SPAK deficiency corrects pseudohypoaldosteronism II caused by WNK4 mutation.

SPAK deficiency corrects pseudohypoaldosteronism II caused by WNK4 mutation.
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DOI:
10.1371/journal.pone.0072969
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Lin SH
Lin SH
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Chu PY;Cheng CJ;Wu YC;Fang YW;Chau T;Uchida S;Sasaki S;Yang SS;Lin SH

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OSR 1(氧化应激反应激酶-1)/SPAK [STE 20(无菌20)/SPS 1相关脯氨酸/富含丙氨酸激酶]-NCC(Na+-Cl−协同转运蛋白)信号级联的刺激在WNK [无赖氨酸(K)]激酶4 D561 A敲入小鼠II型假性醛固酮减少症(PHA II)模型中起重要作用,该模型以盐敏感性高血压和高钾血症为特征。本研究的目的是探讨Osr 1和Spak在体内PHA II发病机制中各自的作用。将Wnk 4 D561 A/+小鼠与肾小管特异性(KSP)Osr 1敲除(KSP-Osr 1-/-)和Spak敲除(Spak-/-)小鼠杂交。检测血压、血浆和尿液生化以及肾脏中相关蛋白的表达。Wnk 4 D561 A/+、KSP-Osr 1 −/−和Spak −/−小鼠分别重现了PHA II、Bartter样综合征和Gitelman综合征的表型。Wnk 4 D561 A/+. KSP-Osr 1 −/−保持PHA II表型,而Wnk 4 D561 A/+.Spak −/−小鼠血压正常,缺乏PHA II表型。在Wnk 4 D561 A/+和Wnk 4 D561 A/+. KSP-Osr 1 −/−小鼠中,磷酸化Spak和Ncc类似地增加,而在Wnk 4 D561 A/+.Spak −/−小鼠中,磷酸化Ncc正常化。此外,Wnk 4 D561 A/+. KSP-Osr 1 −/−小鼠对噻嗪类利尿剂的反应表现出过度的盐排泄,而Wnk 4 D561 A/+.Spak −/−小鼠则表现出正常反应。Wnk 4D 561 A/+.Spak −/−. KSP-Osr 1 −/−三重突变小鼠血压低,磷酸化Ncc减少。SPAK和OSR 1在维持血压中都很重要,但SPAK-NCC的激活在PHA II中起主导作用。SPAK可能是与WNK 4激活相关的盐敏感性高血压疾病的治疗靶点。
Stimulation of the OSR1 (Oxidative stress-responsive kinase-1)/SPAK [STE20 (sterile 20)/SPS1-related proline/alanine-rich kinase]-NCC (Na+-Cl− cotransporter) signaling cascade plays an important role in the WNK [With-No-Lysine (K)] kinase 4 D561A knock-in mouse model of pseudohypoaldosteronism type II (PHA II) characterized by salt-sensitive hypertension and hyperkalemia. The aim of this study was to investigate the respective roles of Osr1 and Spak in the pathogenesis of PHA II in vivo. Wnk4 D561A/+ mice were crossed with kidney tubule-specific (KSP) Osr1 knockout (KSP-Osr1 −/−) and Spak knockout (Spak −/−) mice. Blood pressure, plasma and urine biochemistries, and the relevant protein expression in the kidneys were examined. Wnk4 D561A/+, KSP-Osr1 −/−, and Spak −/− mice recapitulated the phenotypes of PHA II, Bartter-like syndrome, and Gitelman syndrome, respectively. Wnk4 D561A/+.KSP-Osr1 −/− remained phenotypically PHA II while Wnk4 D561A/+.Spak −/− mice became normotensive and lacked the PHA II phenotype. Phosphorylated Spak and Ncc were similarly increased in both Wnk4 D561A/+ and Wnk4 D561A/+.KSP-Osr1 −/− mice while phosphorylated Ncc normalized in Wnk4 D561A/+.Spak −/− mice. Furthermore, Wnk4 D561A/+.KSP-Osr1 −/− mice exhibited exaggerated salt excretion in response to thiazide diuretics while Wnk4 D561A/+.Spak −/− mice exhibited normal responses. Wnk4D561A/+.Spak −/−.KSP-Osr1 −/− triple mutant mice had low blood pressure and diminished phosphorylated Ncc. Both SPAK and OSR1 are important in the maintenance of blood pressure but activation of SPAK-NCC plays the dominant role in PHA II. SPAK may be a therapeutic target for disorders with salt-sensitive hypertension related to WNK4 activation.
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