PMID- 29846113 OWN - NLM STAT- MEDLINE DCOM- 20190708 LR - 20211204 IS - 1522-1466 (Electronic) IS - 1522-1466 (Linking) VI - 315 IP - 3 DP - 2018 Sep 1 TI - Mechanistic target of rapamycin: integrating growth factor and nutrient signaling in the collecting duct. PG - F413-F416 LID - 10.1152/ajprenal.00170.2018 [doi] AB - The renal collecting duct and other postmacula densa sites are the primary tubular regions for fine-tuning of electrolyte homeostasis in the body. A role for the mechanistic target of rapamycin (mTOR), a serine-threonine kinase, has recently been appreciated in this regulation. mTOR exists in two distinct multiprotein functional complexes, i.e., mTORC1 and mTORC2. Upregulation of mTORC1, by growth factors and amino acids, is associated with cell cycle regulation and hypertrophic changes. In contrast, mTORC2 has been demonstrated to have a role in regulating Na(+) and K(+) reabsorptive processes, including those downstream of insulin and serum- and glucocorticoid-regulated kinase (SGK). In addition, mTORC2 can upregulate mTORC1. A number of elegant in vitro and in vivo studies using cell systems and genetically modified mice have revealed mechanisms underlying activation of the epithelial Na(+) channel (ENaC) and the renal outer medullary K(+) channel (ROMK) by mTORC2. Overall, mTOR in its systematic integration of phosphorylative signaling facilitates the delicate balance of whole body electrolyte homeostasis in the face of changes in metabolic status. Thus, inappropriate regulation of renal mTOR has the potential to result in electrolyte disturbances, such as acidosis/alkalosis, hyponatremia, and hypertension. The goal of this minireview is to highlight the physiological role of mTOR in its complexes in regulating electrolyte homeostasis in the aldosterone-sensitive distal nephron. FAU - Brown, Aaron L AU - Brown AL AD - Department of Medicine, Georgetown University , Washington, District of Columbia. FAU - Fluitt, Maurice B AU - Fluitt MB AD - Department of Medicine, Georgetown University , Washington, District of Columbia. FAU - Ecelbarger, Carolyn M AU - Ecelbarger CM AD - Department of Medicine, Georgetown University , Washington, District of Columbia. LA - eng PT - Journal Article PT - Review DEP - 20180530 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (Amino Acids) RN - 0 (Chlorides) RN - 0 (Dietary Proteins) RN - 0 (Electrolytes) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 9NEZ333N27 (Sodium) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 2) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - RWP5GA015D (Potassium) SB - IM MH - Amino Acids/*metabolism MH - Animals MH - Chlorides/metabolism MH - Dietary Proteins/*metabolism MH - Electrolytes/*metabolism/urine MH - Humans MH - Intercellular Signaling Peptides and Proteins/*metabolism MH - Kidney Concentrating Ability MH - Kidney Tubules, Collecting/*metabolism MH - Mechanistic Target of Rapamycin Complex 1/metabolism MH - Mechanistic Target of Rapamycin Complex 2/metabolism MH - Phosphorylation MH - Potassium/metabolism MH - Renal Elimination MH - Renal Reabsorption MH - *Signal Transduction MH - Sodium/metabolism MH - TOR Serine-Threonine Kinases/genetics/*metabolism OTO - NOTNLM OT - chloride OT - insulin OT - metabolic syndrome OT - potassium OT - sodium EDAT- 2018/05/31 06:00 MHDA- 2019/07/10 06:00 CRDT- 2018/05/31 06:00 PHST- 2018/05/31 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] PHST- 2018/05/31 06:00 [entrez] AID - 10.1152/ajprenal.00170.2018 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2018 Sep 1;315(3):F413-F416. doi: 10.1152/ajprenal.00170.2018. Epub 2018 May 30.