New Insights into the Transcriptional Regulation of Aquaporin-2 and the Treatment of X-linked Hereditary Nephrogenic Diabetes Insipidus

Overview

Journal Kidney Res Clin Pract

Specialty Nephrology

Date 2019 Jun 13

PMID 31189221

Citations 9

Authors

Hyun Jun Jung

Tae-Hwan Kwon

Affiliations

Soon will be listed here.

Abstract

The kidney collecting duct (CD) is a tubular segment of the kidney where the osmolality and final flow rate of urine are established, enabling urine concentration and body water homeostasis. Water reabsorption in the CD depends on the action of arginine vasopressin (AVP) and a transepithelial osmotic gradient between the luminal fluid and surrounding interstitium. AVP induces transcellular water reabsorption across CD principal cells through associated signaling pathways after binding to arginine vasopressin receptor 2 (AVPR2). This signaling cascade regulates the water channel protein aquaporin-2 (AQP2). AQP2 is exclusively localized in kidney connecting tubules and CDs. Specifically, AVP stimulates the intracellular translocation of AQP2-containing vesicles to the apical plasma membrane, increasing the osmotic water permeability of CD cells. Moreover, AVP induces transcription of the gene, increasing AQP2 protein abundance. This review provides new insights into the transcriptional regulation of the gene in the kidney CD with an overview of AVP and AQP2. It summarizes current therapeutic approaches for X-linked nephrogenic diabetes insipidus caused by gene mutations.

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