Regulation of renal potassium secretion: Molecular mechanisms

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47 Scopus citations


A new understanding of renal potassium balance has emerged as the molecular underpinnings of potassium secretion have become illuminated, highlighting the key roles of apical potassium channels, renal outer medullary potassium channel (ROMK) and Big Potassium (BK), in the aldosterone-sensitive distal nephron and collecting duct. These channels act as the final-regulated components of the renal potassium secretory machinery. Their activity, number, and driving forces are precisely modulated to ensure potassium excretion matches dietary potassium intake. Recent identification of the underlying regulatory mechanisms at the molecular level provides a new appreciation of the physiology and reveals a molecular insight to explain the paradoxic actions of aldosterone on potassium secretion. Here, we review the current state of knowledge in the field.

Original languageEnglish (US)
Pages (from-to)215-228
Number of pages14
JournalSeminars in Nephrology
Issue number3
StatePublished - May 2013
Externally publishedYes


  • ARH
  • Aldosterone
  • BK
  • Endocytosis
  • Endoplasmic reticulum
  • Golgi
  • Hyperkalemia
  • Hypokalemia
  • Kaliuresis
  • Kidney
  • Potassium channel
  • Pseudohypoaldosteronism type II
  • ROMK
  • SGK-1
  • Src kinase
  • Thiazide
  • Trafficking
  • WNK kinase

ASJC Scopus subject areas

  • Nephrology


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