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Impact of bicarbonate, ammonium chloride, and acetazolamide on hepatic and renal SLC26A4 expression.
[pendred syndrome]
SLC
26
A
4
encodes
pendrin
,
a
transporter
exchanging
anions
such
as
chloride
,
bicarbonate
,
and
iodide
.
Loss
of
function
mutations
of
SLC
26
A
4
cause
Pendred
syndrome
characterized
by
hearing
loss
and
enlarged
vestibular
aqueducts
as
well
as
variable
hypothyroidism
and
goiter
.
In
the
kidney
,
pendrin
is
expressed
in
the
distal
nephron
and
accomplishes
HCO
(
3
)
(
-
)
secretion
and
Cl
(
-
)
reabsorption
.
Renal
pendrin
expression
is
regulated
by
acid-base
balance
.
The
liver
contributes
to
acid-base
regulation
by
producing
or
consuming
glutamine
,
which
is
utilized
by
the
kidney
for
generation
and
excretion
of
NH
(
4
)
(
+
)
,
paralleled
by
HCO
(
3
)
(
-
)
formation
.
Little
is
known
about
the
regulation
of
pendrin
in
liver
.
The
present
study
thus
examined
the
expression
of
Slc
26
a
4
in
liver
and
kidney
of
mice
drinking
tap
water
without
or
with
NaHCO
(
3
)
(
150
mM
)
,
NH
(
4
)
Cl
(
280
mM
)
or
acetazolamide
(
3
.
6
mM
)
for
seven
days
.
As
compared
to
Gapdh
transcript
levels
,
Slc
26
a
4
transcript
levels
were
moderately
lower
in
liver
than
in
renal
tissue
.
Slc
26
a
4
transcript
levels
were
not
significantly
affected
by
NaHCO
(
3
)
in
liver
,
but
significantly
increased
by
NaHCO
(
3
)
in
kidney
.
Pendrin
protein
expression
was
significantly
enhanced
in
kidney
and
reduced
in
liver
by
NaHCO
(
3
)
.
Slc
26
a
4
transcript
levels
were
significantly
increased
by
NH
(
4
)
Cl
and
acetazolamide
in
liver
,
and
significantly
decreased
by
NH
(
4
)
Cl
and
by
acetazolamide
in
kidney
.
NH
(
4
)
Cl
and
acetazolamide
reduced
pendrin
protein
expression
significantly
in
kidney
,
but
did
not
significantly
modify
pendrin
protein
expression
in
liver
.
The
observations
point
to
expression
of
pendrin
in
the
liver
and
to
opposite
effects
of
acidosis
on
pendrin
transcription
in
liver
and
kidney
.
Diseases
Validation
Diseases presenting
"mutations of slc26a4"
symptom
pendred syndrome
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