
Vo
a,
enables
translocation
upon
ATP
hydrolysis,
mediated
by
complex.
Four
known
isoforms
(a1-a4)
are
expressed
in
different
cellular
locations.
Subunit
a1
(also
as
Voa1),
neural
isoform,
strongly
neurons
encoded
ATP6V0A1
gene.
Global
knockout
this
gene
mice
causes
embryonic
lethality,
whereas
pyramidal
neuron-specific
resulted
neuronal
cell
death
with
impaired
spatial
learning
memory.
Recently
reported,
de
novo
biallelic
mutations
human
impair
autophagic
lysosomal
activities,
contributing
to
developmental
epileptic
encephalopathies
(DEE)
early
onset
progressive
myoclonus
epilepsy
(PME).
heterozygous
R740Q
mutation
most
recurrent
variant
reported
cases
DEE.
Homology
studies
suggest
R740
deprotonates
protons
from
specific
glutamic
acid
residues
c,
highlighting
its
importance
overall
V-ATPase
function.
In
paper,
we
discuss
structure
mechanism
V-ATPase,
emphasizing
how
can
lead
dysfunction
neurodevelopmental
disorders,
non-neural
isoforms,
a2-a4,
also
various
genetic
diseases.
Given
growing
discovery
disease-causing
variants
function
pump-based
regulator
intracellular
organelle
pH,
multiprotein
complex
warrants
further
investigation.
NeoReviews,
Journal Year:
2024,
Volume and Issue:
25(2), P. e88 - e98
Published: Feb. 1, 2024
Nephrocalcinosis
occurs
in
as
many
40%
of
preterm
neonates.
Many
causes
and
contributors
predispose
neonates
to
develop
nephrocalcinosis,
including
metabolic,
genetic,
iatrogenic
factors.
Because
nephrocalcinosis
can
be
a
manifestation
an
underlying
genetic
disorder,
with
must
undergo
evaluation
identify
address
contributors,
prevent
further
renal
calcium
deposition
that
potentially
lead
dysfunction.
In
this
article,
we
review
the
epidemiology,
pathogenesis,
diagnosis,
We
also
summarize
natural
history
prematurity
well
management
condition.
Nutrients,
Journal Year:
2023,
Volume and Issue:
15(23), P. 4885 - 4885
Published: Nov. 22, 2023
Nephrolithiasis
affects
around
10%
of
the
population
and
is
frequently
associated
with
impaired
dietary
factors.
The
first
one
insufficient
fluid
intake
inducing
reduced
urine
volume,
supersaturation,
subsequently
urinary
lithiasis.
Kidneys
regulate
24
h
which,
under
physiological
conditions,
approximately
reflects
daily
intake.
aim
this
study
to
synthesize
highlight
role
hydration
in
treatment
nephrolithiasis.
Increasing
has
a
preventive
effect
on
risk
developing
kidney
stone
(primary
prevention)
also
decreases
recurrence
(secondary
prevention).
Current
guidelines
recommend
increasing
at
least
2.5
L/day
prevent
formation,
even
3.5-4
L
some
severe
forms
nephrolithiasis
or
enteric
hyperoxaluria
cystinuria).
Fluid
must
be
balanced
between
day
night,
avoid
supersaturation
during
night.
Patients
should
informed
supported
difficult
process
dilution,
practical
ways
routines
increase
their
liquid
choice
water,
which
chosen
depending
its
composition
(such
as
calcium,
bicarbonate,
magnesium
content).
Finally,
additional
advice
given
certain
beverages
such
those
containing
fructose
phosphoric
acid,
are
susceptible
Pflügers Archiv - European Journal of Physiology,
Journal Year:
2024,
Volume and Issue:
476(4), P. 555 - 564
Published: Jan. 9, 2024
Abstract
The
kidney
plays
a
crucial
role
in
acid-base
homeostasis.
In
the
distal
nephron,
α-intercalated
cells
contribute
to
urinary
acid
(H
+
)
secretion
and
β-intercalated
accomplish
base
(HCO
3
-
secretion.
regulate
status
through
modulation
of
apical
Cl
/HCO
exchanger
pendrin
(SLC26A4)
activity.
this
review,
we
summarize
discuss
our
current
knowledge
physiological
renal
transporter
AE4
(SLC4A9).
AE4,
as
cation-dependent
exchanger,
is
exclusively
expressed
basolateral
membrane
essential
for
sensing
metabolic
disturbances
mice,
but
not
sodium
reabsorption
plasma
volume
control.
Potential
intracellular
signaling
pathways
are
discussed
that
might
link
The Journal of Clinical Endocrinology & Metabolism,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 16, 2024
Abstract
Context
Hereditary
distal
renal
tubular
acidosis
caused
by
SLC4A1
gene
mutation
(SLC4A1-dRTA)
is
a
rare
hereditary
form
of
acidosis.
Rickets
or
osteomalacia
common
complication
SLC4A1-dRTA
and
seriously
affects
patients’
daily
lives.
However,
studies
on
the
bone
microstructure
in
are
limited.
Objective
This
work
aimed
to
evaluate
patients,
compared
age-
sex-matched
healthy
controls
X-linked
hypophosphatemic
rickets
(XLH)
patients.
Methods
was
retrospective
study
11
Clinical
manifestations
biochemical
radiographical
examinations
were
characterized.
Bone
examined
7
controls,
21
XLH
patients
using
high-resolution
peripheral
quantitative
computed
tomography.
Results
Skeletal
symptoms,
including
fracture,
pain,
lower
limb
deformity,
present
72.7%
Short
stature
63.6%
had
significantly
volumetric
mineral
density
tibia
more
severe
deteriorated
trabecular
radius
than
controls.
severely
With
long-term
alkaline
therapy,
alleviated
pain
increased
height.
Conclusion
lesions
clinical
Compared
with
XLH,
another
type
rickets,
damage,
further
supporting
necessity
early
diagnosis
timely
treatment
disease.
Canadian Journal of Physiology and Pharmacology,
Journal Year:
2024,
Volume and Issue:
102(7), P. 396 - 407
Published: April 26, 2024
Kidney
anion
exchanger
1
(kAE1)
is
an
isoform
of
the
AE1
protein
encoded
by
SLC4A1
gene.
It
a
basolateral
membrane
expressed
α-intercalated
cells
in
connecting
tubules
and
collecting
duct
kidney.
Its
main
function
to
exchange
bicarbonate
chloride
ions
between
blood
urine
maintain
pH
at
physiological
threshold.
The
kAE1
undergoes
multiple
post-translational
modifications
such
as
phosphorylation
ubiquitination
interacts
with
many
different
proteins
claudin-4
carbonic
anhydrase
II.
Mutations
gene
may
lead
development
distal
renal
tubular
acidosis,
characterized
failure
acidify
urine,
which
result
nephrocalcinosis
more
severe
cases,
failure.
In
this
review,
we
discuss
structure
kAE1,
its
modifications,
protein–protein
interactions.
Finally,
insights
gained
from
study
mutations
humans
mice.
Journal of Bio-X Research,
Journal Year:
2024,
Volume and Issue:
7
Published: Jan. 1, 2024
Background:
Renal
calculi,
commonly
known
as
kidney
stones,
is
a
prevalent
urological
condition
that
affects
substantial
portion
of
the
population
worldwide.
The
formation
stones
complex
process
influenced
by
various
factors,
including
diet,
fluid
intake,
genetics,
and
metabolic
abnormalities.
pathogenesis
renal
calculi
involves
interplay
multiple
supersaturation
urine
with
stone-forming
constituents,
urinary
supersaturation,
crystallization,
aggregation.
Objective:
This
review
aims
to
provide
an
overview
present
understanding
their
pathophysiology,
diagnostic
approaches,
available
treatment
modalities.
Methods:
discusses
different
types
such
calcium
oxalate,
phosphate,
uric
acid,
struvite
explores
mechanisms
associated
risk
factors.
management
relies
on
stone
characteristics,
patient
symptoms,
size,
location.
Furthermore,
counseling
education
regarding
lifestyle
modifications
factor
are
essential
for
long-term
management.
Conclusion:
Accurate
diagnosis
appropriate
based
characteristics
symptoms
successful
outcomes.
Preventive
strategies
reduce
recurrence
vital
well-being.
However,
further
research
needed
refine
techniques,
improve
options,
enhance
underlying
pathophysiology
calculi.