Affinage

NHERF4

Na(+)/H(+) exchange regulatory cofactor NHE-RF4 · UniProt Q86UT5

Length
571 aa
Mass
61.0 kDa
Annotated
2026-06-10
26 papers in source corpus 13 papers cited in narrative 13 extracted findings
Cross-family judge vs UniProt: Affinage preferred faithfulness: 6/6 claims corpus-supported (100%)

Mechanistic narrative

Synthesis pass · prose summary of the discoveries below

NHERF4 (IKEPP/PDZK2/NaPi-Cap2) is an epithelial-enriched, multi-PDZ-domain scaffold protein that uses its PDZ domains to bind the C-terminal PDZ ligands of apical-membrane transporters, channels, and receptors and thereby tune their surface expression and activity (PMID:11950846, PMID:16565876, PMID:19088451). Through distinct PDZ domains it engages a broad set of partners: PDZ1 binds and directly inhibits the catalytic activity and oligomerization of guanylyl cyclase C (GCC), positioning NHERF4 as a negative-feedback regulator of heat-stable enterotoxin-induced fluid secretion in enteroids (PMID:11950846, PMID:40759370); the fourth PDZ domain (with a contribution from PDZ1) binds the epithelial Ca2+ channels TRPV5/TRPV6 and is an essential modulator of channel current (PMID:16565876, PMID:17645868); and PDZ3 (via serine 329) binds SLC26A3/DRA to drive its internalization and reduce anion exchange (PMID:22627094). NHERF4 produces partner-specific functional outcomes — it mediates Ca2+-dependent stimulation of NHE3 surface expression and activity (PMID:19088451), increases cell-surface expression of the carnitine transporter OCTN2 (PMID:16896066), and enhances functional expression and cAMP signaling of the prostacyclin receptor hIP to support endothelial migration and angiogenesis (PMID:22884631). Several of these interactions are governed by phosphorylation of either the partner's PDZ ligand or of NHERF4 itself, including PKC-dependent regulation of MRP2 binding (PMID:12615054) and PKA/PKC phosphorylation upon hIP activation (PMID:22884631). Beyond ion transport, NHERF4 binds the Mas receptor and suppresses its PLC/Ca2+ and AKT signaling, inhibiting renal carcinoma cell migration, invasion, and metastasis (PMID:34216689). NHERF4 protein abundance is itself controlled post-translationally by the deubiquitinase USP2-45 in a circadian manner, linking NHERF4 levels to intestinal Ca2+ absorption (PMID:26756164).

Mechanistic history

Synthesis pass · year-by-year structured walk · 9 steps
  1. 2002 High

    Established the first molecular role of NHERF4 by showing it binds guanylyl cyclase C and dampens enterotoxin-stimulated cyclase activity without affecting apical targeting, defining it as a regulatory scaffold rather than a trafficking determinant for GCC.

    Evidence Yeast two-hybrid, co-IP, and GCC activity assays

    PMID:11950846

    Open questions at the time
    • Domain mediating GCC binding not yet mapped
    • Mechanism of catalytic inhibition unresolved at this stage
  2. 2003 Medium

    Showed that NHERF4's interaction with a partner (MRP2) is phosphorylation-dependent, introducing the principle that PKC-driven modification of a PDZ ligand controls NHERF4 binding.

    Evidence GST pull-down with phospho-mimetic mutants and phosphorylated peptides

    PMID:12615054

    Open questions at the time
    • No functional consequence for MRP2 activity or trafficking demonstrated
    • Single-lab in vitro binding without cellular validation
  3. 2006 High

    Identified NHERF4 as a binder and modulator of epithelial Ca2+ channels TRPV5/TRPV6 and of the renal phosphate transport machinery, mapping the fourth PDZ domain as the principal interaction module and revealing partner-specific routing via MAP17 to the TGN.

    Evidence Yeast two-hybrid, GST pull-down, co-IP, immunolocalization, OK-cell coexpression with phosphate transport assays

    PMID:16565876 PMID:16896066 PMID:16926447

    Open questions at the time
    • Whether NHERF4 directly gates channel activity vs. trafficking unresolved at this stage
    • In vivo relevance of MAP17-NHERF4 TGN routing not established
  4. 2007 High

    Demonstrated that NHERF4 is a physiological modulator of TRPV6 channel current, moving from binding to a functional electrophysiological readout.

    Evidence GST pull-down, deletion mutagenesis, patch-clamp, and siRNA knockdown in HEK293 cells

    PMID:17645868

    Open questions at the time
    • Molecular mechanism by which PDZ binding alters channel gating unknown
    • In vivo TRPV6 regulation not tested
  5. 2008 High

    Defined NHERF4 as a NHERF-isoform-specific mediator of Ca2+-dependent stimulation of NHE3, showing that a Ca2+-induced decrease in NHERF4-NHE3 association increases NHE3 surface expression and activity.

    Evidence Overlay assay, FRET, sucrose gradient, NHE3 activity and surface biotinylation in PS120 cells

    PMID:19088451

    Open questions at the time
    • Signaling link between Ca2+ rise and complex remodeling not defined
    • Physiological context in intact epithelium not addressed
  6. 2012 High

    Extended NHERF4's regulatory repertoire to anion exchange and GPCR signaling, mapping PDZ3 (Ser329) to SLC26A3/DRA internalization and PDZ1/2 to prostacyclin receptor potentiation with defined endothelial phenotypes.

    Evidence Co-IP, GST pull-down, surface/internalization and transport assays, phospho-site mutagenesis; siRNA, ligand binding, cAMP, migration and angiogenesis assays

    PMID:20634435 PMID:22627094 PMID:22884631

    Open questions at the time
    • How a single scaffold drives opposite outcomes (internalization vs. surface stabilization) for different partners not mechanistically reconciled
    • Lipid-raft dependence of DRA regulation correlative
  7. 2016 Medium

    Revealed that NHERF4 abundance is itself regulated post-translationally by the circadian deubiquitinase USP2-45, linking scaffold levels to rhythmic intestinal Ca2+ absorption via TRPV6.

    Evidence In vitro interaction, membrane-fraction immunoblot, Usp2-KO mouse phenotype, co-IP with Clathrin Heavy Chain

    PMID:26756164

    Open questions at the time
    • Direct ubiquitination/deubiquitination of NHERF4 not demonstrated
    • TRPV6 link to the calcium phenotype inferred rather than proven
  8. 2021 High

    Identified the Mas receptor as a NHERF4 partner and established NHERF4 as a negative regulator of PLC/AKT signaling that suppresses renal carcinoma metastasis, broadening NHERF4's role into oncogenic signaling.

    Evidence SPR-MS, GST pull-down, co-IP, overexpression/knockdown, migration/invasion and in vivo metastasis assays, AKT and Ca2+ readouts

    PMID:34216689

    Open questions at the time
    • PDZ domain responsible for Mas binding not mapped
    • Whether suppression occurs via receptor sequestration or trafficking unresolved
  9. 2025 High

    Resolved the molecular basis of GCC inhibition first seen in 2002, showing PDZ1 peptides interfere with GCC oligomerization at the dimer interface and reduce GCC-mediated fluid secretion in enteroids, defining NHERF4 as a negative-feedback brake on enterotoxin-driven secretion.

    Evidence In vitro GCC activity assay, peptide competition, structural modeling, FRET, mouse/human enteroid fluid secretion with ST stimulation

    PMID:40759370

    Open questions at the time
    • High-resolution structure of the NHERF4-PDZ1/GCC complex lacking
    • Therapeutic translation of inhibitory peptides untested in vivo

Open questions

Synthesis pass · forward-looking unresolved questions
  • How NHERF4's distinct PDZ domains are selected and coordinated to produce partner-specific, sometimes opposite, regulatory outcomes — and how its phosphorylation state integrates these decisions — remains unresolved.
  • No structural model of full-length NHERF4 engaging multiple partners
  • Logic of activation vs. internalization choice undefined
  • In vivo loss-of-function phenotypes largely uncharacterized

Mechanism profile

Synthesis pass · controlled-vocabulary classification · explore literature graph →
Molecular activity
GO:0098772 molecular function regulator activity 7 GO:0060090 molecular adaptor activity 4
Localization
GO:0005886 plasma membrane 3 GO:0005794 Golgi apparatus 1
Pathway
R-HSA-162582 Signal Transduction 3 R-HSA-382551 Transport of small molecules 3

Evidence

Reading pass · 13 per-paper findings extracted from the source corpus
Year Finding Method Journal Conf PMIDs
2002 IKEPP (NHERF4) was identified as a novel binding partner of guanylyl cyclase C (GCC) via its COOH terminus, demonstrated by yeast two-hybrid, biochemical assays, and co-immunoprecipitation. The GCC-IKEPP interaction significantly inhibits heat-stable enterotoxin-mediated activation of GCC, but is not required for apical targeting of GCC. Yeast two-hybrid screen, co-immunoprecipitation, biochemical binding assays The Journal of biological chemistry High 11950846
2003 IKEPP (NHERF4) binds to the C-terminal PDZ binding motif of MRP2, and this binding is significantly increased when the MRP2 PDZ binding motif is phosphorylated (phosphorylation-mimicking mutant or phosphorylated C-terminal peptide), demonstrating that PKC-mediated phosphorylation of MRP2 modulates its interaction with IKEPP. GST pull-down assay with phosphorylation-mimicking mutants and phosphorylated peptides Biochemical and biophysical research communications Medium 12615054
2006 NHERF4 (IKEPP/NaPi-Cap2/PDZK2) was identified as a binding partner of the epithelial Ca2+ channels TRPV5 and TRPV6 via their carboxyl termini. The fourth PDZ domain of NHERF4 is sufficient for interaction, with PDZ domain 1 also contributing. The binding site on TRPV5/6 is conserved and distinct from the NHERF2 binding site. NHERF4 localizes predominantly at the plasma membrane independently of TRPV5. Yeast two-hybrid screen, GST pull-down (in vitro translated NHERF4 and Xenopus oocyte lysates), co-immunoprecipitation (HEK293 cells), immunolocalization Pflugers Archiv : European journal of physiology High 16565876
2006 MAP17 interacts with NHERF4 (and NHERF3), and coexpression of MAP17 with NHERF4 (or NHERF3) induces internalization of the renal Na/Pi IIa transporter (NaPiIIa) and MAP17 to the trans-Golgi network (TGN). This effect is not observed with NHERF1/2. PKC inhibition prevents TGN accumulation, and PKC activation causes NaPiIIa degradation unless lysosomal degradation is blocked. Coexpression of MAP17 and NHERF3/4 prevents the adaptive upregulation of phosphate transport in response to low phosphate. Bacterial and mammalian two-hybrid, coexpression in opossum kidney (OK) cells, confocal immunofluorescence, phosphate transport assays, PKC inhibition/activation pharmacology American journal of physiology. Renal physiology High 16926447
2006 PDZK2 (NHERF4) increases the transport capacity and cell surface expression of OCTN2 (organic cation/carnitine transporter) approximately 2-fold in HEK293 cells. This effect depends on physical interaction via the last four amino acids of OCTN2 (PDZ binding motif), as deletion of these residues abolishes both interaction and stimulation. In mouse kidney, PDZK2 co-localizes with OCTN2 in a subapical compartment, suggesting an intracellular pool relevant to stabilization of cell surface expression. No stimulatory effect was seen for OCT3 or OCTN1. Uptake assays in HEK293 cells, cell surface expression assay, deletion mutagenesis, co-immunolocalization in mouse kidney Drug metabolism and disposition High 16896066
2007 PDZK2 (NHERF4) interacts with TRPV6 through its fourth PDZ domain, requiring the last four amino acids (EYQI) of TRPV6 C-terminus. A TRPV6 PDZ-binding motif deletion mutant (Δ4) showed decreased peak current amplitude. Intracellular introduction of the PDZ-binding motif peptide (EYQI) or siRNA knockdown of endogenous PDZK2 significantly reduced TRPV6 divalent-free current density in HEK293 cells, establishing PDZK2 as an essential physiological modulator of TRPV6 channel activity. Yeast two-hybrid screen, GST pull-down, deletion mutagenesis, patch-clamp electrophysiology, siRNA knockdown in HEK293 cells Biochemical and biophysical research communications High 17645868
2008 IKEPP (NHERF4) binds to the F2 region (aa 590–667) of NHE3 C-terminus in overlay assays and directly associates with NHE3 in vivo (demonstrated by FRET). In PS120 cells stably expressing both NHE3 and IKEPP, elevation of intracellular Ca2+ stimulates NHE3 Vmax activity (~40%) and increases plasma membrane expression of NHE3 by a similar amount. Elevated Ca2+ decreases the intracellular IKEPP–NHE3 association and shifts both NHE3 and IKEPP to smaller complexes. In contrast, NHERF2 mediates Ca2+-dependent inhibition and NHERF1 has no effect, demonstrating NHERF-specific regulation of NHE3. In vitro overlay assay, FRET on fixed cells, sucrose density gradient centrifugation, NHE3 activity assay (SNARF fluorescence), cell surface biotinylation, Ca2+ ionophore treatment in PS120 cells Cellular physiology and biochemistry High 19088451
2010 DRA (SLC26A3) interacts with IKEPP (NHERF4) within lipid rafts (LR) in intestinal Caco-2/BBE cells. The localization of IKEPP within lipid rafts is independent of DRA. Disruption of LR integrity decreases DRA surface expression and activity. This effect in HEK cells is entirely dependent on the PDZ interaction motif of DRA, establishing that NHERF4 participates in lipid-raft-dependent regulation of DRA. Detergent-resistant membrane fractionation (Triton X-100), cell surface expression assay, transport activity assay (Caco-2/BBE and HEK cells), PDZ binding motif deletion mutagenesis American journal of physiology. Gastrointestinal and liver physiology Medium 20634435
2012 NHERF4 interacts with SLC26A3 (DRA) via the third PDZ domain of NHERF4 and the C-terminal PDZ binding motif of SLC26A3. This interaction decreases SLC26A3 plasma membrane expression and induces rapid internalization, reducing anion exchange activity. The SLC26A3–NHERF4 interaction is modulated by phosphorylation; serine 329 of NHERF4-PDZ3 plays a critical role in binding selectivity. Co-immunoprecipitation, GST pull-down, cell surface expression assay, internalization assay, anion exchange activity assay, phosphorylation site mutagenesis Cellular signalling High 22627094
2012 IKEPP (NHERF4) interacts with the human prostacyclin receptor (hIP) via PDZ domain 1 (and to a lesser extent PDZ domain 2) binding to a C-terminal Class I PDZ ligand in the hIP. The interaction is constitutive, but agonist activation of hIP leads to PKA- and PKC-phosphorylation of IKEPP and increased IKEPP–hIP interaction. Ectopic IKEPP expression increases functional hIP expression, enhancing ligand binding and agonist-induced cAMP generation. IKEPP is expressed in vascular endothelial cells where it co-localizes with hIP, and siRNA disruption of IKEPP impairs hIP-induced endothelial cell migration and in vitro angiogenesis. Co-immunoprecipitation, co-localization, siRNA knockdown, ligand binding assay, cAMP assay, endothelial migration and angiogenesis assays Biochimica et biophysica acta High 22884631
2016 USP2-45 (a ubiquitin-specific protease) interacts with NHERF4 in vitro and negatively regulates NHERF4 protein abundance in a rhythmic (circadian) manner in mouse small intestinal membrane fractions. Usp2-KO mice show strong overexpression of NHERF4 and hyperabsorption of dietary Ca2+, likely via elevated NHERF4-dependent regulation of TRPV6. USP2-45 also interacts with endogenous Clathrin Heavy Chain, suggesting a membrane protein turnover mechanism. In vitro interaction assay, immunoblot of membrane fractions, Usp2-KO mouse phenotype, co-immunoprecipitation with Clathrin Heavy Chain PloS one Medium 26756164
2021 NHERF4 physically interacts with the Mas receptor (identified by SPR-MS and confirmed by GST pull-down and co-immunoprecipitation). NHERF4 overexpression inhibits Mas-induced migration, invasion, and in vivo metastasis of clear cell renal cell carcinoma (ccRCC) cells. Mechanistically, NHERF4 suppresses Mas-stimulated AKT phosphorylation and the PLC/Ca2+ response, establishing NHERF4 as a negative regulator of the PLC/AKT signaling axis downstream of Mas. Surface plasmon resonance coupled to mass spectrometry, GST pull-down, co-immunoprecipitation, NHERF4 overexpression and knockdown, migration/invasion assays, in vivo metastasis assay, AKT phosphorylation and Ca2+ signaling assays Cancer letters High 34216689
2025 The PDZ1 domain of NHERF4 directly inhibits GCC (guanylate cyclase 2C) catalytic activity, while NHERF1–3 binary binding had no impact. Two peptides (N4-110 and N4-195) within the PDZ1 domain act synergistically to mimic this inhibition; structural modeling places them at the GCC dimer interface. FRET analysis showed that NHERF4-PDZ1 domain binding interferes with GCC oligomerization. In mouse and human enteroid models, NHERF4 peptides dose-dependently reduced GCC-mediated fluid secretion. NHERF4–GCC interaction is enhanced upon heat-stable enterotoxin (ST) stimulation, positioning NHERF4 as a negative feedback regulator of aberrant GCC activity during enterotoxin-induced diarrhea. In vitro GCC activity assay, peptide competition assay, 3D structural modeling, FRET, mouse and human enteroid fluid secretion assay, ST stimulation The Journal of biological chemistry High 40759370

Source papers

Stage 0 corpus · 26 papers · ranked by NIH iCite citations
Year Title Journal Citations PMID
2006 The emerging role of PDZ adapter proteins for regulation of intestinal ion transport. American journal of physiology. Gastrointestinal and liver physiology 116 16798722
2003 C-terminal phosphorylation of MRP2 modulates its interaction with PDZ proteins. Biochemical and biophysical research communications 76 12615054
2002 A novel PDZ protein regulates the activity of guanylyl cyclase C, the heat-stable enterotoxin receptor. The Journal of biological chemistry 66 11950846
2014 RNA sequencing shows transcriptomic changes in rectosigmoid mucosa in patients with irritable bowel syndrome-diarrhea: a pilot case-control study. American journal of physiology. Gastrointestinal and liver physiology 54 24763552
2006 Interaction of MAP17 with NHERF3/4 induces translocation of the renal Na/Pi IIa transporter to the trans-Golgi. American journal of physiology. Renal physiology 49 16926447
2001 Molecular mechanisms in proximal tubular and small intestinal phosphate reabsorption (plenary lecture). Molecular membrane biology 49 11396609
2003 Identification and characterization of human LL5A gene and mouse Ll5a gene in silico. International journal of oncology 47 14532993
2013 Regulation of expression and function of scavenger receptor class B, type I (SR-BI) by Na+/H+ exchanger regulatory factors (NHERFs). The Journal of biological chemistry 36 23482569
2005 Beyond the brush border: NHERF4 blazes new NHERF turf. The Journal of physiology 34 15994182
2010 Role of NHERF and scaffolding proteins in proximal tubule transport. Urological research 31 20632170
2006 Interaction of the epithelial Ca2+ channels TRPV5 and TRPV6 with the intestine- and kidney-enriched PDZ protein NHERF4. Pflugers Archiv : European journal of physiology 27 16565876
2016 USP2-45 Is a Circadian Clock Output Effector Regulating Calcium Absorption at the Post-Translational Level. PloS one 25 26756164
2010 Activity and PI3-kinase dependent trafficking of the intestinal anion exchanger downregulated in adenoma depend on its PDZ interaction and on lipid rafts. American journal of physiology. Gastrointestinal and liver physiology 25 20634435
2014 Luteolin potentiates the sensitivity of colorectal cancer cell lines to oxaliplatin through the PPARγ/OCTN2 pathway. Anti-cancer drugs 24 25075794
2008 Elevated intracellular calcium stimulates NHE3 activity by an IKEPP (NHERF4) dependent mechanism. Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology 24 19088451
2006 PDZ adaptor protein PDZK2 stimulates transport activity of organic cation/carnitine transporter OCTN2 by modulating cell surface expression. Drug metabolism and disposition: the biological fate of chemicals 19 16896066
2009 Regulation of the intestinal anion exchanger DRA (downregulated in adenoma). Annals of the New York Academy of Sciences 17 19538314
2007 PDZ domain-containing protein as a physiological modulator of TRPV6. Biochemical and biophysical research communications 16 17645868
2015 Prostacyclin receptors: Transcriptional regulation and novel signalling mechanisms. Prostaglandins & other lipid mediators 13 25936507
2012 Regulation of SLC26A3 activity by NHERF4 PDZ-mediated interaction. Cellular signalling 7 22627094
2012 In vitro analysis of PDZ-dependent CFTR macromolecular signaling complexes. Journal of visualized experiments : JoVE 5 22907480
2021 NHERF4 hijacks Mas-mediated PLC/AKT signaling to suppress the invasive potential of clear cell renal cell carcinoma cells. Cancer letters 4 34216689
2012 Interaction of the human prostacyclin receptor and the NHERF4 family member intestinal and kidney enriched PDZ protein (IKEPP). Biochimica et biophysica acta 3 22884631
2024 Differences in DNA Methylation in Genes Involved in Vitamin D Metabolism Are Related to Insulin Requirement in Pregnant Women with Gestational Diabetes Mellitus. International journal of molecular sciences 2 39408904
2025 Catalytic region mimetics in Na+/H+ exchanger regulatory factor 4 suppress guanylate cyclase 2C activity to regulate enterotoxin triggered diarrhea. The Journal of biological chemistry 1 40759370
2026 MCAM (CD146) Gene Encodes Chicken Blood Alloantigen System H. Genes 0 42074531

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