Discrete Control of TRPV4 Channel Function in the Distal Nephron by Protein Kinases A and C*

Background: TRPV4 mediates flow-induced [Ca2+]i responses in distal nephron cells. Results: Activation of PKC augments TRPV4-mediated responses to flow. Activation of PKA promotes TRPV4 translocation to the apical membrane. Conclusion: TRPV4 activity and TRPV4 trafficking are under discrete but synergistic control of PKC- and PKA-dependent pathways. Significance: Systemic physiological stimuli may affect TRPV4-mediated mechanosensitivity in the distal nephron via PKA- and PKC-dependent mechanisms. We have recently documented that the Ca2+-permeable TRPV4 channel, which is abundantly expressed in distal nephron cells, mediates cellular Ca2+ responses to elevated luminal flow. In this study, we combined Fura-2-based [Ca2+]i imaging with immunofluorescence microscopy in isolated split-opened distal nephrons of C57BL/6 mice to probe the molecular determinants of TRPV4 activity and subcellular distribution. We found that activation of the PKC pathway with phorbol 12-myristate 13-acetate significantly increased [Ca2+]i responses to flow without affecting the subcellular distribution of TRPV4. Inhibition of PKC with bisindolylmaleimide I diminished cellular responses to elevated flow. In contrast, activation of the PKA pathway with forskolin did not affect TRPV4-mediated [Ca2+]i responses to flow but markedly shifted the subcellular distribution of the channel toward the apical membrane. These actions were blocked with the specific PKA inhibitor H-89. Concomitant activation of the PKA and PKC cascades additively enhanced the amplitude of flow-induced [Ca2+]i responses and greatly increased basal [Ca2+]i levels, indicating constitutive TRPV4 activation. This effect was precluded by the selective TRPV4 antagonist HC-067047. Therefore, the functional status of the TRPV4 channel in the distal nephron is regulated by two distinct signaling pathways. Although the PKA-dependent cascade promotes TRPV4 trafficking and translocation to the apical membrane, the PKC-dependent pathway increases the activity of the channel on the plasma membrane.

We have recently documented that the Ca 2؉ -permeable TRPV4 channel, which is abundantly expressed in distal nephron cells, mediates cellular Ca 2؉ responses to elevated luminal flow. In this study, we combined Fura-2-based [Ca 2؉ ] i imaging with immunofluorescence microscopy in isolated splitopened distal nephrons of C57BL/6 mice to probe the molecular determinants of TRPV4 activity and subcellular distribution. We found that activation of the PKC pathway with phorbol 12-myristate 13-acetate significantly increased [Ca 2؉ ] i responses to flow without affecting the subcellular distribution of TRPV4. Inhibition of PKC with bisindolylmaleimide I diminished cellular responses to elevated flow. In contrast, activation of the PKA pathway with forskolin did not affect TRPV4-mediated [Ca 2؉ ] i responses to flow but markedly shifted the subcellular distribution of the channel toward the apical membrane. These actions were blocked with the specific PKA inhibitor H-89. Concomitant activation of the PKA and PKC cascades additively enhanced the amplitude of flow-induced [Ca 2؉ ] i responses and greatly increased basal [Ca 2؉ ] i levels, indicating constitutive TRPV4 activation. This effect was precluded by the selective TRPV4 antagonist HC-067047. Therefore, the functional status of the TRPV4 channel in the distal nephron is regulated by two distinct signaling pathways. Although the PKA-dependent cascade promotes TRPV4 trafficking and translocation to the apical membrane, the PKC-dependent pathway increases the activity of the channel on the plasma membrane.
The transient receptor potential (TRP) 2 superfamily is an association of six-transmembrane domain cation channels with a remarkable diversity of gating properties, selectivity, and spe-cific activation mechanisms (1). TRP channels are widely expressed in both excitable and non-excitable cells (2). Due to activation in response to a broad range of stimuli, including chemical compounds, temperature, mechanical inputs, etc., TRP channels are viewed as essential components in virtually all cellular responses to dynamic environmental changes (1,2). TRP channel dysfunction has been recently linked to a number of hereditary diseases in humans ranging from skeletal dysplasias, neuropathies, and electrolyte imbalance (magnesemia and hypocalcemia) to polycystic kidney disease (3)(4)(5)(6)(7).
TRPV4 (TRP subfamily V member 4) is a relatively nonselective Ca 2ϩ -permeable channel with prominent expression in many organs, including the kidney (reviewed in Ref. 8). TRPV4 is known to be activated by mechanical stress, including hypotonicity and shear stress arising from elevated fluid flow (8 -10). Interestingly, TRPV4 expression in the renal nephron appears to be restricted to the distal segments, including the collecting duct and the connecting tubule, which are particularly subjected to variations of fluid flow and composition (11). This pattern of TRPV4 activation is consistent with a recently proposed role of the channel in mediating mechanosensitive elevations in [Ca 2ϩ ] i in renal tubular cells (11). Indeed, our group recently demonstrated that genetic ablation of TRPV4 abolishes flow-dependent [Ca 2ϩ ] i responses in microdissected distal nephron preparations (12). Consistently, flow-dependent K ϩ secretion in the distal nephron, a Ca 2ϩ -dependent process utilizing the maxi-K channel (13,14), is absent in TRPV4 knock-out animals (15).
Several reports have demonstrated that TRPV4 can physically interact with TRPP2 (also known as polycystin-2) in distal nephron cells to form mechanosensitive heteromeric complexes (16,17). TRPV4 activity is drastically impaired in cyst cells from PCK453 rats, an animal model of autosomal recessive polycystic kidney disease (ARPKD), which is causative for the inability to increase [Ca 2ϩ ] i in response to elevated flow (18). Importantly, pharmacological stimulation of TRPV4 with GSK1016790A restores mechanosensitive [Ca 2ϩ ] i signaling and retards renal cystogenesis in ARPKD, suggesting potential therapeutic benefits in treatment of the disease (18).
Little is known about intracellular signaling mechanisms controlling TRPV4 function and, consequently, flow-mediated [Ca 2ϩ ] i elevations in the renal tubule. Recent evidence suggested that cGMP can act through PKG to inhibit flow-induced increases in [Ca 2ϩ ] i in cultured M1 collecting duct cells (17). However, the cGMP/PKG pathway has no direct inhibitory actions on TRPV4, but it acts on its heteromeric counterpart, TRPP2 (17). In contrast, experimental evidence in expression systems indicates that intracellular N and C termini of TRPV4 can be subjected to direct phosphorylation by PKC and PKA, resulting in augmentation of cellular responses to mechanical stress elicited by hypotonicity (19). However, it is unclear whether PKC and PKA play a role in regulation of TRPV4mediated mechanosensitivity in the mammalian distal nephron.
In this study, we monitored subcellular TRPV4 distribution with immunofluorescence microscopy and assessed flow-induced [Ca 2ϩ ] i elevations as a physiologically relevant readout of the channel activity to probe the mechanism of TRPV4 regulation by PKC and PKA in freshly isolated split-opened distal nephrons. We found that the functional status of the TRPV4 channel in the distal nephron is regulated by two distinct signaling pathways. Although the PKA-dependent pathway appears to be responsible for TRPV4 trafficking and translocation to the apical membrane, the PKC-dependent pathway stimulates the activity of the channel on the plasma membrane.

EXPERIMENTAL PROCEDURES
Materials and Animals-All chemicals and materials were from Sigma, VWR International (Radnor, PA), and Tocris Bioscience (Ellisville, MO) unless noted otherwise and were reagent grade. Animal use and welfare adhered to the National Institutes of Health Guide for the Care and Use of Laboratory Animals following a protocol reviewed and approved by the Institutional Laboratory Animal Care and Use Committee of The University of Texas Health Science Center at Houston. For experiments, 6 -8-week-old C57BL/6 mice (Charles Rivers Laboratories, Wilmington, MA) were used. Animals were maintained on standard rodent regimen (Purina 5001) and had free access to tap water.
Tissue Isolation-The procedure for isolation of the collecting ducts and the connecting tubules from C57BL/6 mice suitable for Ca 2ϩ imaging and immunofluorescence microscopy closely follows the protocols reported previously by us (20 -23). Kidneys were cut into thin slices (Ͻ1 mm) and placed into an ice-cold bath solution buffered with HEPES (pH 7.4). Distal nephrons were visually identified by their morphological features (pale color, coarse surface, and, in some cases, bifurcations) and were mechanically isolated from kidney slices by microdissection using watchmaker forceps under a stereomicroscope. Isolated distal nephrons were attached to 5 ϫ 5-mm cover glasses coated with poly-L-lysine. A cover glass containing a distal nephron was placed in a perfusion chamber mounted on a Nikon Eclipse Ti inverted microscope and perfused with bath solution at room temperature. Distal nephrons were split open with two sharpened micropipettes, controlled with different micromanipulators, to gain access to the apical membrane. The nephrons were used within 1-2 h of isolation.
[Ca 2ϩ ] i Measurements-Intracellular calcium levels were measured in individual cells within the split-opened area of distal nephrons using Fura-2 fluorescence ratiometric imaging as described previously (20 -23). Briefly, split-opened distal nephrons were loaded with Fura-2 by incubation with 2 M Fura-2/AM in bath solution for 45 min at room temperature. Subsequently, tissue samples were washed and incubated for an additional 10 -15 min prior to experimentation. Distal nephrons were then placed in an open-top imaging study chamber (Warner RC-10) with a bottom coverslip-viewing window, and the chamber was attached to the microscope stage of an InCa imaging workstation (Intracellular Imaging, Inc.). Cells were imaged with a 20ϫ Nikon Super Fluor objective, and regions of interest were drawn for individual cells. The Fura-2 fluorescence intensity ratio was determined by excitation (an average for ϳ300 ms) at 340 and 380 nm and calculating the ratio of the emission intensities at 511 nm in the usual manner every 5 s. We observed no significant Fura-2 bleaching and minimal Fura-2 leakage at both wavelengths during experiments. The changes in the ratio were converted to intracellular Ca 2ϩ concentrations using the calibration methods we have used before (12,20,22). At least three individual distal nephrons from three mice were used for each experimental set.
Immunofluorescence Microscopy-Freshly isolated and splitopened distal nephrons were fixed with 4% paraformaldehyde in PBS (pH 7.4) for 15 min at room temperature. After fixation, the samples were permeabilized by the addition of 0.1% Triton X-100 in PBS for 5 min and washed three times with PBS for 5 min. Nonspecific staining was blocked with 10% normal goat serum (Jackson ImmunoResearch Laboratories) in PBS for 30 min at room temperature. After washing three times with PBS for 5 min, the samples were incubated for 3 h at room temperature in the dark with anti-TRPV4 antibody (1:1000 dilution; Alomone Labs) in 1% normal goat serum and 0.1% Triton X-100 in PBS. Subsequently, the samples were washed three times with PBS and incubated for 1.5 h at room temperature in the dark with goat anti-rabbit IgG labeled with Alexa Fluor 488 (1:1000 dilution; Invitrogen) in 1% normal goat serum and 0.1% Triton X-100 in PBS. After washing three times with PBS for 5 min, the samples were stained with DAPI (1.5 M; Calbiochem) to visualize nuclei. Subsequently, the samples were dehydrated and mounted with permanent mounting medium (Thermo Scientific). Labeled tissue samples were examined with an Nikon Eclipse Ti inverted confocal fluorescence microscope using a 40ϫ Plan Fluor oil immersion (1.3 numerical aperture) objective. Samples were excited with 405 and 488 nm laser diodes, and emission was captured with a 16-bit CoolSNAP HQ 2 camera (Photometrics) interfaced to a PC running NIS-Elements version 4.00 software. Three-dimensional stacks of splitopened distal nephrons were generated from a series of confocal plane images with 0.25-m steps.
Solutions-The typical bath solution was 150 mM NaCl, 5 mM KCl, 1 mM CaCl 2 , 2 mM MgCl 2 , 5 mM glucose, and 10 mM HEPES (pH 7.4). All reagents were applied by perfusing the experimental chamber at 1.5 ml/min. To test the effect of elevated flow on [Ca 2ϩ ] i , the rate of perfusion was instantly increased from 1.5 ml/min (ϳ15 mm H 2 O) to 15 ml/min (ϳ80 mm H 2 O). Using a parallel plate chamber, we recently esti-mated that this maneuver produces shear stress of ϳ3 dynes/ cm 2 (12). This value fits well within the physiological range of shear stress present in the rat and mouse collecting duct as was assessed previously (10,24). Prior termination of a respective cell-permeable activator/inhibitor of PKC-and PKA-dependent pathways did not affect the magnitude of the flow-mediated [Ca 2ϩ ] i response due to poor reversibility of the agent.
Data Analysis-All summarized data are reported as means Ϯ S.E. Data were compared using a t test or one-way analysis of variance as appropriate. p Յ 0.05 was considered significant.

PKC but Not PKA Cascades Acutely Regulate Flow-dependent [Ca 2ϩ ] i Responses in Distal Nephron Cells-We have recently
documented that the Ca 2ϩ -permeable TRPV4 channel is a critical determinant of mechanosensitive properties in distal nephron cells (10,12). Genetic deletion of TRPV4 abolishes [Ca 2ϩ ] i elevations in response to elevated flow in murine distal nephrons (12). PKC and PKA can directly phosphorylate TRPV4 in expression systems (19). Here, we probed whether these signaling cascades are involved in controlling mechanosensitive [Ca 2ϩ ] i elevations by affecting TRPV4 activity and expression patterns in freshly isolated split-opened distal nephrons.  (Fig. 1A). As summarized in Fig. 1B, the responses to flow were similarly increased from 31 Ϯ 3 nM in the control to 49 Ϯ 4 nM and 58 Ϯ 5 nM when PMA was applied for 5 and 15 min, respectively. Administration of a highly selective, cell-permeable PKC inhibitor, bisindolylmaleimide I (BIM-I; 200 nM), for 10 min significantly decreased the amplitude of the flow-mediated [Ca 2ϩ ] i response from 32 Ϯ 2 nM to 12 Ϯ 2 nM (Fig. 1, C and D). Pharmacological PKC inhibition also had a tendency to decrease basal [Ca 2ϩ ] i levels (  the control conditions and after 15 min treatment with forskolin (20 M) to elevate intracellular cAMP levels. However, this maneuver failed to affect flow-induced Ca 2ϩ responses in distal nephron cells. The amplitudes of the response were 28 Ϯ 3 nM and 29 Ϯ 3 nM in the control and after forskolin treatment, respectively (Fig. 2B). These results suggest that acute activation of the PKA signaling cascade alone has no appreciable role in the regulation of TRPV4 functional activity and, subsequently, flow-dependent [Ca 2ϩ ] i elevations in distal nephron cells.
TRPV4 Trafficking Is Regulated by PKA but Not PKC-We next used immunofluorescence microscopy in split-opened distal nephrons to examine whether stimulation of the PKC and PKA cascades alters subcellular TRPV4 localization to promote trafficking to the apical plasma membrane. Consistent with our previous report (12), TRPV4 expression was dominant in the apical/subapical regions under the control conditions, as apparent from a representative confocal fluorescent image in Fig. 3A. Pretreatment with the PKC activator PMA (200 nM) for 15 min had no apparent effect on TRPV4 subcellular localization (Fig. 3B). In contrast, TRPV4 localized to the apical plasma membrane when split-opened distal nephrons were pretreated with 20 M forskolin for 15 min (Fig. 3C). Forskolin-induced redistribution was precluded by the PKA inhibitor H-89 (20 M) (Fig. 3D).
To perform a quantitative estimation of the observed changes in subcellular TRPV4 localization, we employed linescan analysis of the fluorescent signal distribution along the z-axis in cross-sections of three-dimensional stacks similar to those shown in Fig. 3. Fig. 4A shows the averaged distribution pattern of fluorescence intensity representing TRPV4 localization in the control and after pretreatment with PMA, forskolin, and forskolin and H-89. As is clear, stimulation of the PKA pathway with forskolin shifted the maximum of the fluorescent signal toward the apical region. Furthermore, forskolin also caused sharpening of the fluorescence intensity profile. As summarized in Fig. 4B, the average half-width of the fluorescence intensity was significantly reduced from 3.06 Ϯ 0.07 m (n ϭ 108) in the control to 1.34 Ϯ 0.04 m (n ϭ 123) after forskolin treatment. At the same time, the half-width was The apparent lack of forskolin-mediated augmentation of the flow-induced [Ca 2ϩ ] i response (Fig. 2), despite the prominent trafficking of TRPV4 to the apical compartment (Figs. 3  and 4), may indicate that translocated channels were not yet inserted into the plasma membrane. In this case, [Ca 2ϩ ] i stimulation was required to incorporate TRPV4 into the apical membrane and augment cellular responses to elevated flow. To probe this, we treated split-opened distal nephrons with 20 M forskolin and quantified the amplitudes of two consequent flow-induced [Ca 2ϩ ] i responses in the continued presence of the PKA cascade activator (Fig. 5A). However, [Ca 2ϩ ] i elevations induced by the first application of increased flow did not result in appreciable potentiation of the second flow-mediated [Ca 2ϩ ] i response. As summarized in Fig. 5B, the amplitudes of the first and second responses during forskolin treatment were 27 Ϯ 1 and 25 Ϯ 1 nM, respectively, and were not different from the amplitude of the flow-mediated [Ca 2ϩ ] i response in the control (29 Ϯ 2 nM). Therefore, it appears that activation of the PKA-dependent pathway likely results in translocation of silent TRPV4 to the apical membrane and that lack of augmentation of flow-dependent [Ca 2ϩ ] i responses is not associated with inability of the channels to be inserted.

Coordinated Actions of the PKC and PKA Cascades on Flowmediated [Ca 2ϩ ] i Elevations in the Distal Nephron-Our
results point to distinct modes of TRPV4 regulation by PKC and PKA signaling cascades. Whereas the PKC-dependent pathway stimulated TRPV4 and enhanced mechanosensitive [Ca 2ϩ ] i responses (Fig. 1) without affecting subcellular TRPV4 distribution (Fig. 3B), the PKA-dependent pathway promoted apical TRPV4 trafficking (Fig. 3C) but failed to augment functional TRPV4 status (Figs. 2 and 5). Thus, we next tested whether PKA-and PKC-dependent pathways are cooperative in augmenting TRPV4-mediated [Ca 2ϩ ] i responses to flow. Concomitant stimulation of both pathways with 200 nM PMA  (Fig. 6A, black trace). This elevation was significantly greater than that in response to application of PMA alone (Fig. 6A, gray trace). The absolute eleva-tions in [Ca 2ϩ ] i in response to flow were 34 Ϯ 2, 77 Ϯ 4, and 55 Ϯ 3 nM in the control, after treatment with PMA ϩ forskolin, and after treatment with PMA alone, respectively (Fig. 6B). Interestingly, we observed a prominent gradual increase of ϳ80    (Fig. 6A). Therefore, the absolute elevation of [Ca 2ϩ ] i from the values under unstimulated conditions reflects the total level of TRPV4 activation by mechanical stimuli (i.e. flow) in the presence of simultaneous stimulation of the PKA and PKC cascades. As summarized in Fig. 6C, the absolute amplitude of the [Ca 2ϩ ] i response to flow was 162 Ϯ 5 nM, which was significantly greater than the response in the presence of PKC stimulation alone (68 Ϯ 5 nM).
Finally, to probe whether the additive stimulation of the flow-dependent [Ca 2ϩ ] i response and gradual increases in the basal [Ca 2ϩ ] i levels in response to simultaneous activation of the PKC and PKA cascades occur in a TRPV4-dependent manner, we repeated the treatment with PMA and forskolin in the presence of the selective TRPV4 inhibitor HC-067047 (4 M). As is clear from the average time course (Fig. 7A), TRPV4 blockade abolished the progressive increase in [Ca 2ϩ ] i levels. Moreover, HC-067047 precluded flow-mediated [Ca 2ϩ ] i responses even in the presence of the activated PKC and PKA cascades (Fig. 7B). The amplitudes of the flow-mediated [Ca 2ϩ ] i response were 33 Ϯ 2 nM in the control and 5 Ϯ 2 nM after treatment with forskolin, PMA, and HC-067047. Overall, we conclude that the coordinated stimulation of both PKC and PKA cascades additively increases the amplitude of the TRPV4mediated [Ca 2ϩ ] i response to flow and, importantly, augments the basal TRPV4 activity, resulting in a progressive increase in the resting [Ca 2ϩ ] i levels.

DISCUSSION
It has been recently demonstrated that the activity of the Ca 2ϩ -permeable TRPV4 channel is central for [Ca 2ϩ ] i elevations in distal nephron cells in response to dynamic changes in tubular fluid flow (11,12,16,20). Adequate mechanosensitive [Ca 2ϩ ] i responses are important determinants of many physiological processes in late nephron segments, including flow-dependent K ϩ secretion (15,25), regulatory volume decreases (26), etc. Furthermore, we and others have recently demonstrated that pharmacological stimulation of TRPV4 activity is instrumental for blunting renal cystogenesis in ARPKD models (18,27). In this study, we defined two distinct intracellular signaling cascades separately controlling TRPV4 trafficking and functional activity in murine distal nephrons. We found that the PKC-dependent signaling pathway is responsible for augmented TRPV4 activation by elevated flow over the apical plasma membrane. In contrast, TRPV4 translocation to the apical plasma membrane is a PKA-dependent process.
We have provided substantial experimental evidence that TRPV4 serves as a route of Ca 2ϩ influx into distal nephron cells in response to elevated luminal flow. First, we documented that silencing of TRPV4 expression in cultured collecting duct cells disrupts Ca 2ϩ responses to shear stress (10). Second, genetic ablation of TRPV4 in mice abolishes flow-induced [Ca 2ϩ ] i elevations in the connecting tubule and cortical collecting duct (12). Consistently, in this study, we have demonstrated that pharmacological inhibition of TRPV4 with the highly selective antagonist HC-067047 precludes changes in [Ca 2ϩ ] i during elevations in flow (Fig. 7). Finally, we and others found that the presence of extracellular Ca 2ϩ is mandatory for flow-induced [Ca 2ϩ ] i elevations in renal cells (10,28). Therefore, we are confident that monitoring changes in [Ca 2ϩ ] i in freshly isolated split-opened murine distal nephrons is a reliable way to assess the rate of TRPV4 activation in native tissue by a physiologically relevant stimulus, i.e. elevated flow. In this study, we did not identify principal and intercalated cells. As we reported previously (12), principal cells exhibit a mildly increased amplitude of flow-mediated [Ca 2ϩ ] i responses compared with intercalated cells, and this correlates with higher levels of TRPV4 expression in the former. A similar amplitude of flow-induced increases in [Ca 2ϩ ] i in principal and intercalated cells was also reported in microperfused rabbit cortical collecting ducts (29,30). The detailed analysis did not reveal noticeable heterogeneity in the rate of potentiation of flow-dependent [Ca 2ϩ ] i responses in individual cells during activation of PKC signaling with PMA (Fig. 1). Furthermore, we have also observed similar translocation of TRPV4 to the apical membrane in "low TRPV4-expressing" intercalated cells after treatment with for- skolin (Fig. 3). Thus, it is reasonable to suggest that the mechanisms of TRPV4 regulation by PKA and PKC in principal and intercalated cells are the same.
We have shown that flow-induced [Ca 2ϩ ] i elevations are under dynamic regulation of the PKC-dependent pathway. Stimulation of PKC led to an acute augmentation of [Ca 2ϩ ] i responses to elevated flow (Fig. 1, A and B), whereas inhibition of PKC with BIM-I greatly diminished mechanosensitive [Ca 2ϩ ] i elevations (Fig. 1, C and D). Importantly, we demonstrated that this regulation occurred in a TRPV4-dependent manner because inhibition of TRPV4 with HC-067047 abolished cellular responses to elevated flow even upon activation of PKC (Fig. 7). Interestingly, inhibition of PKC with BIM-I and Go6976 was shown to preclude transient flow-mediated [Ca 2ϩ ] i elevations and flow-dependent potassium secretion in perfused rabbit cortical collecting ducts (30). In contrast, we did not observe complete inhibition of flow-mediated [Ca 2ϩ ] i responses during PKC blockade. However, we used a 5-fold lower concentration of BIM-I, which is more selective. PKC was shown to directly phosphorylate multiple Ser/Thr residues within the N terminus of TRPV4 overexpressed in HEK293 cells to augment channel activation by hypotonicity (19). It remains to be determined whether PKC-mediated regulation of TRPV4 function in distal nephron cells involves direct channel phosphorylation. Of note, PMA can also directly interact with transmembrane domains 3 and 4 of TRPV4 (31,32). However, this can lead to activation of the channel only at 37°C and has a minor direct effect on TRPV4 activity at room temperature as used here.
The important observation of this study is that stimulation of TRPV4 trafficking to the apical plasma membrane is not associated with augmentation of TRPV4-mediated [Ca 2ϩ ] i responses to elevated flow (Figs. 2-4). Furthermore, we have demonstrated that translocation of TRPV4 to the apical plasma membrane is regulated by PKA-dependent mechanisms (Fig.  4). This indicates that TRPV4 trafficking in distal nephron cells might be at least partially under the control of antidiuretic hormone (vasopressin). TRPV4 was recently shown to functionally interact with AQP2, the well known end effector of vasopressin, and the trafficking of TRPV4 to the plasma membrane in M1 collecting duct cells occurs only in the presence of AQP2 (26). Although this was associated with enhanced responses to hypotonicity, we failed to observe an augmented response to flow in forskolin-treated distal nephrons (Fig. 2). The nature of this discrepancy requires further investigation. Importantly, lack of mechanosensitive [Ca 2ϩ ] i responses (33)(34)(35) and elevated cAMP levels (36,37) have been consistently reported for cyst cells of many polycystic kidney disease models. Using a novel preparation to isolate collecting duct-derived cyst monolayers from a rat model of ARPKD, we recently demonstrated drastic decreases in TRPV4 activity despite prominent apical localization of the channel in cyst cells, which is likely a consequence of elevated cAMP levels (18). This is consistent with our conclusions that trafficking and activation of TRPV4 require distinct intracellular signaling inputs. Interestingly, another Ca 2ϩ -permeable channel, TRPC3, which is natively expressed in distal nephron cells (38), is also translocated to the apical plasma membrane in response to vasopressin treatment via stimulation of the cAMP/PKA pathway (39,40). However, it remains unclear whether this redistribution is associated with augmented TRPC3-dependent [Ca 2ϩ ] i elevations.
In this study, we have also provided evidence that TRPV4 activity is an important determinant of basal [Ca 2ϩ ] i levels in distal nephron cells. Stimulation of PKC led not only to augmentation of TRPV4-mediated [Ca 2ϩ ] i responses to flow but also to a gradual elevation of the [Ca 2ϩ ] i base line (Fig. 1A). This elevation was greatly potentiated after stimulation of apical TRPV4 trafficking with PKA (Fig. 6A). In contrast, we observed a tendency to reduce basal [Ca 2ϩ ] i levels when PKC was inhibited by BIM-I (Fig. 1C). These observations support the conception that basal TRPV4 activity under unstimulated conditions (i.e. in the absence of external mechanical inputs) is sufficient to adjust resting [Ca 2ϩ ] i levels in murine distal nephron cells. We recently reported that impaired TRPV4 activity is associated with reduced resting [Ca 2ϩ ] i levels in collecting duct-derived cyst cells during ARPKD and, vice versa, that restoration of TRPV4 activity increases [Ca 2ϩ ] i levels to the values seen in normal rat distal nephron cells (18).
In summary, in this study, we have identified the signaling determinants of TRPV4 function in murine native distal nephron cells. We have reported that stimulation of TRPV4 activity and TRPV4 trafficking is under discrete but synergistic control of the PKC-and PKA-dependent pathways. This enables the system to manipulate resting [Ca 2ϩ ] i levels as well as to regulate the magnitude of [Ca 2ϩ ] i responses to dynamic changes in tubular flow. However, the upstream physiological stimuli controlling TRPV4-based mechanosensitive [Ca 2ϩ ] i responses to regulate transport rates in the distal nephron have yet to be established.