Recently, two forms or genetic hyperrension in humans have been described,
both of which display salt sensitivity. These genetic defects involve a)
overproduction of aldosterone and b) an abnormal epithelial Na channel.
The complete understanding of how and why these genetic abnormalities
produce hypertension is just beginning. It is likely that animal models
will assist in the unraveling of the genetic determinants of salt
sensitive hypertension. The most widely studied animal model is the Dahl
SS/Jr rat; its relative, the Dahl SR/Jr rat does not develop hypertension
eating a high salt diet. We have obtained preliminary data indicating that
the inner medullary collecting duct cells of prehypertensive Dahl S rats,
when cultured on filters, absorb twice as much Na as inner medullary
collecting duct cells cultured from Dahl R rats. Aldosterone stimulates Na
transport by both the S and R monolayers, but the stimulation is greater
in S monolayers. This observation is consistent with the idea that an
(inappropriately) elevated rate of Na absorption by S kidneys plays a
crucial role in the development of hypertension. The analysis of the ion
transport systems of these cells indicates that the higher rate of Na
transport by S monolayers is largely due to the greater rate of Na entry
into the cell across the luminal (apical) membrane. The molecular pathway
involved is a Na channel, probably the same as has been discovered to be
defective in one of the genetic forms of human hypertension (Liddle~s
Syndrome). This Na channel can be regulated by aidosterone and other
adrenocortical steroids. The proposed work will examine the hypothesis
that genetic differences between the Dahl S and R rats are responsible for
the differences in Na channel function. Three specific aspects of this
general hypothesis will be addressed. First, we will determine if any of
the 3 genes encoding the subunits of the Na channel cosegregate with
hypertension in F2 populations. Second, we will determine the extent to
which the mRNA for the 3 subunits is regulated by adrenal steroids. At the
same time we will determine to what extent steroid - hormone regulation of
these subunits differs between the S and R strains. Third, we will study
certain aspects of Na transport in a newly developed congenic rat strain.
This strain has the 11 beta-hydroxylase gene from the R rat superimposed
on the S rat genetic background. Using this model, we will be able to
address important aspects of the mechanism whereby (genetically) abnormal
steroid production contributes to enhanced Na transport and to the
pathogenesis of hypertension. The results of these experiments will
provide important information regarding the genetic mechanisms
contributing to elevated rates of Na transport by the kidney and insights
as to the mechanisms whereby these abnormalities contribute to
hypertension.
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