The Molecular Basis of Renal Tubular Transport Disorders

Line
Title: The Molecular Basis of Renal Tubular Transport Disorders
Authors: Hamilton, Kirk L.; Butt, A. Grant
Publisher: Comparative Biochemistry and Physiology - Part A: Molecular & Integrative Physiology
Date Published: July 01, 2000
Reference Number: 549
Line
Sodium and water homeostasis are key to the survival of organisms. Reabsorption of sodium and water occurs throughout the tubule structure of the nephron, the basic functional unit of the kidney, by various transport mechanisms. Altered transport protein function can lead to renal tubular disorders resulting in metabolic alkalosis, hypokalemia, hypertension, and decreased capacity to concentrate urine, for instance. However, recent advances in molecular physiology, molecular genetics and expression cloning systems have aided in unraveling the molecular basis of some renal tubular disorders. This review will examine the molecular basis of Bartter's syndrome, Gitelman's syndrome, Liddle's syndrome, and autosomal nephrogenic diabetes insipidus. An understanding of the molecular basis of these disorders of the human kidney can give us a better understanding of basic renal function of lower mammals and other vertebrates.