PMID- 32060741 OWN - NLM STAT- MEDLINE DCOM- 20210818 LR - 20210818 IS - 1724-6059 (Electronic) IS - 1121-8428 (Linking) VI - 33 IP - 3 DP - 2020 Jun TI - Recent insights into sodium and potassium handling by the aldosterone-sensitive distal nephron: implications on pathophysiology and drug discovery. PG - 447-466 LID - 10.1007/s40620-020-00700-9 [doi] AB - As our understanding of the physiology of the aldosterone-sensitive distal nephron (ASDN) advanced in light of novel acquisitions, mainly pertaining the regulation of key ion channels and transporters by with-no-lysine kinases, the pathophysiology of a variety of conditions affecting this segment of the nephron was partly or fully elucidated as well. The pathophysiology of tubulopathies affecting the ASDN or strictly related nephron segments, and disorders causing aldosteronism, pseudoaldosteronism and pseudohypoaldosteronism are here reviewed. The clinical features, with a strong emphasis on pathophysiology, of a variety of disorders are discussed, including: Liddle, Gordon (and calcineurin inhibitor-related hypertension), and Geller syndrome; apparent mineralocorticoid excess; Bartter and Gitelman syndromes; primary aldosteronism, including familial forms; generalized glucocorticoid resistance (Chrousos syndrome). Moreover, the pharmacological translational potential of such novel acquisitions is briefly discussed. FAU - Rossi, Giovanni Maria AU - Rossi GM AD - UO Nefrologia, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy. AD - Dipartimento Di Medicina E Chirurgia, Universita Di Parma, Via Gramsci 14, 43100, Parma, Italy. FAU - Regolisti, Giuseppe AU - Regolisti G AD - UO Nefrologia, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy. AD - Dipartimento Di Medicina E Chirurgia, Universita Di Parma, Via Gramsci 14, 43100, Parma, Italy. FAU - Peyronel, Francesco AU - Peyronel F AD - UO Nefrologia, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy. AD - Dipartimento Di Medicina E Chirurgia, Universita Di Parma, Via Gramsci 14, 43100, Parma, Italy. FAU - Fiaccadori, Enrico AU - Fiaccadori E AUID- ORCID: 0000-0002-6532-7675 AD - UO Nefrologia, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy. enrico.fiaccadori@unipr.it. AD - Dipartimento Di Medicina E Chirurgia, Universita Di Parma, Via Gramsci 14, 43100, Parma, Italy. enrico.fiaccadori@unipr.it. LA - eng PT - Journal Article PT - Review DEP - 20200214 PL - Italy TA - J Nephrol JT - Journal of nephrology JID - 9012268 RN - 4964P6T9RB (Aldosterone) RN - 9NEZ333N27 (Sodium) RN - RWP5GA015D (Potassium) SB - IM MH - *Aldosterone MH - Drug Discovery MH - Humans MH - *Hypertension MH - Nephrons MH - Potassium MH - Sodium OTO - NOTNLM OT - ASDN OT - Aldosteronism OT - ENaC OT - Pseudoaldosteronism OT - WNK EDAT- 2020/02/16 06:00 MHDA- 2021/08/19 06:00 CRDT- 2020/02/16 06:00 PHST- 2019/08/18 00:00 [received] PHST- 2020/01/02 00:00 [accepted] PHST- 2020/02/16 06:00 [pubmed] PHST- 2021/08/19 06:00 [medline] PHST- 2020/02/16 06:00 [entrez] AID - 10.1007/s40620-020-00700-9 [pii] AID - 10.1007/s40620-020-00700-9 [doi] PST - ppublish SO - J Nephrol. 2020 Jun;33(3):447-466. doi: 10.1007/s40620-020-00700-9. Epub 2020 Feb 14.