Functional in vivo effects of an ENaC Na+ self inhibition-enhancing mutation

Background: Epithelial Na + channel (ENaC)-mediated Na + reabsorption in the distal nephron is a critical regulator of extracellular fluid volume and K + homeostasis. Physiologic concentrations of extracellular Na + reduce channel activity (open probability; P O ) via an allosteric mechanism termed “Na + self-inhibition,” which involves Na + ions binding to specific sites in the channel’s extracellular domains. Recent studies have identified human ENaC mutations that alter the Na + self-inhibition response when assayed in vitro. Such mutations may confer sensitivity or resistance to salt-induced blood pressure changes. Using CRISPR-Cas9 technology, we generated mice carrying a mutation previously shown to enhance Na + self-inhibition (αH282R) to assess the effects on ENaC-dependent Na + transport in vivo. We predicted that ENaC activity would be reduced in these mice, leading to enhanced sensitivity to Na + deprivation or K + loading, along with accompanying compensatory changes to overcome the predicted loss of function. Methods: We measured urinary electrolyte handling in wild type (WT) and αH282R mice maintained on normal, low Na + , or high K + diets using metabolic cages. We assessed ENaC activity ex vivo using patch clamp and Ussing chamber methods. We also measured blood chemistry and aldosterone levels in WT and αH282R mice under the dietary conditions described above. Results: When maintained on a normal chow diet (0.3% NaCl), αH2832R mice expressed ENaCs in the distal nephron with reduced P O compared to WT littermates (0.026 vs. 0.067; p<0.01), while ENaC subunit protein expression was unaltered. Amiloride-sensitive short-circuit currents were reduced in the distal colons of αH283R mice versus WT littermates (-12.6 vs. -3.9 μA/cm 2 ; p<0.01). Plasma aldosterone levels were also higher in αH283R versus WT mice on a control diet (610 vs 288 pg/mL; p=0.02), while no other differences in baseline blood chemistry were observed. When challenged with either dietary Na + restriction (<0.01% NaCl) or K + loading (10% KCl), WT and αH283R mice responded similarly in terms of body weight maintenance, urinary Na + and K + excretion, and systemic electrolyte and metabolic parameters, with the exception of higher aldosterone levels in Na + -restricted αH282R mice compared to WT littermates (2,759 vs. 1271 pg/mL; p<0.01). Conclusions: The αH282R mutation, which enhances Na + self-inhibition, confers reduced ENaC activity in mice. However, this loss of function may be compensated by ENaC-independent Na + /K + handling mechanisms and/or increased aldosterone signaling during adaptation to dietary salt stressors. P30DK079307, T32DK061296. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.