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April 11, 2000Proceedings of the National Academy of SciencesOpen Access

A genetic model defines the importance of the atrial natriuretic peptide receptor (guanylyl cyclase-A) in the regulation of kidney function

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Key result

Infusion of physiological saline containing 4% BSA resulted in marked natriuresis and diuresis in wild-type mice but no response in GC-A null mice.

Population

Wild-type and guanylyl cyclase-A (GC-A) null mice

Comparison

Volume expansion with physiological saline… vs Comparison between wild-type and GC-A null mice

Design

Preclinical

Authors

SDSusan K. DuboisThe University of Texas at AustinIKIchiro KishimotoKansai Medical UniversityTLTerence O. LillisWest Virginia University

Discussion

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Implication

GC-A mediates volume-expansion natriuresis in mice; hypothesis-generating for human sodium handling and volume disorders.

Structured PICO

P
Population
Wild-type and GC-A null mice evaluated for kidney response to various sodium and volume challenges.
E
Exposure
Volume expansion with physiological saline containing 4% BSA (i.v.), physiological saline (gavage), 0.9% saline (intraperitoneal), or 0.9% NaCl lacking protein (i.v.); standard (0.7% NaCl) or high-salt (8% NaCl) diet
C
Comparator
Comparison between wild-type and GC-A null mice
O
Outcome
Kidney response (natriuresis/diuresis, sodium/water excretion)surrogate

The ANP receptor GC-A is critical for regulating sodium and water excretion during volume expansion where isooncotic pressure remains constant, but dispensable for dietary sodium changes.

Cite This Study

Dubois et al. (2000) studied Salt-resistant hypertension / kidney function regulation. GC-A gene disruption vs. Wild-type mice was evaluated on Natriuresis/diuresis in response to physiological saline containing 4% BSA. Infusion of physiological saline containing 4% BSA resulted in marked natriuresis and diuresis in wild-type mice but no response in GC-A null mice.

synapsesocial.com/papers/6a219bbb153b2036cbf1e500https://doi.org/10.1073/pnas.97.8.4369
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Relationship Between Left Ventricular Geometry and Natriuretic Peptide Levels in Essential Hypertension1996 · 261 citations
  2. 2The Molecular Basis of Hypertension1999 · 79 citations
  3. 3The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure1997 · 3,804 citations
  4. 4The relationship between peritubular capillary protein concentration and fluid reabsorption by the renal proximal tubule1969 · 293 citations