KS-WNK1 is Required for the Renal Response to Extreme Changes in Potassium Intake.
Bahena-Lopez, J. P., Vergara, L., de la-Peña, V., Gutierrez-Gallardo, M. A., López-Ibargüen, P., García, J. A., Contreras-Carbajal, H., Vázquez, N., Rincón-Heredia, R., Masso, F., Bobadilla, N. A., Castañeda-Bueno, M., Ellison, D. H., Gamba, G., & Chávez-Canales, M. (2024). KS-WNK1 is required for the renal response to extreme changes in potassium intake. American Journal of Physiology-Renal Physiology, 326(3), F460?F476. https://doi.org/10.1152/ajprenal.00235.2023
KS-WNK1 is an isoform of WNK1 kinase that is predominantly found in the distal convoluted tubule of the kidney. The precise physiological function of KS-WNK1 remains unclear. Some studies suggest that it could play a role in regulating potassium renal excretion by modulating the activity of the Na+-Cl- cotransporter (NCC). However, changes in the potassium diet from normal to high failed to reveal a role for KS-WNK1, but under a normal potassium diet, the expression of KS-WNK1 is negligible. It is only detectable when mice are exposed to a low potassium diet. In this study, we investigated the role of KS-WNK1 in regulating potassium excretion under extreme changes in potassium intake. After following a zero-potassium diet (0KD) for 10 days, KS-WNK1-/- mice had lower plasma levels of K+ and Cl-, while exhibiting higher urinary excretion of Na+, Cl-, and K+ compared to KS-WNK1+/+ mice. After 10 days of 0KD or normal-potassium diet (NKD), all mice were challenged with a high-potassium diet (HKD). Plasma K+ levels markedly increased after the HKD challenge only in mice previously fed with 0KD, regardless of genotype. KSWNK1+/+ mice adapt better to HKD-challenge than KS-WNK1-/- mice after a potassium-retaining state. The difference in the pNCC/NCC ratio between KS-WNK1+/+ and KS-WNK1-/- mice after 0KD and HKD indicates a role for KS-WNK1 in both, NCC phosphorylation and dephosphorylation. These observations show that KS-WNK1 helps the DCT to respond to extreme changes in potassium intake, such as those occurring in wildlife.