To maintain water balance, the human kidney forms 1.5 liters of urine daily out of 180 liters of glomerular filtrate by water reabsorption, which occurs mainly through aquaporin (AQP) 1 and AQP2 water channels (
Deen et al. 1994;
Nielsen et al. 1998;
Schnermann et al. 1998). Almost 90% of this water is constitutively reabsorbed in proximal tubules and descending limbs of Henle, where AQP1 is present in the apical and the basolateral plasma membrane (
Nielsen et al. 1993). Principal cells of the renal collecting duct concentrate the remaining volume via AQP2 in the apical plasma membrane and via AQP3 and AQP4 in the basolateral plasma membrane, a process that is tightly regulated by the antidiuretic hormone arginine vasopressin (AVP) (
Deen and Knoers 1998;
Nielsen et al. 1999). The mechanism responsible for this hormonal response is believed to involve a cycle of exo- and endocytosis, during which vesicles containing AQP2 water channels are shuttled between the apical plasma membrane and an intracellular endosomal compartment (
Wade et al. 1981;
Brown 1989;
Harris et al. 1991;
Ecelbarger et al. 1995;
Terris et al. 1995). In fully hydrated states, circulating AVP levels are low and the main steady state localization of AQP2 will be in intracellular vesicles. In contrast, states of hypernatremia or hypovolemia will increase circulating levels of AVP, which will bind to its V2 receptor, activate protein kinase A (PKA) via a cAMP signaling cascade, and initiate a redistribution of AQP2 from intracellular vesicles to the apical plasma membrane (
Marples et al. 1995;
Nielsen et al. 1995a;
Sabolic et al. 1995). However, in both steady states AQP2 water channels are thought to be continually removed from the apical membrane by clathrin-mediated endocytosis (
Brown et al. 1988;
Strange et al. 1988), and the steady state number of channels in the membrane is thought to reflect a balance between exocytotic insertion and endocytotic retrieval processes (
Katsura et al. 1996).
Since its discovery (
Fushimi et al. 1993), AQP2 has been shown to be of prime importance in the pathophysiology of acquired and hereditary water balance disorders. Lithium treatment, bilateral ureteral obstruction, nephrosis, hypokalemia, or defects in the gene coding for AQP2 have been shown to correspond with decreased AQP2 levels and vesicular localization of AQP2, resulting in diuresis. In contrast, congestive heart failure, the syndrome of inappropriate secretion of AVP (SIADH), liver cirrhosis, preeclampsia, and nephrotic syndrome correlate with elevated levels of AQP2, which is predominantly expressed in the apical membrane. As a consequence, water reabsorption increases, leading to hyponatremia (for reviews see
Deen and Knoers 1998;
Martin and Schrier 1998;
Nielsen et al. 1999). In both disease states, the redistribution of AQP2 thus plays an important role.
The identification of a cAMP-dependent PKA consensus site in AQP2 indicated that, besides other proteins, phosphorylation of AQP2 itself might be essential for its AVP-induced redistribution to the apical membrane (
Fushimi et al. 1993). Indeed, PKA appeared to phosphorylate serine 256 (S256) in AQP2 (
Kuwahara et al. 1995;
Mulders et al. 1998;
Nishimoto et al. 1999) without increasing its single unit water conductivity (
Lande et al. 1996). Analysis in transfected LLC-PK
1 cells revealed that an AVP-induced redistribution of AQP2 to the plasma membrane was inhibited by the PKA-specific inhibitor
N-(2([3-(4-bromophenyl)-2-propenyl]-amino)-ethyl)-5-isoquinolinesulfonamide (H89), and that the localization of AQP2-S256A, which mimics nonphosphorylated AQP2 (non–p-AQP2), remained in intracellular vesicles upon treatment with AVP (
Fushimi et al. 1997;
Katsura et al. 1997). As phosphorylation of AQP2 at S256 appeared to be essential for its AVP-induced redistribution to the apical membrane, the observation that in kidneys of fully hydrated rats intracellularly located AQP2 is already phosphorylated was surprising (
Christensen et al. 2000).
As AQP2 is expressed as homotetramers (
Kamsteeg et al. 1999), we hypothesized that the number of p-AQP2 monomers in a tetramer might be critical for the main steady state localization of AQP2. Because the expression level of exogenous proteins can be tightly regulated in
Xenopus oocytes, we studied phosphorylation of AQP2 in these cells. In addition, we showed that the issue whether the number of p-AQP2 monomers in a tetramer determines its distribution could be addressed in oocytes, and, finally, determined which stoichiometry of p-AQP2/non–p-AQP2 in an AQP2 tetramer is necessary for expression of the complex in the plasma membrane.