A major task of the kidney tubule is to reabsorb filtered HCO3 and generate """"""""new"""""""" HCO^, thereby preventing a fatal meta- bolic acidosis. About 80% of HCO] reabsorption and generation occurs in the proximal tubule (PT), which secretes H+ into the tubule lumen, titratingHCO3 to CO2 + H2O. After entering the PT cell, the CO2 + H2O regenerate HCOJ, which exits across the basolateral membrane via the electrogenic Na/HCO3 cotransporter (NBCel-A). Since the Pi's laboratory reported the expression cloning of this cotransporter nearly 5 yrs ago, both """"""""pancreatic"""""""" (NBCel-B) and """"""""brain"""""""" (NBCel-C) splice variants have been identified. These cotransporters play key roles in HCO3 transport by other epithelia,and in pH(regulation by many cell types. NBCel is part of the Bicarbonate Transporter (BT) superfamily, along with the Cl-HCOj exchangers (AEs), two other Na+-coupled HCO3 transporters (the electroneutral NBC and the Na+-driven C1-HCO3 exchanger), related proteins not yet fully characterized, and at least one new gene (known from human genome sequence). The major goal of this project is to elucidate the molecular physiology of electrogenic NBCs, particularly in the kidney.An ancillary goal is to elucidate the expression of other Na+-coupled HCO3 transporters in key renal cell types. The proposed work has three aims: (i) Develop molecular tools. We will obtain the cDNA for a new NBCe-related sequence identified in the genome, extend our panel of type-specific antibodies, and determine the localization of Na+-coupled HCC>3 transporters in the kidney, (ii) Determine properties of wild-type electrogenic NBCs. Using heterologous expression in oocytes, we will determine the function of two cDNA clones likely to encode electrogenic NBCs. We will also determine the stoichiometry of the electro- genic NBCs; assess their dependence on Na+, HCO3 and pH; ask whether they transport CO3; characterize the interaction between NBCel and carbonic anhydrase II; and examine the action of PKA on NBCel in oocytes. (Hi) Analyze structure- function relationships. We will determine the structural requirements for extra- and intracellular DIDS sensitivity, ask whether conserved putative DIDS-reaction motifs are involved in electrostatictrapping of HCO3, assess naturally occurring human NBCel mutations, explore the topology of NBCel, and?in collaboration with another laboratory?study the bio- chemistry of the isolated cytoplasmic N termini of NBCel-A and -B. The proposed work should elucidate the role that the electrogenic Na/HCO3 cotransporter plays in renal function, both in health and disease. The results could have important implications for understanding the normal control of acid-base balance and renal-tubuleacidosis.

National Institute of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Method to Extend Research in Time (MERIT) Award (R37)
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Special Emphasis Panel (NSS)
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Ketchum, Christian J
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Case Western Reserve University
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