Journal of the American Society of Nephrology
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Published ahead of print on April 4, 2007
J Am Soc Nephrol 18: 1408-1418, 2007
© 2007 American Society of Nephrology
doi: 10.1681/ASN.2006101072

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Cell and Transport Physiology

Distal Renal Tubular Acidosis in Mice Lacking the AE1 (Band3) Cl/HCO3 Exchanger (slc4a1)

Paul A. Stehberger*, Boris E. Shmukler{dagger}, Alan K. Stuart-Tilley{dagger}, Luanne L. Peters{ddagger}, Seth L. Alper{dagger},§ and Carsten A. Wagner*

* Institute of Physiology and Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland; {dagger} Molecular and Vascular Medicine Unit and Renal Division, Beth Israel Deaconess Medical Center, and § Department of Medicine, Harvard Medical School, Boston, Massachusetts; and {ddagger} Jackson Laboratories, Bar Harbor, Maine

Address correspondence to: Dr. Carsten A. Wagner, Institute of Physiology and Zurich Center for Integrative Human Physiology, University of Zurich, Winterthurerstrasse 190, CH-807 Zurich, Switzerland. Phone: +41-44-63-50569; Fax: +41-44-63-56814; E-mail: wagnerca{at}access.unizh.ch

Received for publication October 2, 2006. Accepted for publication February 14, 2007.

Mutations in the human gene that encodes the AE1 Cl/HCO3 exchanger (SLC4A1) cause autosomal recessive and dominant forms of distal renal tubular acidosis (dRTA). A mouse model that lacks AE1/slc4a1 (slc4a1–/–) exhibited dRTA characterized by spontaneous hyperchloremic metabolic acidosis with low net acid excretion and, inappropriately, alkaline urine without bicarbonaturia. Basolateral Cl/HCO3 exchange activity in acid-secretory intercalated cells of isolated superfused slc4a1–/– medullary collecting duct was reduced, but alternate bicarbonate transport pathways were upregulated. Homozygous mice had nephrocalcinosis associated with hypercalciuria, hyperphosphaturia, and hypocitraturia. A severe urinary concentration defect in slc4a1–/– mice was accompanied by dysregulated expression and localization of the aquaporin-2 water channel. Mice that were heterozygous for the AE1-deficient allele had no apparent defect. Thus, the slc4a1–/– mouse is the first genetic model of complete dRTA and demonstrates that the AE1/slc4a1 Cl/HCO3 exchanger is required for maintenance of normal acid-base homeostasis by distal renal regeneration of bicarbonate in the mouse as well as in humans.


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