Pendrin: linking acid base to blood pressure

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Abstract

Pendrin (SLC26A4) is an anion exchanger from the SLC26 transporter family which is mutated in human patients affected by Pendred syndrome, an autosomal recessive disease characterized by sensoneurinal deafness and hypothyroidism. Pendrin is also expressed in the kidney where it mediates the exchange of internal HCO3 for external Cl at the apical surface of renal type B and non-A non-B-intercalated cells. Studies using pendrin knockout mice have first revealed that pendrin is essential for renal base excretion. However, subsequent studies have demonstrated that pendrin also controls chloride absorption by the distal nephron and that this mechanism is critical for renal NaCl balance. Furthermore, pendrin has been shown to control vascular volume and ultimately blood pressure. This review summarizes the current knowledge about how pendrin is linking renal acid-base regulation to blood pressure control.

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Pendrin: 将酸碱与血压联系起来
摘要 Pendrin(SLC26A4)是 SLC26 转运体家族中的一种阴离子交换体,在人类彭德综合征患者中发生突变,彭德综合征是一种常染色体隐性遗传病,其特征是感觉神经性耳聋和甲状腺功能减退。Pendrin 也在肾脏中表达,它在肾脏 B 型细胞和非 A 型非 B 型交叠细胞的顶端表面介导内部 HCO3- 与外部 Cl- 的交换。利用垂体促肾素基因敲除小鼠进行的研究首次发现,垂体促肾素对肾脏碱排泄至关重要。然而,随后的研究表明,pendrin 还能控制远端肾小球对氯化物的吸收,而且这一机制对肾脏的 NaCl 平衡至关重要。此外,垂体促肾上腺皮质激素还能控制血管容量并最终控制血压。本综述总结了目前有关垂体促肾素如何将肾脏酸碱调节与血压控制联系起来的知识。
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