Explain how potassium is secreted in the DCT? T[K*] 3Na+ 3Na* 3Na* Aldo Kir4.1-5.1 2K+ 2K+ 2K+ ; Depolarization of membrane >1[CH] MR WNK→SPAK SGK1 NCC NCC NCC HENACE ROMKE GENAC ROMK Maxi-K (-charge) Increased >K+ flow Na+

Human Anatomy & Physiology (11th Edition)
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**How is Potassium Secreted in the DCT?**

The diagram illustrates the mechanisms involved in potassium secretion within the Distal Convoluted Tubule (DCT) of the nephron. Here is a detailed description:

1. **Depolarization and Chloride Transport:**
   - An increase in potassium concentration \([K^+]\) leads to depolarization of the membrane.
   - This depolarization stimulates the Kir4.1–5.1 potassium channels and increases chloride ion \([Cl^-]\) concentration.
   - WNK-SPAK signaling pathways are activated, affecting NCC (sodium-chloride cotransporter).

2. **Sodium and Potassium Transport:**
   - The Na⁺/K⁺ ATPase pump transports three sodium ions (3Na⁺) out of the cell and brings two potassium ions (2K⁺) into the cell.
   - NCC facilitates sodium reabsorption.

3. **Aldosterone's Role:**
   - Aldosterone (Aldo) acts on the Mineralocorticoid Receptor (MR) to enhance the expression and activity of the epithelial sodium channel (ENaC), ROMK (renal outer medullary potassium channel), and Maxi-K channels.
   - SGK1 enhances activity of these channels, promoting sodium reabsorption and potassium secretion.

4. **Ion Flow and Charge:**
   - Sodium reabsorption through ENaC creates a negative charge in the tubular fluid, driving potassium secretion through ROMK and Maxi-K channels.
   - Increased fluid flow in the DCT facilitates potassium secretion into the tubular fluid, maintaining electrolyte balance.

This integrated process ensures proper potassium balance and blood pressure regulation.
Transcribed Image Text:**How is Potassium Secreted in the DCT?** The diagram illustrates the mechanisms involved in potassium secretion within the Distal Convoluted Tubule (DCT) of the nephron. Here is a detailed description: 1. **Depolarization and Chloride Transport:** - An increase in potassium concentration \([K^+]\) leads to depolarization of the membrane. - This depolarization stimulates the Kir4.1–5.1 potassium channels and increases chloride ion \([Cl^-]\) concentration. - WNK-SPAK signaling pathways are activated, affecting NCC (sodium-chloride cotransporter). 2. **Sodium and Potassium Transport:** - The Na⁺/K⁺ ATPase pump transports three sodium ions (3Na⁺) out of the cell and brings two potassium ions (2K⁺) into the cell. - NCC facilitates sodium reabsorption. 3. **Aldosterone's Role:** - Aldosterone (Aldo) acts on the Mineralocorticoid Receptor (MR) to enhance the expression and activity of the epithelial sodium channel (ENaC), ROMK (renal outer medullary potassium channel), and Maxi-K channels. - SGK1 enhances activity of these channels, promoting sodium reabsorption and potassium secretion. 4. **Ion Flow and Charge:** - Sodium reabsorption through ENaC creates a negative charge in the tubular fluid, driving potassium secretion through ROMK and Maxi-K channels. - Increased fluid flow in the DCT facilitates potassium secretion into the tubular fluid, maintaining electrolyte balance. This integrated process ensures proper potassium balance and blood pressure regulation.
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