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Showing SLC12A3NCC is a alias.

SLC12A3

Solute carrier family 12 member 3 · UniProt P55017

Length
1021 aa
Mass
113.1 kDa
Annotated
2026-06-10
100 papers in source corpus 33 papers cited in narrative 33 extracted findings
Cross-family judge vs UniProt: tie faithfulness: 8/8 claims corpus-supported (100%)

Mechanistic narrative

Synthesis pass · prose summary of the discoveries below

SLC12A3 encodes the thiazide-sensitive Na-Cl cotransporter (NCC), a kidney-specific 12-transmembrane protein that mediates electroneutral NaCl reabsorption at the apical membrane of the distal convoluted tubule (DCT) (PMID:8812482). NCC activity is governed by N-terminal phosphorylation (Thr53/58/60, Ser71), which both promotes transport and stabilizes the protein at the apical membrane; the T58M/T60 mutation abolishing SPAK/OSR1 phosphorylation reduces NCC abundance, causes cytosolic mislocalization, and produces a Gitelman phenotype, while phosphorylation-defective NCC corrects the hypertension of WNK4-PHAII mice (PMID:23833262). This phosphorylation is set by a WNK-SPAK/OSR1 kinase cascade integrated to plasma K+: raising plasma K+ alone is sufficient to dephosphorylate and inhibit NCC (PMID:24598799, PMID:29371419), with Kir4.1-dependent DCT cells clustering WNK4 and SPAK/OSR1 into WNK bodies during K+ deficiency to drive activation (PMID:31736353). SPAK is the principal but not exclusive activating kinase, requires Cab39/Cab39l scaffolds for apical co-localization with NCC, and is regulated by multiple upstream inputs including SGK1 and aldosterone (independent of the mineralocorticoid receptor in DCT), vasopressin via AC6, calcium-sensing receptor via WNK4, α1-adrenergic/norepinephrine signaling, and PI3K/Akt (PMID:22949526, PMID:23123217, PMID:23739593, PMID:25651563, PMID:26898302, PMID:29848507, PMID:31608673, PMID:38258567). Kidney-specific WNK1 negatively tunes the cascade by targeting WNK4 and L-WNK1 for degradation (PMID:21131289, PMID:38961847). NCC abundance is independently controlled by ubiquitylation through NEDD4-2 and cullin E3 ligases, which mediate dietary salt, Mg2+, and K+ effects on the transporter (PMID:31364380, PMID:33818128, PMID:36160843, PMID:35011657). In the late DCT, NCC physically associates with ENaC subunits to coordinate distal sodium transport, an interaction enhanced by aldosterone and SGK1 (PMID:27422782, PMID:28646163). Loss-of-function mutations in SLC12A3 cause Gitelman syndrome through nonsense-mediated decay, aberrant/pseudoexon splicing, trafficking defects, or impaired intrinsic transport, with gene correction in patient iPSC-derived organoids confirming causality (PMID:17329572, PMID:20848653, PMID:22009145, PMID:25060058, PMID:34860177, PMID:36769335, PMID:21051746).

Mechanistic history

Synthesis pass · year-by-year structured walk · 17 steps
  1. 1996 High

    Established the molecular identity of the renal thiazide target: what gene mediates DCT NaCl reabsorption and confers thiazide sensitivity.

    Evidence cDNA cloning, heterologous expression, and FISH of human SLC12A3

    PMID:8812482

    Open questions at the time
    • No regulatory mechanism defined
    • No disease linkage at cloning stage
  2. 2007 High

    Defined how SLC12A3 mutations cause Gitelman syndrome by resolving distinct molecular failure modes rather than a single defect.

    Evidence cDNA/transcript analysis, NMD assays, and Xenopus oocyte transport assays of patient mutants

    PMID:17329572

    Open questions at the time
    • Genotype-phenotype correlation not fully resolved
    • Trafficking defect mechanism not detailed
  3. 2009 High

    Connected NCC phosphorylation to physiological salt handling and identified SGK1 as a required regulator of NCC phospho-activation under salt restriction.

    Evidence SGK1 knockout mice with phospho-specific NCC antibodies across dietary NaCl conditions

    PMID:19570885

    Open questions at the time
    • Direct vs indirect SGK1 action on NCC unresolved
    • Kinase linking SGK1 to NCC phosphosites not defined here
  4. 2009 High

    Dissected WNK3 isoform-specific control of NCC and separated phosphorylation-dependent transport activity from surface expression.

    Evidence Xenopus oocyte reconstitution with kinase-dead WNK mutants, T58 phosphomimetic mutants, and 22Na+ uptake

    PMID:19470686

    Open questions at the time
    • Physiological role of WNK3 isoforms in vivo not established
    • Single-lab oocyte system
  5. 2010 High

    Established KS-WNK1 as an in vivo negative regulator of NCC linking the cascade to blood pressure.

    Evidence Reciprocal transgenic overexpression and exon-4A deletion mice with NCC localization and blood pressure readouts

    PMID:21131289

    Open questions at the time
    • Molecular target of KS-WNK1 not yet defined
    • Mechanism of NCC surface reduction unclear
  6. 2010 High

    Showed splicing-class mutations (recurrent nonsense and deep intronic pseudoexon) ablate NCC and revealed compensatory channel remodeling underlying Gitelman electrolyte phenotypes.

    Evidence Ser707X knockin mouse with renal phenotyping; RNA-based detection of intronic pseudoexon mutations with renal biopsy IHC

    PMID:20848653 PMID:21051746

    Open questions at the time
    • Compensatory pathways characterized phenotypically, not mechanistically
    • Pseudoexon set incomplete
  7. 2011 High

    Refined the functional classification of NCC missense mutants by separating no-activity, trafficking-defective, and membrane-resident-but-nonfunctional alleles.

    Evidence Xenopus oocyte 22Na+ uptake and surface-expression analysis of multiple missense mutants

    PMID:22009145

    Open questions at the time
    • Structural basis of class-4 transport failure not resolved
    • Single-system characterization
  8. 2012 High

    Identified hormonal and signaling inputs into the WNK-SPAK/OSR1-NCC axis, implicating PI3K/Akt in insulin-driven NCC activation and AC6/cAMP in vasopressin-driven phosphorylation.

    Evidence SpakT243A/Osr1T185A knock-in mice with PI3K inhibitors; AC6 knockout mice with V2 agonist challenge and phospho-NCC blots

    PMID:22949526 PMID:23123217

    Open questions at the time
    • Intermediate kinases linking Akt/cAMP to WNK not fully mapped
    • Tissue specificity of inputs not exhaustively tested
  9. 2013 High

    Resolved that aldosterone acutely activates NCC via SGK1/SPAK phosphorylation, and that T60 phosphorylation is mechanistically required for NCC stability and apical localization.

    Evidence Aldosterone minipump studies with SPAK silencing; T58M knock-in mice with WNK4-PHAII genetic cross and localization assays

    PMID:23739593 PMID:23833262

    Open questions at the time
    • MR-dependence of DCT aldosterone effect not yet clarified at this stage
    • Phosphatase counter-regulation not addressed
  10. 2014 High

    Established plasma K+ as the direct upstream signal inhibiting NCC and uncovered post-transcriptional and splicing-level layers of NCC regulation.

    Evidence IV KCl infusion in rats with phospho-NCC blots; P2Y2/Ca2+/parvalbumin manipulation of NCC mRNA stability in mDCT cells; minigene ESE-disruption splicing assays

    PMID:24463702 PMID:24598799 PMID:25060058

    Open questions at the time
    • Sensor transducing plasma K+ to NCC not yet identified here
    • Physiological role of Ca2+-mediated mRNA decay unclear
  11. 2016 High

    Demonstrated physical NCC-ENaC coupling in DCT2 and showed DCT NCC regulation is MR-independent, distinguishing it from collecting-duct ENaC control.

    Evidence Five orthogonal interaction assays (BN-PAGE, co-IP, mammalian two-hybrid, FRET, immunogold EM); mosaic MR-deletion mouse with side-by-side cell comparison

    PMID:26898302 PMID:27422782

    Open questions at the time
    • Functional stoichiometry of NCC-ENaC complex unknown
    • Mechanism of cross-regulation between transporters undefined
  12. 2018 High

    Clarified WNK-WNK regulatory logic and additional upstream activators: KS-WNK1 acts via WNK4 autophosphorylation, and CaSR signals through WNK4 to activate NCC.

    Evidence Xenopus oocyte reconstitution with WNK463 inhibitor and domain deletions, co-IP of KS-WNK1/WNK4; CaSR calcimimetic studies across oocyte, HEK293, and mouse; γENaC knockout with dietary K+ manipulation

    PMID:29371419 PMID:29846116 PMID:29848507

    Open questions at the time
    • Reconciling KS-WNK1 activation in oocytes with in vivo inhibition not fully resolved
    • Direct CaSR-to-WNK4 coupling mechanism incomplete
  13. 2019 High

    Defined the cellular machinery (WNK bodies, Kir4.1) and additional inputs (norepinephrine/α1-adrenoceptor) and degradation routes (NEDD4-2) that integrate dietary and neural signals onto NCC.

    Evidence Kir4.1 and WNK4 mouse models with WNK body immunofluorescence; α1-adrenoceptor antagonism in NE-infused rats; inducible NEDD4-2 KO with Mg2+ restriction and SPAK/OSR1 epistasis

    PMID:31364380 PMID:31608673 PMID:31736353

    Open questions at the time
    • Biophysical nature/assembly of WNK bodies unresolved
    • Substrate selectivity of NEDD4-2 vs cullins not delineated
  14. 2021 High

    Established NEDD4-2 and cullin E3 ligases as the abundance-control arm mediating dietary salt and K+ effects on NCC, complementing the phosphorylation arm.

    Evidence Kidney-specific NEDD4-2 KO with high/low-salt diets and clearance studies; CUL3-mutant mice and MLN4924 pan-cullin inhibition in ex vivo tubules

    PMID:33818128 PMID:35011657

    Open questions at the time
    • Specific KLHL adaptors for each cullin-NCC effect not resolved here
    • Crosstalk between ubiquitylation and phosphorylation arms incomplete
  15. 2022 High

    Directly demonstrated NEDD4-2 ubiquitylation of NCC controlling membrane abundance and half-life, while showing it is dispensable for K+-induced NCC reduction, and reconfirmed transport loss for frequent disease alleles.

    Evidence NEDD4-2 deletion in MDCKI cells and mice with ubiquitylation, membrane fractionation, and half-life assays; Xenopus oocyte 22Na+ uptake of six frequent missense mutants

    PMID:34860177 PMID:36160843

    Open questions at the time
    • Identity of the K+-responsive ubiquitin ligase remains open
    • Structural consequences of mutants based on prediction only
  16. 2024 High

    Identified Cab39/Cab39l scaffolds as required for SPAK apical trafficking and confirmed KS-WNK1 acts by degrading WNK4/L-WNK1 to set NCC K+ sensitivity.

    Evidence Cab39/Cab39l double-knockout mice with SPAK localization assays; DCT-specific KS-WNK1 knockout with dietary K+ and WNK body analysis

    PMID:38258567 PMID:38961847

    Open questions at the time
    • Mechanism of KS-WNK1-mediated WNK degradation not detailed
    • Cab39 regulation of SPAK trafficking biophysics undefined
  17. 2023 Medium

    Confirmed at the cellular level that SLC12A3 loss is directly responsible for the disease phenotype using gene correction.

    Evidence CRISPR-Cas9 correction in patient iPSCs with kidney organoid differentiation and NCC expression rescue

    PMID:36769335

    Open questions at the time
    • Single-lab organoid model
    • Functional transport rescue not directly measured

Open questions

Synthesis pass · forward-looking unresolved questions
  • The molecular sensor transducing plasma K+ into the WNK cascade, the precise division of labor between NEDD4-2 and cullin ligases, and the structural basis of NCC transport and disease mutations remain to be fully resolved.
  • No high-resolution structure of human NCC in the timeline
  • K+-responsive ubiquitin ligase identity unresolved
  • Integration of multiple parallel upstream inputs incompletely mapped

Mechanism profile

Synthesis pass · controlled-vocabulary classification · explore literature graph →
Molecular activity
GO:0005215 transporter activity 4 GO:0140096 catalytic activity, acting on a protein 2
Localization
GO:0005886 plasma membrane 4
Pathway
R-HSA-162582 Signal Transduction 4 R-HSA-1643685 Disease 4 R-HSA-382551 Transport of small molecules 3

Evidence

Reading pass · 33 per-paper findings extracted from the source corpus
Year Finding Method Journal Conf PMIDs
1996 Human SLC12A3 (NCC) was cloned and shown to encode a 1021 amino acid protein with 12 transmembrane domains, expressed specifically in the kidney, and selectively inhibited by thiazide diuretics, establishing it as the renal Na-Cl cotransporter. cDNA cloning, heterologous expression, protein sequence analysis, fluorescence in situ hybridization Genomics High 8812482
2007 SLC12A3 mutations cause Gitelman syndrome through multiple mechanisms: nonsense-mediated mRNA decay of splicing mutants, defective intrinsic transport activity, and absent cell surface expression (trafficking defects), demonstrating functional classes of NCC mutants. cDNA analysis, transcript quantification, heterologous expression in Xenopus laevis oocytes, functional transport assays Journal of the American Society of Nephrology : JASN High 17329572
2009 NCC expression and phosphorylation at Thr53, Thr58, and Ser71 are increased by dietary NaCl restriction in vivo, and this response requires SGK1, establishing SGK1 as a regulator of NCC phosphorylation in the context of salt intake. In vivo mouse studies with SGK1 knockout, phospho-specific antibodies, Western blot American journal of physiology. Renal physiology High 19570885
2009 The renal isoform of WNK3 increases NCC expression and activity in Xenopus oocytes via a kinase-dependent, SPAK-independent pathway, while the brain isoform decreases NCC activity in a SPAK-dependent manner; T58A and T58D NCC mutants have normal surface expression but altered transport activity, and both WNK3 isoforms and WNK4 still modulate surface expression of these mutants. Heterologous expression in Xenopus oocytes, kinase-dead mutants, 22Na+ uptake assay Journal of the American Society of Nephrology : JASN High 19470686
2010 Kidney-specific WNK1 (KS-WNK1) is a negative regulator of NCC in vivo: overexpression reduces surface expression of total and phosphorylated NCC and lowers blood pressure, while targeted deletion of exon 4A increases NCC surface expression and phosphorylation and raises blood pressure. Transgenic mouse overexpression and gene-targeted deletion, immunofluorescent staining, in vivo blood pressure measurement Human molecular genetics High 21131289
2010 The recurrent nonsense mutation Ser707X in NCC causes Gitelman syndrome primarily through nonsense-mediated mRNA decay, resulting in virtually absent NCC protein; loss of NCC leads to compensatory upregulation of TRPV5/6 (contributing to hypocalciuria) and ROMK1/Maxi-K channels (contributing to hypokalemia). Knockin mouse model, RT-PCR, immunohistochemistry, renal phenotyping, electrolyte measurements Human mutation High 20848653
2011 Novel NCC missense mutations cause loss of function through distinct classes: class 2 (no transport activity, e.g., Thr392Ile), class 3 (impaired trafficking to plasma membrane, e.g., Asn442Ser, Gln1030Arg), and class 4 (impaired NaCl uptake despite reaching membrane, e.g., Glu121Asp, Pro751Leu, Ser475Cys, Tyr489His). Heterologous expression in Xenopus laevis oocytes, 22Na+ uptake assay, surface expression analysis European journal of human genetics : EJHG High 22009145
2012 The PI3K/Akt signaling pathway activates the WNK-OSR1/SPAK-NCC phosphorylation cascade in hyperinsulinemic db/db mice; PI3K inhibitors corrected increased NCC phosphorylation, and knock-in mutations disrupting WNK→SPAK/OSR1 signaling completely corrected NCC phosphorylation and elevated blood pressure. Knock-in mouse models (SpakT243A and Osr1T185A), PI3K/Akt inhibitor treatment, Western blot for phosphorylated NCC/SPAK/OSR1/Akt, thiazide sensitivity assay Hypertension (Dallas, Tex. : 1979) High 22949526
2012 Vasopressin, acting through the V2 receptor and adenylyl cyclase 6 (AC6), mediates phosphorylation of NCC at Thr58 in vivo; AC6 knockout mice lack the vasopressin-induced NCC phosphorylation response. AC6 knockout mice, DDAVP (V2 agonist) administration, phospho-specific Western blot The American journal of pathology High 23123217
2013 Aldosterone acutely stimulates NCC activity and phosphorylation (without changing total NCC or surface expression) via a pathway requiring the mineralocorticoid receptor, SGK1, and SPAK; gene silencing of SPAK abolished aldosterone's effect on NCC activity. Rodent kidney studies, mouse DCT cell line, minipump aldosterone administration, SPAK gene silencing, phospho-specific antibodies, functional transport assay American journal of physiology. Renal physiology High 23739593
2013 SPAK-mediated phosphorylation of NCC at T60 (T58 in mouse) is required for NCC protein stability and apical membrane localization; the T58M mutation prevents SPAK/OSR1 phosphorylation, reduces total NCC protein and membrane stability, causes cytosolic mislocalization, and produces Gitelman syndrome phenotype in vivo. Crossing with WNK4 D561A/+ (PHAII) mice demonstrated that phosphorylation-defective NCC corrects the hypertensive phenotype. Knock-in mouse model (T58M), MDCK cell expression, immunofluorescence, Western blot, genetic cross with WNK4-PHAII mice Journal of the American Society of Nephrology : JASN High 23833262
2014 Raising plasma K+ concentration by intravenous KCl infusion (without K+ ingestion) is sufficient to reduce NCC phosphorylation by ~60% and drive kaliuresis and natriuresis, establishing plasma K+ concentration as the direct signal that inhibits NCC phosphorylation and activity. In vivo rat studies with intravenous KCl infusion, phospho-specific Western blot for NCC, SPAK, NKCC2 American journal of physiology. Renal physiology High 24598799
2014 Exonic mutations in SLC12A3 can cause Gitelman syndrome by inducing exon skipping through disruption of exonic splicing enhancer sequences; mutations p.A356V and p.M672I cause aberrant splicing in vitro, and p.M672I causes exon 16 exclusion in a patient, producing a nonfunctional NCC without transport activity. Bioinformatics ESE scoring, minigene splicing assay, patient mRNA analysis, Xenopus oocyte functional expression Journal of the American Society of Nephrology : JASN High 25060058
2015 SPAK is an important but not exclusive mediator of low-K+ diet-induced NCC activation; SPAK knockout mice showed blunted but not completely abolished NCC phosphorylation and expression in response to low-K+ diet, indicating additional low-K+-activated kinases contribute. SPAK knockout mice, low-K+ diet, phospho-specific Western blot and immunolocalization American journal of physiology. Renal physiology High 25651563
2016 NCC and ENaC (α- and γ-subunits) physically associate in the DCT2 as demonstrated by co-immunoprecipitation, mammalian two-hybrid direct binding assay, FRET, and immunogold EM; inhibition of NCC functionally affects ENaC activity, revealing a novel mode of coordination of distal sodium transport. Blue native PAGE, co-immunoprecipitation, mammalian two-hybrid, FRET, immunogold electron microscopy, functional transport assay The Biochemical journal High 27422782
2016 The mineralocorticoid receptor (MR) is dispensable for NCC abundance and phosphorylation regulation in the DCT, as MR-negative DCT cells showed no difference in NCC compared to MR-positive cells side-by-side in the same kidney; MR is required for ENaC in the collecting system but not NCC in DCT. Mosaic MR-deletion mouse model, immunofluorescence comparing MR-positive and -negative cells in same tissue Pflugers Archiv : European journal of physiology High 26898302
2017 Aldosterone promotes increased physical interaction between NCC and αENaC, and this interaction is further enhanced by co-expression of SGK1 (an aldosterone-induced kinase), revealing a mechanism by which aldosterone coordinates distal sodium transport. Co-immunoprecipitation, electron microscopy colocalization, SGK1 co-expression experiments Scientific reports Medium 28646163
2018 Kidney-specific WNK1 (KS-WNK1) activates NCC and SPAK in Xenopus oocytes; this requires interaction with another WNK kinase (abolished by WNK-WNK interacting domain deletion and WNK inhibitor WNK463). Co-immunoprecipitation showed KS-WNK1 interacts with WNK4 and promotes WNK4 autophosphorylation at Ser335, independent of changes in intracellular Cl-. Xenopus oocyte microinjection, 22Na+ uptake, co-immunoprecipitation, WNK inhibitor (WNK463), domain deletion mutagenesis American journal of physiology. Renal physiology High 29846116
2018 Calcium-sensing receptor (CaSR) activation increases NCC activity in a WNK4-dependent manner as shown in Xenopus oocytes; in HEK293 cells, calcimimetic R-568 stimulates SPAK phosphorylation only in presence of WNK4 and is blocked by WNK4 inhibitor WNK463; CaSR activation leads to phosphorylation of KLHL3 and WNK4 with increased WNK4 abundance; acute R-568 in mice increases NCC phosphorylation in vivo. Xenopus oocyte 22Na+ uptake, HEK293 cell transfection, Western blot, in vivo mouse treatment with calcimimetic Journal of the American Society of Nephrology : JASN High 29848507
2018 Plasma K+ concentration is the determining factor regulating NCC activity in γENaC knockout mice; when K+ was eliminated from the diet at time of γENaC deletion, plasma K+ and NCC activity remained normal, establishing plasma K+ as the dominant upstream signal for NCC regulation. Nephron-specific γENaC knockout mice, dietary K+ manipulation, NCC phosphorylation assays, electrolyte measurements Journal of the American Society of Nephrology : JASN High 29371419
2019 WNK bodies in DCT cells cluster WNK4 and SPAK/OSR1 to promote NCC activation during K+ deficiency; phosphorylated SPAK/OSR1 is present in WNK bodies within 12 h of dietary K+ deprivation; WNK4 is the primary active WNK in WNK bodies; Kir4.1 (basolateral K+ channel) is required for DCT cells to sense plasma K+ and form WNK bodies. Mouse dietary manipulation, WNK4-deficient mice, kidney-specific Kir4.1 deletion mice, immunofluorescence, phospho-specific antibodies American journal of physiology. Renal physiology High 31736353
2019 Mg2+ restriction downregulates total NCC abundance through NEDD4-2; dietary Mg2+ restriction failed to lower NCC in inducible nephron-specific NEDD4-2 knockout mice; this effect is independent of the NCC-activating kinases SPAK/OSR1. Dietary manipulation, inducible nephron-specific NEDD4-2 knockout mice, SPAK/OSR1 double-knockout mice, Western blot American journal of physiology. Renal physiology High 31364380
2019 Norepinephrine (NE) activates NCC in rats through an α1-adrenoceptor-gated WNK/SPAK/OxSR1 signaling pathway; α1-adrenoceptor antagonism (but not β-adrenoceptor antagonism) restored dietary Na+-evoked NCC suppression and abolished the salt-sensitive component of hypertension. Selective adrenoceptor antagonism in NE-infused rats, Western blot for NCC/SPAK/WNK phosphorylation, in vivo NCC activity (thiazide test), blood pressure telemetry American journal of physiology. Renal physiology High 31608673
2019 SLC12A3 (slc12a3) knockdown in zebrafish leads to structural abnormality of the kidney pronephric distal duct, demonstrating a required role in kidney tubule development. Zebrafish slc12a3 knockdown (morpholino), morphological analysis at 1-cell stage American journal of nephrology Low 25401745
2014 P2Y2 receptor activation by ATP/UTP in mouse DCT cells triggers Ca2+ transients that destabilize NCC mRNA, reducing NCC expression; cytosolic (but not nuclear) parvalbumin overexpression abolishes ATP/UTP-induced NCC mRNA decrease, while the NCC promoter is not regulated by Ca2+ changes, demonstrating post-transcriptional regulation of NCC by cytoplasmic Ca2+. siRNA silencing of P2Y2 receptors, cytosolic/nuclear parvalbumin overexpression, luciferase reporter, Ca2+ imaging in mDCT cells Pflugers Archiv : European journal of physiology High 24463702
2021 NEDD4-2 mediates the inhibitory effect of high-salt diet on NCC expression and phosphorylation in vivo; kidney-specific NEDD4-2 knockout mice lack high-salt-induced suppression of NCC (total and phospho-NCC), and NEDD4-2 deletion also abolishes high-salt effects on Kir4.1 and ENaC. Kidney-specific NEDD4-2 knockout mice, high-salt/low-salt diets, Western blot, patch-clamp electrophysiology, renal clearance experiments American journal of physiology. Renal physiology High 33818128
2022 NEDD4-2 ubiquitylates NCC and modulates its plasma membrane levels and protein half-life; Nedd4-2 deletion increases NCC and pNCC levels and elevates NCC plasma membrane abundance; NCC protein half-life is increased; however, Nedd4-2 is not required for K+-induced reductions in NCC abundance in ex vivo kidney tubules. NEDD4-2 deletion in MDCKI cells, Nedd4-2 KO mice, ex vivo kidney tubule suspension, ubiquitylation assay, plasma membrane fractionation, protein half-life assay Frontiers in physiology High 36160843
2021 Cullin E3 ubiquitin ligases (Cul1, 3, 4, 5) are involved in mediating K+ effects on NCC phosphorylation and abundance; high dietary K+ effects on phosphorylated NCC are attenuated in Cul3 mutant mice; pan-cullin inhibition with MLN4924 attenuated high K+-induced decreases in NCC phosphorylation but eliminated low K+-induced increases. CUL3-mutant (CUL3-Het/Δ9) mice, dietary K+ manipulation, MLN4924 (pan-cullin inhibitor) in ex vivo renal tubules, Western blot for neddylated cullins and phospho-NCC Cells High 35011657
2024 Cab39 (calcium-binding protein 39) proteins are required for SPAK phosphorylation and trafficking to the apical membrane with NCC; double knockout of Cab39 and Cab39l results in complete absence of NCC phosphorylation and a Gitelman-like phenotype; in Cab39-DKO mice, SPAK/OSR1 is confined to intracellular puncta rather than colocalizing with NCC at the apical membrane. Tamoxifen-inducible NCC-driven Cab39 knockout, global Cab39l knockout, double knockout mice, low-K+ diet, Western blot, immunofluorescence, electrolyte measurements Hypertension (Dallas, Tex. : 1979) High 38258567
2022 Six frequent SLC12A3 missense mutations (T60M, L215F, D486N, N534K, Q617R, R928C) produce structurally altered NCC protein and significantly reduced thiazide-sensitive 22Na+ uptake in Xenopus oocytes, demonstrating direct loss of transport function. Site-directed mutagenesis, Xenopus oocyte expression, 22Na+ uptake assay, I-TASSER protein structure prediction, thiazide test in patients Endocrine connections High 34860177
2024 DCT-specific deletion of KS-WNK1 increases WNK4 and long WNK1 (L-WNK1) expression and elevates NCC phosphorylation, indicating KS-WNK1 normally targets WNK4 and L-WNK1 for degradation; in the absence of KS-WNK1, NCC loses sensitivity to low plasma K+ and WNK body formation is absent in the targeted DCT segments. DCT-specific KS-WNK1 knockout mice, dietary K+ manipulation, Western blot, immunofluorescence for WNK bodies American journal of physiology. Renal physiology High 38961847
2023 CRISPR-Cas9 correction of SLC12A3 mutations in patient-derived iPSCs rescued NCC (NCCT) mRNA and protein expression, and improved kidney organoid maturation, demonstrating that loss of SLC12A3 function is directly responsible for the disease phenotype at the cellular level. CRISPR-Cas9 gene correction in patient iPSCs, kidney organoid differentiation, qRT-PCR, immunoblot, immunofluorescence International journal of molecular sciences Medium 36769335
2010 Deep intronic mutations in SLC12A3 (c.1670-191C>T in intron 13 and c.2548+253C>T in intron 21) create pseudoexons with premature stop codons, causing defective NCC expression (absent apical NCC in DCT); identified by RNA-based approach from leukocyte mRNA. RT-PCR from leukocytes and urine sediments, genomic sequencing, renal biopsy immunohistochemistry Clinical journal of the American Society of Nephrology : CJASN Medium 21051746

Source papers

Stage 0 corpus · 100 papers · ranked by NIH iCite citations
Year Title Journal Citations PMID
2009 Expression and phosphorylation of the Na+-Cl- cotransporter NCC in vivo is regulated by dietary salt, potassium, and SGK1. American journal of physiology. Renal physiology 211 19570885
2007 Transcriptional and functional analyses of SLC12A3 mutations: new clues for the pathogenesis of Gitelman syndrome. Journal of the American Society of Nephrology : JASN 119 17329572
2014 Increasing plasma [K+] by intravenous potassium infusion reduces NCC phosphorylation and drives kaliuresis and natriuresis. American journal of physiology. Renal physiology 118 24598799
1996 Molecular cloning, expression pattern, and chromosomal localization of the human Na-Cl thiazide-sensitive cotransporter (SLC12A3). Genomics 101 8812482
2012 Phosphatidylinositol 3-kinase/Akt signaling pathway activates the WNK-OSR1/SPAK-NCC phosphorylation cascade in hyperinsulinemic db/db mice. Hypertension (Dallas, Tex. : 1979) 87 22949526
2010 Downregulation of NCC and NKCC2 cotransporters by kidney-specific WNK1 revealed by gene disruption and transgenic mouse models. Human molecular genetics 85 21131289
2012 Genotype, phenotype, and follow-up in Taiwanese patients with salt-losing tubulopathy associated with SLC12A3 mutation. The Journal of clinical endocrinology and metabolism 71 22679066
2012 Adenylyl cyclase 6 enhances NKCC2 expression and mediates vasopressin-induced phosphorylation of NKCC2 and NCC. The American journal of pathology 65 23123217
2011 Novel NCC mutants and functional analysis in a new cohort of patients with Gitelman syndrome. European journal of human genetics : EJHG 65 22009145
2013 The sodium chloride cotransporter SLC12A3: new roles in sodium, potassium, and blood pressure regulation. Pflugers Archiv : European journal of physiology 58 24310820
2019 Platelet-rich clots as identified by Martius Scarlet Blue staining are isodense on NCCT. Journal of neurointerventional surgery 56 30952688
2015 SPAK-mediated NCC regulation in response to low-K+ diet. American journal of physiology. Renal physiology 56 25651563
2010 Generation and analysis of the thiazide-sensitive Na+ -Cl- cotransporter (Ncc/Slc12a3) Ser707X knockin mouse as a model of Gitelman syndrome. Human mutation 55 20848653
2019 WNK bodies cluster WNK4 and SPAK/OSR1 to promote NCC activation in hypokalemia. American journal of physiology. Renal physiology 54 31736353
2018 Kidney-specific WNK1 isoform (KS-WNK1) is a potent activator of WNK4 and NCC. American journal of physiology. Renal physiology 53 29846116
2010 Recurrent deep intronic mutations in the SLC12A3 gene responsible for Gitelman's syndrome. Clinical journal of the American Society of Nephrology : CJASN 50 21051746
2016 The mineralocorticoid receptor (MR) regulates ENaC but not NCC in mice with random MR deletion. Pflugers Archiv : European journal of physiology 49 26898302
2010 Hypertension, dietary salt intake, and the role of the thiazide-sensitive sodium chloride transporter NCCT. Cardiovascular therapeutics 47 21167012
2020 Establishment and characterization of NCC-CDS2-C1: a novel patient-derived cell line of CIC-DUX4 sarcoma. Human cell 46 31898195
2013 Aldosterone acutely stimulates NCC activity via a SPAK-mediated pathway. American journal of physiology. Renal physiology 46 23739593
2009 Renal and brain isoforms of WNK3 have opposite effects on NCCT expression. Journal of the American Society of Nephrology : JASN 45 19470686
2004 A new mutation (intron 9 +1 G>T) in the SLC12A3 gene is linked to Gitelman syndrome in Gypsies. Kidney international 44 14675033
2001 Regulation of the sodium transporters NHE3, NKCC2 and NCC in the kidney. Current opinion in nephrology and hypertension 44 11496061
2013 Phosphorylation regulates NCC stability and transporter activity in vivo. Journal of the American Society of Nephrology : JASN 43 23833262
2020 Regulatory control of the Na-Cl co-transporter NCC and its therapeutic potential for hypertension. Acta pharmaceutica Sinica. B 42 34094823
2012 Construction of nanometer cisplatin core-ferritin (NCC-F) and proteomic analysis of gastric cancer cell apoptosis induced with cisplatin released from the NCC-F. Journal of proteomics 41 22480910
2014 Exonic mutations in the SLC12A3 gene cause exon skipping and premature termination in Gitelman syndrome. Journal of the American Society of Nephrology : JASN 39 25060058
2018 The Calcium-Sensing Receptor Increases Activity of the Renal NCC through the WNK4-SPAK Pathway. Journal of the American Society of Nephrology : JASN 38 29848507
2016 The sodium chloride cotransporter (NCC) and epithelial sodium channel (ENaC) associate. The Biochemical journal 38 27422782
2015 Mutations in SLC12A3 and CLCNKB and Their Correlation with Clinical Phenotype in Patients with Gitelman and Gitelman-like Syndrome. Journal of Korean medical science 37 26770037
2008 Novel SLC12A3 mutations in Chinese patients with Gitelman's syndrome. Nephron. Physiology 36 18287808
2002 Novel NCCT gene mutations as a cause of Gitelman's syndrome and a systematic review of mutant and polymorphic NCCT alleles. Kidney & blood pressure research 34 12590198
2008 Chronic candesartan alters expression and activity of NKCC2, NCC, and ENaC in the obese Zucker rat. American journal of physiology. Renal physiology 30 18305093
2009 A deep intronic mutation in the SLC12A3 gene leads to Gitelman syndrome. Pediatric research 29 19668106
2015 Circadian exosomal expression of renal thiazide-sensitive NaCl cotransporter (NCC) and prostasin in healthy individuals. Proteomics. Clinical applications 28 25931204
2018 Plasma Potassium Determines NCC Abundance in Adult Kidney-Specific γENaC Knockout. Journal of the American Society of Nephrology : JASN 27 29371419
2020 WNK-SPAK/OSR1-NCC kinase signaling pathway as a novel target for the treatment of salt-sensitive hypertension. Acta pharmacologica Sinica 26 32724175
2019 Genetic Analysis of SLC12A3 Gene in Chinese Patients with Gitelman Syndrome. Medical science monitor : international medical journal of experimental and clinical research 26 31398183
2017 Acquired Gitelman syndrome in a primary Sjögren syndrome patient with a SLC12A3 heterozygous mutation: A case report and literature review. Nephrology (Carlton, Vic.) 26 28685938
2020 Sympathetic Regulation of the NCC (Sodium Chloride Cotransporter) in Dahl Salt-Sensitive Hypertension. Hypertension (Dallas, Tex. : 1979) 25 32981364
2019 The interplay of renal potassium and sodium handling in blood pressure regulation: critical role of the WNK-SPAK-NCC pathway. Journal of human hypertension 25 30723251
2004 Molecular characterization of the nonspecific cytotoxic cell receptor (NCCRP-1) demonstrates gilthead seabream NCC heterogeneity. Developmental and comparative immunology 25 15784294
2019 Sympathetic regulation of NCC in norepinephrine-evoked salt-sensitive hypertension in Sprague-Dawley rats. American journal of physiology. Renal physiology 24 31608673
2018 Elevated FGF23 Levels in Mice Lacking the Thiazide-Sensitive NaCl cotransporter (NCC). Scientific reports 22 29483574
2017 Aldosterone Modulates the Association between NCC and ENaC. Scientific reports 22 28646163
2019 Digenetic inheritance of SLC12A3 and CLCNKB genes in a Chinese girl with Gitelman syndrome. BMC pediatrics 20 30999883
2019 Mg2+ restriction downregulates NCC through NEDD4-2 and prevents its activation by hypokalemia. American journal of physiology. Renal physiology 20 31364380
2014 Genetic and biological effects of sodium-chloride cotransporter (SLC12A3) in diabetic nephropathy. American journal of nephrology 20 25401745
2011 Exploring the intricate regulatory network controlling the thiazide-sensitive NaCl cotransporter (NCC). Pflugers Archiv : European journal of physiology 20 21927811
2021 Deletion of renal Nedd4-2 abolishes the effect of high sodium intake (HS) on Kir4.1, ENaC, and NCC and causes hypokalemia during high HS. American journal of physiology. Renal physiology 19 33818128
2015 A novel SLC12A3 gene homozygous mutation of Gitelman syndrome in an Asian pedigree and literature review. Journal of endocrinological investigation 19 26260218
2018 Complicated Gitelman syndrome and autoimmune thyroid disease: a case report with a new homozygous mutation in the SLC12A3 gene and literature review. BMC endocrine disorders 18 30409157
2016 Association of rs11643718 SLC12A3 and rs741301 ELMO1 Variants with Diabetic Nephropathy in South Indian Population. Annals of human genetics 18 27699784
2015 Identification of two novel mutations in SLC12A3 gene in two Chinese pedigrees with Gitelman syndrome and review of literature. Clinical endocrinology 18 25990047
2023 NCC regulation by WNK signal cascade. Frontiers in physiology 17 36685207
2021 Potassium Effects on NCC Are Attenuated during Inhibition of Cullin E3-Ubiquitin Ligases. Cells 17 35011657
2013 Molecular insights from dysregulation of the thiazide-sensitive WNK/SPAK/NCC pathway in the kidney: Gordon syndrome and thiazide-induced hyponatraemia. Clinical and experimental pharmacology & physiology 17 23683032
2024 Renal upregulation of NCC counteracts empagliflozin-mediated NHE3 inhibition in normotensive but not in hypertensive male rat. American journal of physiology. Cell physiology 14 38557357
2022 Genetic and Biological Effects of SLC12A3, a Sodium-Chloride Cotransporter, in Gitelman Syndrome and Diabetic Kidney Disease. Frontiers in genetics 14 35591852
2021 Establishment and characterization of the NCC-GCTB4-C1 cell line: a novel patient-derived cell line from giant cell tumor of bone. Human cell 14 34731453
2020 Establishment and characterization of NCC-GCTB1-C1: a novel patient-derived cancer cell line of giant cell tumor of bone. Human cell 14 32815117
2017 Arg913Gln of SLC12A3 gene promotes development and progression of end-stage renal disease in Chinese type 2 diabetes mellitus. Molecular and cellular biochemistry 14 28744814
2018 Establishment of novel patient-derived models of dermatofibrosarcoma protuberans: two cell lines, NCC-DFSP1-C1 and NCC-DFSP2-C1. In vitro cellular & developmental biology. Animal 13 30411273
2014 A labor- and cost-effective non-optical semiconductor (Ion Torrent) next-generation sequencing of the SLC12A3 and CLCNKA/B genes in Gitelman's syndrome patients. Journal of human genetics 13 24830959
2008 Evaluating PVALB as a candidate gene for SLC12A3-negative cases of Gitelman's syndrome. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 13 18469313
2006 A novel splicing mutation in SLC12A3 associated with Gitelman syndrome and idiopathic intracranial hypertension. American journal of kidney diseases : the official journal of the National Kidney Foundation 13 17059986
2024 Kinase Scaffold Cab39 Is Necessary for Phospho-Activation of the Thiazide-Sensitive NCC. Hypertension (Dallas, Tex. : 1979) 12 38258567
2019 Establishment and characterization of a novel cell line, NCC-MFS1-C1, derived from a patient with myxofibrosarcoma. Human cell 12 30737712
2023 CRISPR-Cas9-Mediated Correction of SLC12A3 Gene Mutation Rescues the Gitelman's Disease Phenotype in a Patient-Derived Kidney Organoid System. International journal of molecular sciences 11 36769335
2019 Structure-function relationships in the renal NaCl cotransporter (NCC). Current topics in membranes 11 31196605
2019 Arg913Gln variation of SLC12A3 gene is associated with diabetic nephropathy in type 2 diabetes and Gitelman syndrome: a systematic review. BMC nephrology 11 31660880
2018 Establishment and characterization of the NCC-SS1-C1 synovial sarcoma cell line. Human cell 11 29450702
2022 Establishment and characterization of NCC-GCTB5-C1: a novel cell line of giant cell tumor of bone. Human cell 10 35653034
2021 Simultaneous Homozygous Mutations in SLC12A3 and CLCNKB in an Inbred Chinese Pedigree. Genes 10 33807568
2021 Establishment and characterization of NCC-MFS3-C1: a novel patient-derived cell line of myxofibrosarcoma. Human cell 10 33990915
2020 Establishment and characterization of NCC-MFS2-C1: a novel patient-derived cancer cell line of myxofibrosarcoma. Human cell 10 32870449
2019 microRNA-1 Regulates NCC Migration and Differentiation by Targeting sec63. International journal of biological sciences 10 31754327
2023 Minigene splicing assays reveal new insights into exonic variants of the SLC12A3 gene in Gitelman syndrome. Molecular genetics & genomic medicine 9 36597580
2022 The E3 ubiquitin-protein ligase Nedd4-2 regulates the sodium chloride cotransporter NCC but is not required for a potassium-induced reduction of NCC expression. Frontiers in physiology 9 36160843
2021 Establishment and characterization of NCC-DDLPS3-C1: a novel patient-derived cell line of dedifferentiated liposarcoma. Human cell 9 33677797
2021 Establishment and characterization of NCC-MFS4-C1: a novel patient-derived cell line of myxofibrosarcoma. Human cell 9 34383271
2018 A case of hypokalemia and proteinuria with a new mutation in the SLC12A3 Gene. BMC nephrology 9 30340552
2007 Novel mutations in the SLC12A3 gene causing Gitelman's syndrome in Swedes. DNA sequence : the journal of DNA sequencing and mapping 9 17654016
2024 Sex differences in dietary sodium evoked NCC regulation and blood pressure in male and female Sprague-Dawley, Dahl salt-resistant, and Dahl salt-sensitive rats. American journal of physiology. Renal physiology 8 38813592
2022 Frequent SLC12A3 mutations in Chinese Gitelman syndrome patients: structure and function disorder. Endocrine connections 8 34860177
2022 Establishment and Characterization of NCC-MFS5-C1: A Novel Patient-Derived Cell Line of Myxofibrosarcoma. Cells 8 35053323
2020 Establishment and characterization of NCC-SS3-C1: a novel patient-derived cell line of synovial sarcoma. Human cell 8 32274656
2020 Establishment and characterization of NCC-DFSP3-C1: a novel patient-derived dermatofibrosarcoma protuberans cell line. Human cell 8 32356243
2020 Identification of compound mutations of SLC12A3 gene in a Chinese pedigree with Gitelman syndrome exhibiting Bartter syndrome-liked phenotypes. BMC nephrology 8 32758178
2019 Establishment and characterization of a novel dedifferentiated chondrosarcoma cell line, NCC-dCS1-C1. Human cell 8 30737713
2018 Establishment and proteomic characterization of a novel synovial sarcoma cell line, NCC-SS2-C1. In vitro cellular & developmental biology. Animal 8 29626278
2014 P2Y2 receptor activation inhibits the expression of the sodium-chloride cotransporter NCC in distal convoluted tubule cells. Pflugers Archiv : European journal of physiology 8 24463702
2006 Life and death of the distal nephron: WNK4 and NCC as major players. Cell metabolism 8 17084706
2020 Establishment and characterization of a novel alveolar rhabdomyosarcoma cell line, NCC-aRMS1-C1. Human cell 7 32715445
2019 Is renal ß-adrenergic-WNK4-NCC pathway important in salt hypertension of Dahl rats? Physiological research 7 31647304
2018 Establishment and proteomic characterization of a novel cell line, NCC-UPS2-C1, derived from a patient with undifferentiated pleomorphic sarcoma. In vitro cellular & developmental biology. Animal 7 29359268
2024 Deletion of KS-WNK1 promotes NCC activation by increasing WNK1/4 abundance. American journal of physiology. Renal physiology 6 38961847
2023 Regulation of the WNK4-SPAK-NCC pathway by the calcium-sensing receptor. Current opinion in nephrology and hypertension 6 37530086
2020 Establishment and characterization of NCC-ASPS1-C1: a novel patient-derived cell line of alveolar soft-part sarcoma. Human cell 6 32648033
2019 Establishment and characterization of novel patient-derived extraskeletal osteosarcoma cell line NCC-ESOS1-C1. Human cell 6 31625124

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