PMID- 28604611 OWN - NLM STAT- MEDLINE DCOM- 20180402 LR - 20181202 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 18 IP - 6 DP - 2017 Jun 11 TI - Eplerenone-Resistant Salt-Sensitive Hypertension in Nedd4-2 C2 KO Mice. LID - 10.3390/ijms18061250 [doi] LID - 1250 AB - The epithelial sodium channel (ENaC) plays critical roles in maintaining fluid and electrolyte homeostasis and is located in the aldosterone-sensitive distal nephron (ASDN). We previously found that Nedd4-2 C2 knockout (KO) mice showed salt-sensitive hypertension with paradoxically enhanced ENaC gene expression in ASDN under high oral salt intake. Eplerenone (EPL), a selective aldosterone blocker, is a promising therapeutic option for resistant or/and salt-sensitive hypertension. We examined the effect of EPL on Nedd4-2 C2 KO mice with respect to blood pressure, metabolic parameters, and molecular level changes in ASDN under high oral salt intake. We found that EPL failed to reduce blood pressure in KO mice with high oral salt intake and upregulated ENaC expression in ASDN. Thus, salt-sensitive hypertension in Nedd4-2 C2 KO was EPL-resistant. Gene expression analyses of laser-captured specimens in ASDN suggested the presence of non-aldosterone-dependent activation of ENaC transcription in ASDN of Nedd4-2 C2 KO mice, which was abolished by amiloride treatment. Our results from Nedd4-2 C2 KO mice suggest that enhanced ENaC gene expression is critically involved in salt-sensitive hypertension under certain conditions of specific enzyme isoforms for their ubiquitination. FAU - Kino, Tabito AU - Kino T AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. kino-tabito@umin.ac.jp. FAU - Ishigami, Tomoaki AU - Ishigami T AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. tommmish@yokohama-cu.ac.jp. FAU - Murata, Tsumugi AU - Murata T AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. e123080g@yokohama-cu.ac.jp. FAU - Doi, Hiroshi AU - Doi H AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. t156052b@yokohama-cu.ac.jp. FAU - Nakashima-Sasaki, Rie AU - Nakashima-Sasaki R AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. musika0720@yahoo.co.jp. FAU - Chen, Lin AU - Chen L AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. mysterylin@foxmail.com. FAU - Sugiyama, Michiko AU - Sugiyama M AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. vn_nv2525smile@yahoo.co.jp. FAU - Azushima, Kengo AU - Azushima K AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. azushima@yokohama-cu.ac.jp. AD - Cardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore. azushima@yokohama-cu.ac.jp. FAU - Wakui, Hiromichi AU - Wakui H AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. hiro1234@yokohama-cu.ac.jp. FAU - Minegishi, Shintaro AU - Minegishi S AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. shintaro.minegish@gmail.com. FAU - Tamura, Kouichi AU - Tamura K AD - Department of Medical Science and Cardiorenal Medicine, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. tamukou@yokohama-cu.ac.jp. LA - eng PT - Journal Article DEP - 20170611 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Epithelial Sodium Channels) RN - 0 (Sodium Chloride, Dietary) RN - 27O7W4T232 (Spironolactone) RN - 6995V82D0B (Eplerenone) RN - EC 2.3.2.26 (Nedd4 Ubiquitin Protein Ligases) RN - EC 2.3.2.26 (Nedd4l protein, mouse) SB - IM MH - Animals MH - Blood Pressure/drug effects MH - Epithelial Sodium Channels/*drug effects/genetics MH - Eplerenone MH - Gene Expression Regulation MH - Gene Knockout Techniques MH - Hypertension/*drug therapy/metabolism MH - Male MH - Mice MH - Mice, Knockout MH - Nedd4 Ubiquitin Protein Ligases/*genetics MH - Sodium Chloride, Dietary/pharmacology MH - Spironolactone/*analogs & derivatives/pharmacology PMC - PMC5486073 OTO - NOTNLM OT - Nedd4-2 C2 OT - amiloride OT - eplerenone OT - hypertension OT - resistant hypertension OT - salt sensitivity COIS- The authors declare no conflict of interest. EDAT- 2017/06/13 06:00 MHDA- 2018/04/03 06:00 PMCR- 2017/06/01 CRDT- 2017/06/13 06:00 PHST- 2017/01/29 00:00 [received] PHST- 2017/05/29 00:00 [revised] PHST- 2017/06/07 00:00 [accepted] PHST- 2017/06/13 06:00 [entrez] PHST- 2017/06/13 06:00 [pubmed] PHST- 2018/04/03 06:00 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - ijms18061250 [pii] AID - ijms-18-01250 [pii] AID - 10.3390/ijms18061250 [doi] PST - epublish SO - Int J Mol Sci. 2017 Jun 11;18(6):1250. doi: 10.3390/ijms18061250.