Role of the distal nephron on salt homeostasis and blood pressure regulation

The distal nephron is constituted by the distal convoluted tubule, connecting tubule, and collecting duct. It is also known as “aldosterone sensitive distal nephron” (ASDN) because it is the anatomical substrate for the classical aldosterone effect of reabsorbing sodium and excreting potassium. This...

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Autores principales: Lim, Heeju, Romero, Cesar A.
Formato: Articulo
Lenguaje:Inglés
Publicado: 2021
Materias:
Sal
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/133488
https://pmr.safisiol.org.ar/uploadsarchivos/vol_14_n4_2021_3h.pdf
Aporte de:
id I19-R120-10915-133488
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Distal nephron
ENaC
Pendrin
Connecting tubule
Salt
Hypertension
Nefrón distal
Pendrina
Túbulo conector
Sal
Hipertensión
spellingShingle Ciencias Médicas
Distal nephron
ENaC
Pendrin
Connecting tubule
Salt
Hypertension
Nefrón distal
Pendrina
Túbulo conector
Sal
Hipertensión
Lim, Heeju
Romero, Cesar A.
Role of the distal nephron on salt homeostasis and blood pressure regulation
topic_facet Ciencias Médicas
Distal nephron
ENaC
Pendrin
Connecting tubule
Salt
Hypertension
Nefrón distal
Pendrina
Túbulo conector
Sal
Hipertensión
description The distal nephron is constituted by the distal convoluted tubule, connecting tubule, and collecting duct. It is also known as “aldosterone sensitive distal nephron” (ASDN) because it is the anatomical substrate for the classical aldosterone effect of reabsorbing sodium and excreting potassium. This region is thought to perform the “fine-tuning” of ions and water homeostasis to balance intake levels. Consequently, this segment has significant impacts on sodium reabsorption and blood pressure regulation, illustrated by some genetic alteration effects such as Liddle syndrome, pseudohypoaldosteronism, and Pendred syndrome. In this mini-review, we explore the ASDN structure and the main channels that participate in sodium and chloride reabsorption. The epithelial sodium channel (ENaC) and the interchanger chloride-bicarbonate transporter (pendrin) are reviewed in detail as the main drivers of salt reabsorption in this segment. We also provide an introduction to crosstalk communication between the connecting tubule and the afferent arteriole as a feedback mechanism to integrate tubular sodium handling in this segment, in addition to its role in renal hemodynamics autoregulation.
format Articulo
Articulo
author Lim, Heeju
Romero, Cesar A.
author_facet Lim, Heeju
Romero, Cesar A.
author_sort Lim, Heeju
title Role of the distal nephron on salt homeostasis and blood pressure regulation
title_short Role of the distal nephron on salt homeostasis and blood pressure regulation
title_full Role of the distal nephron on salt homeostasis and blood pressure regulation
title_fullStr Role of the distal nephron on salt homeostasis and blood pressure regulation
title_full_unstemmed Role of the distal nephron on salt homeostasis and blood pressure regulation
title_sort role of the distal nephron on salt homeostasis and blood pressure regulation
publishDate 2021
url http://sedici.unlp.edu.ar/handle/10915/133488
https://pmr.safisiol.org.ar/uploadsarchivos/vol_14_n4_2021_3h.pdf
work_keys_str_mv AT limheeju roleofthedistalnephrononsalthomeostasisandbloodpressureregulation
AT romerocesara roleofthedistalnephrononsalthomeostasisandbloodpressureregulation
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