Deletion of Kir5.1 abolishes the effect of high Na intake on Kir4.1 and Na-Cl cotransporter.

High sodium (HS) intake inhibited epithelial Na channel (ENaC) in the aldosterone-sensitive distal nephron and Na-Cl cotransporter (NCC) by suppressing basolateral Kir4.1/Kir5.1 in the distal convoluted tubule (DCT), thereby increasing renal Na excretion but not affecting K excretion. The aim of the present study was to explore whether deletion of Kir5.1 compromises the inhibitory effect of HS on NCC expression/activity and renal K excretion. Patch-clamp experiments demonstrated that HS failed to inhibit DCT basolateral K channels and did not depolarize K current reversal potential of the DCT in Kir5.1 knockout (KO) mice. Moreover, deletion of Kir5.1 not only increased the expression of Kir4.1, phospho-NCC, and total NCC but also abolished the inhibitory effect of HS on the expression of Kir4.1, phospho-NCC, and total NCC and thiazide-induced natriuresis. Also, low sodium-induced stimulation of NCC expression/activity and basolateral K channels in the DCT were absent in Kir5.1 KO mice. Deletion of Kir5.1 decreased ENaC currents in the late DCT, and HS further inhibited ENaC activity in Kir5.1 KO mice. Finally, measurement of the basal renal K excretion rate with the modified renal clearance method demonstrated that long-term HS inhibited the renal K excretion rate and steadily increased plasma K levels in Kir5.1 KO mice but not in wild-type mice. We conclude that Kir5.1 plays an important role in mediating the effect of HS intake on basolateral K channels in the DCT and NCC activity/expression. Kir5.1 is involved in maintaining renal ability of K excretion during HS intake. Kir5.1 plays an important role in mediating the effect of high sodium intake on basolateral K channels in the distal convoluted tubule and Na-Cl cotransporter activity/expression.