Enhanced expression of epithelial sodium channels causes salt‐induced hypertension in mice through inhibition of the α2‐isoform of Na+, K+‐ATPase. Issue 5 (19th May 2015)

• Record Type: Journal Article
• Authors: Leenen, Frans H. H.; Hou, Xiaohong; Wang, Hong‐Wei; Ahmad, Monir
• Is Part Of: Physiological reports. Volume 3:Issue 5(2015:May)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2015-05-19
• Subjects: Angiotensin II -- brain -- endogenous ouabain -- Liddle syndrome; Physiology -- Periodicals; 571
• DOI: 10.14814/phy2.12383
• Languages: English
• ISSNs: 2051-817X

Abstract

Abstract: Knockout of the Nedd4‐2 gene in mice results in overexpression of epithelial sodium channels (ENaC) on the plasma membrane in the kidney, choroid plexus and brain nuclei. These mice exhibit enhanced pressor responses to CSF [Na + ] as well as dietary salt‐induced hypertension which both can be blocked by central infusion of the ENaC blocker benzamil. Functional studies suggest that ENaC activation in the CNS results in release of endogenous ouabain (EO) and inhibition of the α 2 ‐isoform of Na +, K + ‐ATPase. To test this concept more specifically, we studied Nedd4‐2 −/− mice expressing the ouabain‐resistant α 2 R / R ‐isoform of Na +, K + ‐ATPase. Intracerebroventricular (icv) infusion of Na + ‐rich aCSF (225 mmol/L Na + at 0.4 μ L/min) increased MAP by 10–15 mmHg in wild‐type mice and by 25–30 mmHg in Nedd4‐2 −/− mice, but by only ~5 mmHg in α 2 R / R and in α 2 R / R /Nedd4‐2 −/− mice. Icv infusion of EO‐binding Fab fragments also blocked the BP response in Nedd4‐2 −/− mice. In Nedd4‐2 −/− mice, 8% high‐salt diet increased MAP by 25–30 mmHg, but in α 2 R / R /Nedd4‐2 −/− mice, it increased by only 5–10 mmHg. In contrast, Nedd4‐2 −/− or α 2 R / R did not affect the hypertension caused by sc infusion of Ang II. These findings substantiate the concept that enhanced ENaC activity causes salt‐induced pressor responses mainly through EO inhibiting the α 2 ‐isoform of Na +, K + ‐ATPase in the brain. Abstract : Knockout of Nedd4‐2 causes markedly larger pressor responses to CSF [Na + ] which can be prevented by blockade of endogenous ouabain (EO) in the CNS or the presence of the ouabain‐resistant α2 ‐isoform of Na +, K + ‐ATPase. Nedd4‐2 knockout mice also develop hypertension on high‐salt diet, which is largely absent in mice expressing the ouabain‐resistant α2 ‐isoform. In the CNS, the α2 ‐isoform is mainly present in glia, pointing to a new pathway – ENaC–EO–α2 ‐isoform signaling in glia – for salt‐induced activation of central pathways.