The NH₂-terminus of K⁺-Cl^- cotransporter 3a is essential for up-regulation of Na⁺,K⁺-ATPase activity

K⁺-Cl^- cotransporter-3 has two major amino terminal variants, KCC3a and KCC3b. In LLC-PK1 cells, exogenously expressed KCC3a co-immunoprecipitated with endogenous Na⁺,K⁺-ATPase α1-subunit (α1NaK), accompanying significant increases of the Na⁺,K⁺-ATPase activity. Exogenously expressed KCC3b did not co-immunoprecipitate with endogenous α1NaK inducing no change of the Na⁺,K⁺-ATPase activity. A KCC inhibitor attenuated the Na⁺,K⁺-ATPase activity in rat gastric mucosa in which KCC3a is predominantly expressed, while it had no effects on the Na⁺,K⁺-ATPase activity in rat kidney in which KCC3b is predominantly expressed. In these tissue samples, KCC3a co-immunoprecipitated with α1NaK, while KCC3b did not. Our results suggest that the NH₂-terminus of KCC3a is a key region for association with α1NaK, and that KCC3a but not KCC3b can regulate the Na⁺,K⁺-ATPase activity.