Cells of the hypertonic renal medulla accumulate high concentrations o
f the non-perturbing osmolytes myo-inositol, betaine, and taurine, and
are thereby protected from the perturbing effects of hypertonicity. K
idney-derived MDCK cells accumulate high levels of these three non-per
turbing osmolytes when cultured in hypertonic medium and have been use
d to study their accumulation. The increase in the intracellular conce
ntration of these non-perturbing osmolytes is the result of an increas
e in the abundance of the mRNA for the specific cotransporter for each
osmolyte and the ensuing increase in the activity of the three specif
ic sodium coupled transporters. The increased abundance of mRNA for th
e myo-inositol and the betaine cotransporters is driven by an increase
in the rate of transcription of their genes. We have identified a 13
basepair cis-acting element in the 5' flanking region of the gene for
the betaine cotransporter. The element is an enhancer that mediates th
e transcriptional response to hypertonicity. The protein(s) that binds
to the tonicity responsive element is much more active in hypertonic
than in isotonic cells, and is in all likelihood the mediator of the t
ranscriptional response to changes in tonicity.