10
|
Nakagawa K, Holla VR, Wei Y, Wang WH, Gatica A, Wei S, Mei S, Miller CM, Cha DR, Price E, Zent R, Pozzi A, Breyer MD, Guan Y, Falck JR, Waterman MR, Capdevila JH. Salt-sensitive hypertension is associated with dysfunctional Cyp4a10 gene and kidney epithelial sodium channel. J Clin Invest 2006; 116:1696-702. [PMID: 16691295 PMCID: PMC1459070 DOI: 10.1172/jci27546] [Citation(s) in RCA: 112] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2005] [Accepted: 03/07/2006] [Indexed: 01/26/2023] Open
Abstract
Functional and biochemical data have suggested a role for the cytochrome P450 arachidonate monooxygenases in the pathophysiology of hypertension, a leading cause of cardiovascular, cerebral, and renal morbidity and mortality. We show here that disruption of the murine cytochrome P450, family 4, subfamily a, polypeptide 10 (Cyp4a10) gene causes a type of hypertension that is, like most human hypertension, dietary salt sensitive. Cyp4a10-/- mice fed low-salt diets were normotensive but became hypertensive when fed normal or high-salt diets. Hypertensive Cyp4a10-/- mice had a dysfunctional kidney epithelial sodium channel and became normotensive when administered amiloride, a selective inhibitor of this sodium channel. These studies (a) establish a physiological role for the arachidonate monooxygenases in renal sodium reabsorption and blood pressure regulation, (b) demonstrate that a dysfunctional Cyp4a10 gene causes alterations in the gating activity of the kidney epithelial sodium channel, and (c) identify a conceptually novel approach for studies of the molecular basis of human hypertension. It is expected that these results could lead to new strategies for the early diagnosis and clinical management of this devastating disease.
Collapse
Affiliation(s)
- Kiyoshi Nakagawa
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Vijaykumar R. Holla
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Yuan Wei
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Wen-Hui Wang
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Arnaldo Gatica
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Shouzou Wei
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Shaojun Mei
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Crystal M. Miller
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Dae Ryong Cha
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Edward Price
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Roy Zent
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Ambra Pozzi
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Matthew D. Breyer
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Youfei Guan
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - John R. Falck
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Michael R. Waterman
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Jorge H. Capdevila
- Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Department of Pharmacology, New York Medical College, Valhalla, New York, USA.
Department of Biochemistry, Vanderbilt University, Nashville, Tennessee, USA.
Veterans Affairs Hospital, Nashville, Tennessee, USA.
Department of Biochemistry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| |
Collapse
|