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Renal tubular NEDD4-2 deficiency causes NCC-mediated salt-dependent hypertension

Identifieur interne : 001923 ( Pmc/Corpus ); précédent : 001922; suivant : 001924

Renal tubular NEDD4-2 deficiency causes NCC-mediated salt-dependent hypertension

Auteurs : Caroline Ronzaud ; Dominique Loffing-Cueni ; Pierrette Hausel ; Anne Debonneville ; Sumedha Ram Malsure ; Nicole Fowler-Jaeger ; Natasha A. Boase ; Romain Perrier ; Marc Maillard ; Baoli Yang ; John B. Stokes ; Robert Koesters ; Sharad Kumar ; Edith Hummler ; Johannes Loffing ; Olivier Staub

Source :

RBID : PMC:3561795

Abstract

The E3 ubiquitin ligase NEDD4-2 (encoded by the Nedd4L gene) regulates the amiloride-sensitive epithelial Na+ channel (ENaC/SCNN1) to mediate Na+ homeostasis. Mutations in the human β/γENaC subunits that block NEDD4-2 binding or constitutive ablation of exons 6–8 of Nedd4L in mice both result in salt-sensitive hypertension and elevated ENaC activity (Liddle syndrome). To determine the role of renal tubular NEDD4-2 in adult mice, we generated tetracycline-inducible, nephron-specific Nedd4L KO mice. Under standard and high-Na+ diets, conditional KO mice displayed decreased plasma aldosterone but normal Na+/K+ balance. Under a high-Na+ diet, KO mice exhibited hypercalciuria and increased blood pressure, which were reversed by thiazide treatment. Protein expression of βENaC, γENaC, the renal outer medullary K+ channel (ROMK), and total and phosphorylated thiazide-sensitive Na+Cl cotransporter (NCC) levels were increased in KO kidneys. Unexpectedly, Scnn1a mRNA, which encodes the αENaC subunit, was reduced and proteolytic cleavage of αENaC decreased. Taken together, these results demonstrate that loss of NEDD4-2 in adult renal tubules causes a new form of mild, salt-sensitive hypertension without hyperkalemia that is characterized by upregulation of NCC, elevation of β/γENaC, but not αENaC, and a normal Na+/K+ balance maintained by downregulation of ENaC activity and upregulation of ROMK.


Url:
DOI: 10.1172/JCI61110
PubMed: 23348737
PubMed Central: 3561795

Links to Exploration step

PMC:3561795

Le document en format XML

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<name sortKey="Kumar, Sharad" sort="Kumar, Sharad" uniqKey="Kumar S" first="Sharad" last="Kumar">Sharad Kumar</name>
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<name sortKey="Hummler, Edith" sort="Hummler, Edith" uniqKey="Hummler E" first="Edith" last="Hummler">Edith Hummler</name>
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<name sortKey="Staub, Olivier" sort="Staub, Olivier" uniqKey="Staub O" first="Olivier" last="Staub">Olivier Staub</name>
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<title xml:lang="en" level="a" type="main">Renal tubular NEDD4-2 deficiency causes NCC-mediated salt-dependent hypertension</title>
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<name sortKey="Ronzaud, Caroline" sort="Ronzaud, Caroline" uniqKey="Ronzaud C" first="Caroline" last="Ronzaud">Caroline Ronzaud</name>
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<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
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<author>
<name sortKey="Loffing Cueni, Dominique" sort="Loffing Cueni, Dominique" uniqKey="Loffing Cueni D" first="Dominique" last="Loffing-Cueni">Dominique Loffing-Cueni</name>
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<nlm:aff id="JCI61110">Institute of Anatomy, University of Zurich, Zurich, Switzerland.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hausel, Pierrette" sort="Hausel, Pierrette" uniqKey="Hausel P" first="Pierrette" last="Hausel">Pierrette Hausel</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Debonneville, Anne" sort="Debonneville, Anne" uniqKey="Debonneville A" first="Anne" last="Debonneville">Anne Debonneville</name>
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<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Malsure, Sumedha Ram" sort="Malsure, Sumedha Ram" uniqKey="Malsure S" first="Sumedha Ram" last="Malsure">Sumedha Ram Malsure</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fowler Jaeger, Nicole" sort="Fowler Jaeger, Nicole" uniqKey="Fowler Jaeger N" first="Nicole" last="Fowler-Jaeger">Nicole Fowler-Jaeger</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Boase, Natasha A" sort="Boase, Natasha A" uniqKey="Boase N" first="Natasha A." last="Boase">Natasha A. Boase</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Hematology, Centre for Cancer Biology, Adelaide, Australia.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Perrier, Romain" sort="Perrier, Romain" uniqKey="Perrier R" first="Romain" last="Perrier">Romain Perrier</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Maillard, Marc" sort="Maillard, Marc" uniqKey="Maillard M" first="Marc" last="Maillard">Marc Maillard</name>
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<nlm:aff id="JCI61110">Nephrology Department, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.</nlm:aff>
</affiliation>
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<name sortKey="Yang, Baoli" sort="Yang, Baoli" uniqKey="Yang B" first="Baoli" last="Yang">Baoli Yang</name>
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<nlm:aff id="JCI61110">Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa, USA.</nlm:aff>
</affiliation>
</author>
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<name sortKey="Stokes, John B" sort="Stokes, John B" uniqKey="Stokes J" first="John B." last="Stokes">John B. Stokes</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Internal Medicine, University of Iowa, and VA Medical Center, Iowa City, Iowa, USA.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Koesters, Robert" sort="Koesters, Robert" uniqKey="Koesters R" first="Robert" last="Koesters">Robert Koesters</name>
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<nlm:aff id="JCI61110">INSERM UMRS 702, UPMC, Tenon Hospital, Paris, France.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kumar, Sharad" sort="Kumar, Sharad" uniqKey="Kumar S" first="Sharad" last="Kumar">Sharad Kumar</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Hematology, Centre for Cancer Biology, Adelaide, Australia.</nlm:aff>
</affiliation>
</author>
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<name sortKey="Hummler, Edith" sort="Hummler, Edith" uniqKey="Hummler E" first="Edith" last="Hummler">Edith Hummler</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
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<author>
<name sortKey="Loffing, Johannes" sort="Loffing, Johannes" uniqKey="Loffing J" first="Johannes" last="Loffing">Johannes Loffing</name>
<affiliation>
<nlm:aff id="JCI61110">Institute of Anatomy, University of Zurich, Zurich, Switzerland.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Staub, Olivier" sort="Staub, Olivier" uniqKey="Staub O" first="Olivier" last="Staub">Olivier Staub</name>
<affiliation>
<nlm:aff id="JCI61110">Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The Journal of Clinical Investigation</title>
<idno type="ISSN">0021-9738</idno>
<idno type="eISSN">1558-8238</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<p>The E3 ubiquitin ligase NEDD4-2 (encoded by the
<italic>Nedd4L</italic>
gene) regulates the amiloride-sensitive epithelial Na
<sup>+</sup>
channel (ENaC/SCNN1) to mediate Na
<sup>+</sup>
homeostasis. Mutations in the human β/γENaC subunits that block NEDD4-2 binding or constitutive ablation of exons 6–8 of
<italic>Nedd4L</italic>
in mice both result in salt-sensitive hypertension and elevated ENaC activity (Liddle syndrome). To determine the role of renal tubular NEDD4-2 in adult mice, we generated tetracycline-inducible, nephron-specific
<italic>Nedd4L</italic>
KO mice. Under standard and high-Na
<sup>+</sup>
diets, conditional KO mice displayed decreased plasma aldosterone but normal Na
<sup>+</sup>
/K
<sup>+</sup>
balance. Under a high-Na
<sup>+</sup>
diet, KO mice exhibited hypercalciuria and increased blood pressure, which were reversed by thiazide treatment. Protein expression of βENaC, γENaC, the renal outer medullary K
<sup>+</sup>
channel (ROMK), and total and phosphorylated thiazide-sensitive Na
<sup>+</sup>
Cl
<sup></sup>
cotransporter (NCC) levels were increased in KO kidneys. Unexpectedly,
<italic>Scnn1a</italic>
mRNA, which encodes the αENaC subunit, was reduced and proteolytic cleavage of αENaC decreased. Taken together, these results demonstrate that loss of NEDD4-2 in adult renal tubules causes a new form of mild, salt-sensitive hypertension without hyperkalemia that is characterized by upregulation of NCC, elevation of β/γENaC, but not αENaC, and a normal Na
<sup>+</sup>
/K
<sup>+</sup>
balance maintained by downregulation of ENaC activity and upregulation of ROMK. </p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Clin Invest</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Clin. Invest</journal-id>
<journal-id journal-id-type="publisher-id">J CLIN INVEST</journal-id>
<journal-title-group>
<journal-title>The Journal of Clinical Investigation</journal-title>
</journal-title-group>
<issn pub-type="ppub">0021-9738</issn>
<issn pub-type="epub">1558-8238</issn>
<publisher>
<publisher-name>American Society for Clinical Investigation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23348737</article-id>
<article-id pub-id-type="pmc">3561795</article-id>
<article-id pub-id-type="publisher-id">61110</article-id>
<article-id pub-id-type="doi">10.1172/JCI61110</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Renal tubular NEDD4-2 deficiency causes NCC-mediated salt-dependent hypertension</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ronzaud</surname>
<given-names>Caroline</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Loffing-Cueni</surname>
<given-names>Dominique</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hausel</surname>
<given-names>Pierrette</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Debonneville</surname>
<given-names>Anne</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Malsure</surname>
<given-names>Sumedha Ram</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fowler-Jaeger</surname>
<given-names>Nicole</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Boase</surname>
<given-names>Natasha A.</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Perrier</surname>
<given-names>Romain</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maillard</surname>
<given-names>Marc</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Baoli</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stokes</surname>
<given-names>John B.</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Koesters</surname>
<given-names>Robert</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kumar</surname>
<given-names>Sharad</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hummler</surname>
<given-names>Edith</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Loffing</surname>
<given-names>Johannes</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Staub</surname>
<given-names>Olivier</given-names>
</name>
<xref ref-type="aff" rid="JCI61110">1</xref>
</contrib>
</contrib-group>
<aff id="JCI61110">
<label>1</label>
Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.
<label>2</label>
Institute of Anatomy, University of Zurich, Zurich, Switzerland.
<label>3</label>
Department of Hematology, Centre for Cancer Biology, Adelaide, Australia.
<label>4</label>
Nephrology Department, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
<label>5</label>
Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa, USA.
<label>6</label>
Department of Internal Medicine, University of Iowa, and VA Medical Center, Iowa City, Iowa, USA.
<label>7</label>
INSERM UMRS 702, UPMC, Tenon Hospital, Paris, France.</aff>
<author-notes>
<corresp>Address correspondence to: Oliver Staub, Department of Pharmacology and Toxicology, University of Lausanne, Rue du Bugnon 27, 1005 Lausanne, Switzerland. Phone: 41.21.692.5407; Fax: 41.21.692.5355; E-mail:
<email>olivier.staub@unil.ch</email>
. Or to: Johannes Loffing, Institute of Anatomy, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland. Phone: 41.44.635.5320; Fax: 41.44.635.5702; E-mail:
<email>johannes.loffing@anatom.uzh.ch</email>
. </corresp>
<fn>
<p>
<bold>Authorship note:</bold>
Johannes Loffing and Olivier Staub contributed equally to this work. John B. Stokes is deceased. </p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>1</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub">
<day>1</day>
<month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>25</day>
<month>1</month>
<year>2013</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>123</volume>
<issue>2</issue>
<fpage>657</fpage>
<lpage>665</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>8</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>11</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013, American Society for Clinical Investigation</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<abstract>
<p>The E3 ubiquitin ligase NEDD4-2 (encoded by the
<italic>Nedd4L</italic>
gene) regulates the amiloride-sensitive epithelial Na
<sup>+</sup>
channel (ENaC/SCNN1) to mediate Na
<sup>+</sup>
homeostasis. Mutations in the human β/γENaC subunits that block NEDD4-2 binding or constitutive ablation of exons 6–8 of
<italic>Nedd4L</italic>
in mice both result in salt-sensitive hypertension and elevated ENaC activity (Liddle syndrome). To determine the role of renal tubular NEDD4-2 in adult mice, we generated tetracycline-inducible, nephron-specific
<italic>Nedd4L</italic>
KO mice. Under standard and high-Na
<sup>+</sup>
diets, conditional KO mice displayed decreased plasma aldosterone but normal Na
<sup>+</sup>
/K
<sup>+</sup>
balance. Under a high-Na
<sup>+</sup>
diet, KO mice exhibited hypercalciuria and increased blood pressure, which were reversed by thiazide treatment. Protein expression of βENaC, γENaC, the renal outer medullary K
<sup>+</sup>
channel (ROMK), and total and phosphorylated thiazide-sensitive Na
<sup>+</sup>
Cl
<sup></sup>
cotransporter (NCC) levels were increased in KO kidneys. Unexpectedly,
<italic>Scnn1a</italic>
mRNA, which encodes the αENaC subunit, was reduced and proteolytic cleavage of αENaC decreased. Taken together, these results demonstrate that loss of NEDD4-2 in adult renal tubules causes a new form of mild, salt-sensitive hypertension without hyperkalemia that is characterized by upregulation of NCC, elevation of β/γENaC, but not αENaC, and a normal Na
<sup>+</sup>
/K
<sup>+</sup>
balance maintained by downregulation of ENaC activity and upregulation of ROMK. </p>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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