Thiazide-sensitive Na+-Cl- cotransporter: genetic polymorphisms and human diseases

Acta Biochim Biophys Sin (Shanghai). 2015 May;47(5):325-34. doi: 10.1093/abbs/gmv020. Epub 2015 Apr 4.

Abstract

The thiazide-sensitive Na(+)-Cl(-) cotransporter (TSC) is responsible for the major sodium chloride reabsorption pathway, which is located in the apical membrane of the epithelial cells of the distal convoluted tubule. TSC is involved in several physiological activities including transepithelial ion absorption and secretion, cell volume regulation, and setting intracellular Cl(-) concentration below or above its electrochemical potential equilibrium. In addition, TSC serves as the target of thiazide-type diuretics that are the first line of therapy for the treatment of hypertension in the clinic, and its mutants are also reported to be associated with the hereditary disease, Gitelman's syndrome. This review aims to summarize the publications with regard to the TSC by focusing on the association between TSC mutants and human hypertension as well as Gitelman's syndrome.

Keywords: Gitelman's syndrome; hypertension; thiazide-sensitive Na+–Cl− cotransporter.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Genotype
  • Gitelman Syndrome / genetics
  • Humans
  • Hypertension / genetics
  • Mutation, Missense
  • Phenotype
  • Polymorphism, Genetic*
  • Sodium Chloride Symporters / genetics
  • Sodium Chloride Symporters / metabolism
  • Solute Carrier Family 12, Member 3 / genetics
  • Solute Carrier Family 12, Member 3 / metabolism
  • Thiazides / pharmacology

Substances

  • SLC12A3 protein, human
  • Sodium Chloride Symporters
  • Solute Carrier Family 12, Member 3
  • Thiazides