Tissue kallikrein permits early renal adaptation to potassium load

S El Moghrabi, P Houillier, N Picard… - Proceedings of the …, 2010 - National Acad Sciences
S El Moghrabi, P Houillier, N Picard, F Sohet, B Wootla, M Bloch-Faure, F Leviel, L Cheval
Proceedings of the National Academy of Sciences, 2010National Acad Sciences
Tissue kallikrein (TK) is a serine protease synthetized in renal tubular cells located upstream
from the collecting duct where renal potassium balance is regulated. Because secretion of
TK is promoted by K+ intake, we hypothesized that this enzyme might regulate plasma K+
concentration ([K+]). We showed in wild-type mice that renal K+ and TK excretion increase in
parallel after a single meal, representing an acute K+ load, whereas aldosterone secretion is
not modified. Using aldosterone synthase-deficient mice, we confirmed that the control of TK …
Tissue kallikrein (TK) is a serine protease synthetized in renal tubular cells located upstream from the collecting duct where renal potassium balance is regulated. Because secretion of TK is promoted by K+ intake, we hypothesized that this enzyme might regulate plasma K+ concentration ([K+]). We showed in wild-type mice that renal K+ and TK excretion increase in parallel after a single meal, representing an acute K+ load, whereas aldosterone secretion is not modified. Using aldosterone synthase-deficient mice, we confirmed that the control of TK secretion is aldosterone-independent. Mice with TK gene disruption (TK−/−) were used to assess the impact of the enzyme on plasma [K+]. A single large feeding did not lead to any significant change in plasma [K+] in TK+/+, whereas TK−/− mice became hyperkalemic. We next examined the impact of TK disruption on K+ transport in isolated cortical collecting ducts (CCDs) microperfused in vitro. We found that CCDs isolated from TK−/− mice exhibit net transepithelial K+ absorption because of abnormal activation of the colonic H+,K+-ATPase in the intercalated cells. Finally, in CCDs isolated from TK−/− mice and microperfused in vitro, the addition of TK to the perfusate but not to the peritubular bath caused a 70% inhibition of H+,K+-ATPase activity. In conclusion, we have identified the serine protease TK as a unique kalliuretic factor that protects against hyperkalemia after a dietary K+ load.
National Acad Sciences