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   » » Wiki: Pendrin
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Pendrin is an that in humans is encoded by the SLC26A4 (solute carrier family 26, member 4). Pendrin was initially identified as a sodium-independent chloride-iodide exchanger with subsequent studies showing that it also accepts and as substrates. Pendrin is similar to the Band 3 transport protein found in red blood cells. Pendrin is the protein which is mutated in , which is an autosomal recessive disorder characterized by sensorineural hearing loss, and a partial organification problem detectable by a positive perchlorate test.

(2025). 9781588292025, Humana Press. .

Pendrin are responsible for mediating the electroneutral exchange of (Cl) for bicarbonate (HCO3) across a in the of , and show changes in expression in response to salinity change in the gills of Atlantic stingrays.

By analysis, pendrin has been found to be a close relative of present on the hair cells or organ of corti in the inner ear. Prestin is primarily an electromechanical transducer but pendrin is an ion transporter.


Function
Pendrin is an ion exchanger found in many types of cells in the body. High levels of pendrin expression have been identified in the inner ear and thyroid.


Thyroid
In the thyroid, pendrin is expressed by thyroid follicular cells. Na+/I symporter imports into the cell across its basolateral side, and pendrin extrudes the I across the cell's apical membrane into the .


Inner ear
The exact function of pendrin in the inner ear remains unclear; however, pendrin may play a role in acid-base balance as a chloride-bicarbonate exchanger, regulate volume homeostasis through its ability to function as a chloride-formate exchanger or indirectly modulate the calcium concentration of the endolymph. Pendrin is also expressed in the kidney, and has been localized to the apical membrane of a population of intercalated cells in the cortical collecting duct where it is involved in bicarbonate secretion.
(2025). 9780470029572


Kidney
Renal β-intercalated cells of the late distal tube and collecting duct express pendrin upon their apical membrane, resorbing one Cl in exchange for secreting a HCO3, with Cl subsequently extruded from the cell by a basolateral Cl channel. β-intercalated cells thus utilise pendrin to contribute to acid-base homeostasis by excreting base (HCO3) into urine. Additionally, β-intercalated cells may use pendrin in concert with a Na+/HCO3/2Cl antiporter in order to resorb NaCl.
(2025). 9780323847902, Elsevier.


Clinical significance
Mutations in this gene are associated with , the most common form of syndromic , an autosomal-recessive disease. Pendred syndrome is characterized by thyroid goiter and enlargement of the vestibular aqueduct resulting in deafness; however, despite being expressed in the kidney, individuals with Pendred syndrome do not show any kidney-related acid-base, or volume abnormalities under basal conditions. This is probably the result of other bicarbonate or chloride transporters in the kidney compensating for any loss of pendrin function. Only under extreme situations of salt depletion or metabolic alkalosis, or with inactivation of the sodium-chloride cotransporter, are fluid and electrolyte disorders manifested in these patients. SLC26A4 is highly homologous to the SLC26A3 gene; they have similar genomic structures and this gene is located 3' of the SLC26A3 gene. The encoded protein has homology to sulfate transporters.

Another little-understood role of pendrin is in airway hyperreactivity and , as during asthma attacks and allergic reactions. Expression of pendrin in the lung increases in response to allergens and high concentrations of IL-13, and overexpression of pendrin results in airway inflammation, hyperreactivity, and increased mucus production. These symptoms could result from pendrin's effects on ion concentration in the airway surface liquid, possibly causing the liquid to be less hydrated.


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