After finishing his medical education, Wenhui Wang, M.D., received a scholarship to pursue his research career in the Department of Physiology at the University of Innsbruck in Austria. He studied the regulation of renal potassium channel in the amphibian-diluting segment (similar to mammalian thick ascending limb) with Dr. Hans Oberleitner and Dr. Florian Long. In addition to receiving scientific training, Dr. Wang also passed the board examination for doctor of medicine in the University of Innsbruck, Austria. However, he was more interested in pursuing biomedical research career than in practicing medicine. Dr. Wang moved to Dr. Gerhard Giebisch’s laboratory in the Department of Cellular and Molecular Physiology at Yale University School of Medicine from 1987 to 1993. He created a split-open tubule model to study the ion channels in native mammalian tubules and identified a “small-conductance” potassium channel in the apical membrane of the cortical collecting duct of rabbit and rat kidneys. After Yale year, Dr. Wang moved to the Department Pharmacology of the New York Medical College where his laboratory investigates the role of renal potassium channel in the regulation of kidney potassium excretion and body potassium homeostasis. Dr. Wang's specific focus is on exploring how renal potassium channels affect the overall kidney potassium and sodium balance.

Education

• M.D., Harbin Medical University

Research

Dr. Wang's laboratory is focused on studying the regulation of Na+ and K+ transport in aldosterone-sensitive distal tubules of the kidney. Na+ is a major extracellular ion and plays a key role in maintaining extracellular volume and decreasing extracellular Na+ content can result in hypotension whereas increasing Na+ content causes hypertension. Conversely, K+ is mainly located in the intracellular fluid and extracellular K+ must be maintained in a narrow range: either high plasma K+ (hyperkalemia) or low plasma K+ (hypokalemia) can cause life-threatening cardiac arrhythmias. The kidney plays a key role in secreting K+ to match the dietary K+ intake, and disorders of K+ balance are common in patients with kidney failure.

They have two research projects funded by the National Institutes of Health.

Regulation and Modulation of Renal K+ channels in Kidney:

• Dr. Wang's recent work is focusing on the role of inwardly rectifying K channel 4.1 (Kir4.1) in the regulation of Na and K transport in the distal convoluted tubule (DCT). Loss-of-function mutations of Kir4.1 cause EAST/SeSAME syndrome in humans (seizures, sensorineural deafness, ataxia, mental retardation and electrolyte imbalance). The renal phenotype of the disease is reminiscent to Gitelman syndrome including hypomagnesemia, hypokalemia and metabolic alkalosis, suggesting that the disruption of Kir4.1 mainly impairs transport in the DCT. We have demonstrated that Kir4.1 in the DCT serves as a potassium sensor and plays a key role in regulating NCC activity and Na/K transport through WNK-SPAK pathways in the aldosterone-sensitive distal nephron (ASDN). Thus, understanding the regulation of Kir4.1 should have a significant impact on Na and K homeostasis.

Regulation of Epithelial Na+ Channels by epoxyeicosatrienoic acids (EETs):

• Arachidonic acid can be metabolized to EETs by the cytochrome P450 epoxygenase CYP2C44, and we have found that EETs play an important role in the regulation of Na+ transport in the distal nephron. High Na+ intake stimulates CYP2C44 activity and thus inhibits Na+ absorption in the distal nephron, and defective regulation of CYP2C44 can cause the salt-sensitive hypertension. We are currently using genetically modified mice to study the role of CYP2C44 in regulating epithelial Na+ channels in the kidney.

Publications

• Duan XP, Zheng JY, Xiao Y, et. al. "Angiotensin II-Type-1a Receptor and Renal K + Wasting during Overnight Low-Na + Intake." Journal of the American Society of Nephrology : JASN, 35(11), (2024) 1478-1492. doi: 10.1681/ASN.0000000000000429
• Duan XP, Zhang CB, Wang WH, et. al. "Role of calcineurin in regulating renal potassium (K(+)) excretion: Mechanisms of calcineurin inhibitor-induced hyperkalemia." Acta physiologica (Oxford, England), 240(8), (2024) e14189. doi: 10.1111/apha.14189
• Duan XP, Zheng JY, Jiang SP, et. al. "mTORc2 in Distal Convoluted Tubule and Renal K + Excretion during High Dietary K + Intake." Journal of the American Society of Nephrology : JASN, 35(9), (2024) 1149-63. doi: 10.1681/ASN.0000000000000406
• Carrisoza-Gaytan R, Mutchler SM, Carattino F, et. al. "PIEZO1 is a distal nephron mechanosensor and is required for flow-induced K+ secretion." The Journal of clinical investigation, 134(5), (2024) . doi: 10.1172/JCI174806
• Duan XP, Xiao Y, Su XT, et. al. "Role of Angiotensin II Type 1a Receptor (AT1aR) of Renal Tubules in Regulating Inwardly Rectifying Potassium Channels 4.2 (Kir4.2), Kir4.1, and Epithelial Na(+) Channel (ENaC)." Hypertension (Dallas, Tex. : 1979), 81(1), (2024) 126-137. doi: 10.1161/HYPERTENSIONAHA.123.21389
• Liu H, Sun Q, Ding Z, et. al. "Adenosine stimulates the basolateral 50 pS K(+) channel in renal proximal tubule via adenosine-A1 receptor." Frontiers in physiology, 14(), (2023) 1242975. doi: 10.3389/fphys.2023.1242975
• Saha B, Shabbir W, Takagi E, et. al. "Potassium Activates mTORC2-dependent SGK1 Phosphorylation to Stimulate Epithelial Sodium Channel: Role in Rapid Renal Responses to Dietary Potassium." Journal of the American Society of Nephrology : JASN, 34(6), (2023) 1019-1038. doi: 10.1681/ASN.0000000000000109

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