Key result
SPAK knock-in blunts AngII-induced hypertension by ~24 mmHg, linked to absent NCC phosphorylation.
Why the study?
The role of the WNK/SPAK signaling pathway in mediating angiotensin II-induced hypertension and its distinction from aldosterone-induced hypertension was unclear.
Does disruption of the WNK-SPAK pathway reduce hypertension induced by angiotensin II or aldosterone in mice?
Does disruption of the WNK-SPAK pathway reduce hypertension induced by angiotensin II or aldosterone in mice?
Absolute Event Rate: 147% vs 171%
p-value: p=<0.05
Disruption of the WNK-SPAK pathway attenuates angiotensin II-induced hypertension but enhances aldosterone-induced hypertension, highlighting distinct mechanisms of salt retention in the distal nephron.
SPAK disruption attenuates AngII hypertension in mice; leaves open aldosterone interactions and clinical translation.
OBJECTIVE: The hypertensive effect of angiotensin II (AngII), a peptide hormone, is dependent on its intrarenal actions and the activation of the renal Na-Cl cotransporter (NCC), by AngII requires integrity of the with no lysine kinase/STE20-proline alanine-rich kinase (WNK/SPAK) signaling pathway. Here, we analyzed if the integrity of the WNK/SPAK pathway is required for AngII infusion to induce arterial hypertension. METHODS: We tested the effect of AngII or aldosterone administration on the blood pressure and on pNCC/NCC ratio in SPAK knock-in mice in which the kinase and thus NCC cannot be activated by WNK kinases. AngII or aldosterone was infused at 1440 or 700 μg/kg per day, respectively, for 14 days using osmotic minipumps. The aldosterone-treated mice were exposed to NaCl drinking water (1%) during the hormone administration. The arterial blood pressure was assessed using radiotelemetry. RESULTS: We observed that in the SPAK knock-in mice, the AngII-induced hypertensive effect was significantly reduced and associated with an absence of AngII-induced NCC phosphorylation. In contrast, the hypertensive effect of aldosterone was enhanced and was related with an increased response to amiloride, but not to thiazide-type diuretics, without a significant increase in NCC phosphorylation. CONCLUSION: Our data suggest that AngII-induced hypertension requires, at least partly, NCC activation via the WNK/SPAK signaling pathway, whereas aldosterone-induced hypertension depends on epithelial sodium channel activation in a WNK/SPAK-independent manner. SPAK knock-in mice emerge as a useful model to distinguish between the effects of AngII and aldosterone on distal nephrons.
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Cervantes-Pérez et al. (2017) studied Angiotensin II-induced hypertension. Angiotensin II infusion vs. Wild-type mice was evaluated on Systolic blood pressure after 14 days of AngII infusion (p=<0.05). In SPAK knock-in mice, the AngII-induced hypertensive effect was significantly reduced compared to wild-type mice (SBP 147 vs 171 mmHg) and was associated with an absence of AngII-induced NCC phosphorylation.
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