This short review is dedicated to the studies of the mechanisms of org
anic anion secretion in renal proximal tubules. Particular attention i
s given to the energetic coupling of p-aminohippurate transport to ino
rganic anion gradients generated acres both basolateral and brush-bord
er membranes, The coupling is considered to be a consequence of the co
mbined operation of the co-transport and anion-exchange mechanisms. A
possible coexistence of several organic anion pathways with overlappin
g substrate specificity and (or) energetic dependence olf the total io
n gradient are suggested. The problem of identification of transporter
s involved in the organic anion secretion is discussed.