Key result
The NCC splice variant (NCCSV) plays an instrumental role in renal sodium-chloride reabsorption, responds to acute water loading, and correlates with thiazide responsiveness in humans.
Why the study?
Recent studies revealed the importance of NCC splice variants (NCCSV) in renal sodium-chloride reabsorption and blood pressure regulation, expanding beyond the extensively studied NCC3 isoform.
This review broadens the understanding of blood pressure regulation by highlighting the functional importance and regulatory mechanisms of the alternative splice variants of the sodium-chloride cotransporter (NCCSV) in humans.
The renal thiazide-sensitive sodium-chloride cotransporter (NCC), located in the distal convoluted tubule (DCT) of the kidney, plays an important role in blood pressure regulation by fine-tuning sodium excretion. The human SLC12A3 gene, encoding NCC, gives rise to three isoforms, of which only the third isoform (NCC3) has been extensively investigated so far. However, recent studies unraveled the importance of the isoforms 1 and 2, collectively referred to as NCC splice variant (NCCSV), in several (patho)physiological conditions. In the human kidney, NCCSV localizes to the apical membrane of the DCT and could constitute a functional route for renal sodium-chloride reabsorption. Analysis of urinary extracellular vesicles (uEVs), a non-invasive method for measuring renal responses, demonstrated that NCCSV abundance changes in response to acute water loading and correlates with patients’ thiazide responsiveness. Furthermore, a novel phosphorylation site at serine 811 (S811), exclusively present in NCCSV, was shown to play an instrumental role in NCCSV as well as NCC3 function. This review aims to summarize these new insights of NCCSV function in humans that broadens the understanding on NCC regulation in blood pressure control.
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Wardak et al. (2018) conducted a review in Blood pressure regulation. NCC splice variant (NCCSV) was evaluated. The NCC splice variant (NCCSV) plays an instrumental role in renal sodium-chloride reabsorption, responds to acute water loading, and correlates with thiazide responsiveness in humans.
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