Chloride transport by the medullary thick ascending limb is a major de
terminant of urinary concentrating and diluting power and also of tubu
loglomerular feedback. In this review, we discuss the electrophysiolog
ic, regulatory, and molecular features of a Cl- channel present in bas
olateral membranes from the medullary thick ascending limb. Functional
and immunohistochemical data support the view that rbCIC-Ka, a CIC Cl
- channel cloned from rabbit kidney medulla, may be the Cl- channel wh
ich mediates basolateral Cl- efflux.