2010
DOI: 10.1073/pnas.1006128107
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Decreased ENaC expression compensates the increased NCC activity following inactivation of the kidney-specific isoform of WNK1 and prevents hypertension

Abstract: Mutations in WNK1 and WNK4 lead to familial hyperkalemic hypertension (FHHt). Because FHHt associates net positive Na(+) balance together with K(+) and H(+) renal retention, the identification of WNK1 and WNK4 led to a new paradigm to explain how aldosterone can promote either Na(+) reabsorption or K(+) secretion in a hypovolemic or hyperkalemic state, respectively. WNK1 gives rise to L-WNK1, an ubiquitous kinase, and KS-WNK1, a kinase-defective isoform expressed in the distal convoluted tubule. By inactivatin… Show more

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Cited by 98 publications
(97 citation statements)
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References 33 publications
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“…The telemetry analysis has provided preliminary support to the circadian regulation hypothesis. Notably, several KO models in the WNK1-SPAK/OSR1 pathway have demonstrated similar circadian rhythm-dependent BP phenotypes (38,39). The circadian clock genes (Cryptochrome-1 and -2) control aldosterone biosynthesis levels that oscillate by about fourfold during the day-night cycle (40).…”
Section: Discussionmentioning
confidence: 99%
“…The telemetry analysis has provided preliminary support to the circadian regulation hypothesis. Notably, several KO models in the WNK1-SPAK/OSR1 pathway have demonstrated similar circadian rhythm-dependent BP phenotypes (38,39). The circadian clock genes (Cryptochrome-1 and -2) control aldosterone biosynthesis levels that oscillate by about fourfold during the day-night cycle (40).…”
Section: Discussionmentioning
confidence: 99%
“…Hadchouel et al reported that BKa protein abundance along with ROMK is upregulated in KS-WNK1 KO mice, 49 suggesting that KS-WNK1 regulates BK channel activity. However,Cheng et al also reported that BK channel-mediated K secretion is not significantly affected during HK diet feeding in KS-WNK1 knockout mice.…”
Section: Hek Bka Cells Were Transfected With a Series Of Doses Of Wnkmentioning
confidence: 99%
“…50 Whether knockout of KS-WNK1 affects WNK1 kinase activity or WNK1 expression level, which could contribute to the increased BK protein abundance, remains to be further elucidated. 49,50 Since WNK1 expression is upregulated in patients with PHA-II, 1 inhibition of ROMK by WNK1 could explain the clinical phenotype of hyperkalemia. 45 However, it is still to be determined whether the ratio of WNK1 over KS-WNK1 is crucial in directly modulating BK channel activity.…”
Section: Hek Bka Cells Were Transfected With a Series Of Doses Of Wnkmentioning
confidence: 99%
“…Similarly, increasing NCC activity by inactivating KS-WNK1 was also not sufficient to cause hyperkalemic hypertension, because it was associated with a compensatory decrease in ENaC [38]. Instead, familial hyperkalemic hypertension is caused by mutations in the genes encoding WNK1, WNK4, Kelch-like 3 or Cullin-3, which result in overactivity of NCC (Table 2) [7,68,131].…”
Section: Familial Hyperkalemic Hypertensionmentioning
confidence: 99%
“…Although this review focused on NCC, sodium excretion by the kidney depends on many other sodium transporters, including NHE3, NKCC2, ENaC, and pendrin. Stimuli that activate NCC, sometimes also activate these other transporters, but an opposite, compensatory response may also occur [38,84,99]. In conclusion, the role of NCC in normal physiology and in the pathophysiology of hypertension is expanding and will 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 20 likely continue to do so in coming years.…”
Section: Perspectivesmentioning
confidence: 99%