Related Experiment Video
Updated: Jul 7, 2026

Study of the Functions and Activities of Neuronal K-Cl Co-Transporter KCC2 Using Western Blotting
Published on: December 9, 2022
Cotransporters, WNKs and hypertension: an update
1Centre for Integrative Physiology, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK. peter.flatman@ed.ac.uk
Purpose Of Review:
Studies of inherited conditions characterized by high or low blood pressure reveal the importance of a new signalling cascade, With no Lysine kinases (WNK) --> ste20/SPS1-related proline/alanine-rich kinase (SPAK)/oxidative stress-responsive kinase-1 (OSR1) --> Cation-Chloride Cotransporters (CCC), in regulating blood pressure and in the pathogenesis of essential hypertension. This review explores how these molecules interact to co-ordinate sodium homeostasis and how errors in these interactions may result in hypertension.
Recent Findings:
Studies using transgenic animals and gene knockins have clarified the role of mutant WNK4 in hypertension, by revealing its main action to be increasing the expression and activity of sodium-chloride cotransporter (NCC) in the kidney. Functional studies show how phosphorylation of WNK1 regulates both its activity and ability to interact with SPAK/OSR1, and clearly place it upstream of SPAK/OSR1 in the cascade. The structural basis for the interactions between SPAK/OSR1 and targets has been identified.
Summary:
WNKs, activated by upstream kinases or autophosphorylation, bind and phosphorylate SPAK/OSR1, which in turn phosphorylate and activate NCCs and Na-K-Cl cotransporters (NKCCs). This increases sodium retention in the kidney (NKCC2, NCC) and vascular resistance (NKCC1), but decreases renin release (NKCC1). Hypertension-associated mutant WNKs increase surface expression and activation of renal tubular NKCC2 and NCC. Whether this adequately explains the hypertension awaits studies of these mutants in other tissues.
Insights
The With No Lysine (WNK) signalling cascade regulates blood pressure by controlling sodium transport. Aberrant WNK signalling increases sodium retention and vascular resistance, contributing to hypertension.
Area of Science:
- Nephrology
- Cardiovascular Physiology
- Molecular Biology
Background:
- The With No Lysine (WNK) signalling cascade is crucial for blood pressure regulation.
- Dysregulation of this cascade is implicated in essential hypertension.
- Key components include WNK kinases, SPAK/OSR1, and Cation-Chloride Cotransporters (CCCs).
Purpose of the Study:
- To review the molecular interactions within the WNK-SPAK/OSR1-CCC signalling cascade.
- To elucidate the role of this cascade in sodium homeostasis and hypertension pathogenesis.
- To explore the impact of WNK mutations on blood pressure regulation.
Main Methods:
- Review of studies involving transgenic animals and gene knockins.
- Analysis of functional studies on WNK1 phosphorylation and activity.
- Examination of structural data on SPAK/OSR1 interactions.
Main Results:
- Mutant WNK4 increases kidney sodium-chloride cotransporter (NCC) expression and activity.
- WNK1 phosphorylation regulates its activity and interaction with SPAK/OSR1.
- The structural basis for SPAK/OSR1 target interactions has been elucidated.
Conclusions:
- WNKs activate SPAK/OSR1, which phosphorylates and activates NCCs and Na-K-Cl cotransporters (NKCCs).
- This leads to increased sodium retention and vascular resistance, contributing to hypertension.
- Hypertension-associated WNK mutants enhance renal tubular NKCC2 and NCC activity, though their full role requires further investigation.
Related Concept Videos
Transcellular Transport of Solutes
Nonlinear Pharmacokinetics: Role of Transporters
Polymorphisms occurring in drug transporters can alter...
Active Transport
Primary active transporters, like Na+, K+ and -ATPase, directly utilize ATP to move ions across the membrane. These transporters play significant roles in various physiological processes. For instance, Na+, K+ and -ATPase maintain...
ABC Transporters: Exporter
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Carrier-Mediated Transport
Active transport involves two types of membrane-spanning transporters: uptake and efflux. Uptake transporters are expressed in the small...
