Evidence map›Paper›PMID 40493421›Full record

ArticleThe Journal of clinical investigation2025

Kidney-specific WNK1 amplifies kidney tubule responsiveness to potassium via WNK body condensates.

Cary R Boyd-Shiwarski, Rebecca T Beacham, Jared A Lashway, Katherine E Querry, Shawn E Griffiths, Daniel J Shiwarski, Sophia A Knoell, Nga H Nguyen, Lubika J Nkashama, Melissa N Valladares and 10 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Potassium and the kidney.Nature reviews. Nephrology · 2026
    Review
  4. The Story of Aldosterone Escape.Journal of the American Society of Nephrology : JASN · 2026
    Review
  5. Article
  6. Article
  7. The evolving concepts of KS-WNK1 effect on NCC activity.American journal of physiology. Renal physiology · 2025
    Review
  8. Molecular Crowding: Physiologic Sensing and Control.Annual review of physiology · 2024
    Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Cary R Boyd-ShiwarskiDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Rebecca T BeachamDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jared A LashwayDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Katherine E QuerryDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Shawn E GriffithsDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Daniel J ShiwarskiDepartment of Medicine, Vascular Medicine Institute.
Sophia A KnoellDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Nga H NguyenDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Lubika J NkashamaDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Melissa N ValladaresDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Anagha BandaruDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Allison L MarciszynDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jonathan FranksCenter for Biological Imaging, and.
Mara SullivanCenter for Biological Imaging, and.
Simon C WatkinsPittsburgh Center for Kidney Research, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Aylin R RodanDepartment of Internal Medicine, Division of Nephrology and Hypertension.
Chou-Long HuangDepartment of Internal Medicine, Division of Nephrology and Hypertension, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Sean D StockerDepartment of Neurobiology and.
Ossama B KashlanDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Arohan R SubramanyaDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

Single Nephron and MetabolomicsP30DK079307 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KLEYMAN, THOMAS R · 2008 to 2022
$13.4M
Resource Development CoreU54DK137329 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Thomas R Kleyman · 2023 to 2026
$4.8M
Control of the Renal WNK Signaling Pathway by Phase TransitionsR01DK098145 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AYLIN RACHEL RODAN, AROHAN R SUBRAMANYA · 2014 to 2026
$4.2M
Regulation of WNK signaling by potassium and Mo25: structure, function and physiologyR01DK110358 · NIDDK · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RODAN, AYLIN RACHEL · 2016 to 2025
$4.1M
WNK kinase cascade in health and diseaseR01DK111542 · NIDDK · UNIVERSITY OF IOWA · PI Chou-Long Huang · 2017 to 2026
$3.6M
Identification of mechano versus chemo-sensitive renal sensory neurons in hypertensionR01HL152680 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STOCKER, SEAN D · 2020 to 2023
$2.4M
Brain NaCl-sensing in salt-sensitive hypertension.R01HL145875 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STOCKER, SEAN D · 2019 to 2022
$2.2M
Regulation of Renal WNK Signaling in Intercalated CellsR01DK119252 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUBRAMANYA, AROHAN R · 2019 to 2023
$2.0M
ENaC regulation by biliary factorsR01DK125439 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KASHLAN, OSSAMA B · 2020 to 2023
$1.8M
PCT-KUH: Pittsburgh center for training in kidney, urology and hematologyTL1DK143271 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Thomas R Kleyman · 2024 to 2026
$1.7M
The function of kidney specific (KS)-WNK1 condensates during potassium stressK08DK118211 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BOYD-SHIWARSKI, CARY RAGAN · 2018 to 2022
$923k
Development of a Collagen-based 3D Bioprinted Microfluidic Platform for Vascular Tissue Engineering and Disease ModelingR00HL155777 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHIWARSKI, DANIEL J · 2023 to 2025
$747k
NHLBI NIH HHS R00 HL155777NHLBI NIH HHS R01 HL145875NHLBI NIH HHS R01 HL152680NIDDK NIH HHS K08 DK118211NIDDK NIH HHS P30 DK079307NIDDK NIH HHS R01 DK098145NIDDK NIH HHS R01 DK110358NIDDK NIH HHS R01 DK111542NIDDK NIH HHS R01 DK119252NIDDK NIH HHS R01 DK125439NIDDK NIH HHS R03 DK138215NIDDK NIH HHS TL1 DK143271NIDDK NIH HHS U54 DK137329NIH HHS S10 OD021627NIH HHS S10 OD028596NIH HHS S10 OD036205
6 · The paper itself

Abstract

To maintain potassium homeostasis, the kidney's distal convoluted tubule (DCT) evolved to convert small changes in blood [K+] into robust effects on salt reabsorption. This process requires NaCl cotransporter (NCC) activation by the with-no-lysine (WNK) kinases. During hypokalemia, the kidney-specific WNK1 isoform (KS-WNK1) scaffolds the DCT-expressed WNK signaling pathway within biomolecular condensates of unknown function termed WNK bodies. Here, we show that KS-WNK1 amplified kidney tubule reactivity to blood [K+], in part via WNK bodies. In genetically modified mice, targeted condensate disruption trapped the WNK pathway, causing renal salt wasting that was more pronounced in females. In humans, WNK bodies accumulated as plasma potassium fell below 4.0 mmol/L, suggesting that the human DCT experiences the stress of potassium deficiency, even when [K+] is in the low-to-normal range. These data identify WNK bodies as kinase signal amplifiers that mediate tubular [K+] responsiveness, nephron sexual dimorphism, and BP salt sensitivity. Our results illustrate how biomolecular condensate specialization can optimize a mammalian physiologic stress response that impacts human health.

Indexed as

Kidney Tubules, DistalPotassiumWNK Lysine-Deficient Protein Kinase 1AnimalsFemaleHumansHypokalemiaMaleMiceMice, KnockoutSignal TransductionSolute Carrier Family 12, Member 3PotassiumSolute Carrier Family 12, Member 3WNK1 protein, humanWnk1 protein, mouseWNK Lysine-Deficient Protein Kinase 1Cell biologyEpithelial transport of ions and waterMolecular biologyNephrologyProtein kinases

Identifiers

PMID40493421
PMCPMC12321387

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.