Structure and thiazide inhibition mechanism of the human sodium-chloride cotransporter

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Abstract/Contents

Abstract
The sodium-chloride cotransporter (NCC) functions as the major salt reabsorption pathway in the distal convoluted tubule of the kidney nephron and is responsible for the fine-tuning of renal sodium excretion. Because of its importance in sodium homeostasis, NCC plays a critical role in blood pressure regulation. Thiazide diuretics, inhibitors of NCC, are therefore important first-line therapeutic agents for hypertension. Here, the work to determine the cryo-electron microscopy structures of the human NCC alone and in complex with a thiazide diuretic, polythiazide is described. I also detail my efforts to develop assays for the functional characterization of NCC, which is essential for studying its structure-function relationships. These structural and functional studies provide insights into NCC's major conformational states and transport mechanism. They also shed light on the molecular basis of how thiazide diuretics inhibit NCC and uncover several intriguing regulatory mechanisms. Together, these studies advance our understanding of the molecular mechanisms of NCC and lay the foundations to facilitate future development of next-generation NCC modulators.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2023; ©2023
Publication date 2023; 2023
Issuance monographic
Language English

Creators/Contributors

Author Lee, Chien-Ling
Degree supervisor Feng, Liang, 1976-
Thesis advisor Feng, Liang, 1976-
Thesis advisor Kobilka, Brian K
Thesis advisor Maduke, Merritt C, 1966-
Thesis advisor Pao, Alan C
Degree committee member Kobilka, Brian K
Degree committee member Maduke, Merritt C, 1966-
Degree committee member Pao, Alan C
Associated with Stanford University, School of Medicine
Associated with Stanford University, Department of Molecular and Cellular Physiology

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Chien-Ling Lee.
Note Submitted to the Department of Molecular and Cellular Physiology.
Thesis Thesis Ph.D. Stanford University 2023.
Location https://purl.stanford.edu/pc759pw3800

Access conditions

Copyright
© 2023 by Chien-Ling Lee

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