PMID- 32852643 OWN - NLM STAT- MEDLINE DCOM- 20210311 LR - 20210513 IS - 1534-3111 (Electronic) IS - 1522-6417 (Print) IS - 1522-6417 (Linking) VI - 22 IP - 9 DP - 2020 Aug 27 TI - ENaC in Salt-Sensitive Hypertension: Kidney and Beyond. PG - 69 LID - 10.1007/s11906-020-01067-9 [doi] LID - 69 AB - PURPOSE OF REVIEW: The main goal of this article is to discuss the role of the epithelial sodium channel (ENaC) in extracellular fluid and blood pressure regulation. RECENT FINDINGS: Besides its role in sodium handling in the kidney, recent studies have found that ENaC expressed in other cells including immune cells can influence blood pressure via extra-renal mechanisms. Dendritic cells (DCs) are activated and contribute to salt-sensitive hypertension in an ENaC-dependent manner. We discuss recent studies on how ENaC is regulated in both the kidney and other sites including the vascular smooth muscles, endothelial cells, and immune cells. We also discuss how this extra-renal ENaC can play a role in salt-sensitive hypertension and its promise as a novel therapeutic target. The role of ENaC in blood pressure regulation in the kidney has been well studied. Recent human gene sequencing efforts have identified thousands of variants among the genes encoding ENaC, and research efforts to determine if these variants and their expression in extra-renal tissue play a role in hypertension will advance our understanding of the pathogenesis of ENaC-mediated cardiovascular disease and lead to novel therapeutic targets. FAU - Pitzer, Ashley L AU - Pitzer AL AD - Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, 2215 Garland Avenue, P415C Medical Research Building IV, Nashville, TN, 37232, USA. FAU - Van Beusecum, Justin P AU - Van Beusecum JP AD - Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, 2215 Garland Avenue, P415C Medical Research Building IV, Nashville, TN, 37232, USA. FAU - Kleyman, Thomas R AU - Kleyman TR AD - Departments of Medicine, Cell Biology, Pharmacology, and Chemical Biology, University of Pittsburgh, Pittsburgh, PA, USA. FAU - Kirabo, Annet AU - Kirabo A AD - Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, 2215 Garland Avenue, P415C Medical Research Building IV, Nashville, TN, 37232, USA. annet.kirabo@vanderbilt.edu. AD - Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, USA. annet.kirabo@vanderbilt.edu. LA - eng GR - P30 DK079307/DK/NIDDK NIH HHS/United States GR - F32 HL143927/HL/NHLBI NIH HHS/United States GR - R01 HL147818/HL/NHLBI NIH HHS/United States GR - F32 HL142237/HL/NHLBI NIH HHS/United States GR - T32 HL144446/HL/NHLBI NIH HHS/United States GR - K01 HL130497/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20200827 PL - United States TA - Curr Hypertens Rep JT - Current hypertension reports JID - 100888982 RN - 0 (Epithelial Sodium Channels) RN - 0 (Sodium Chloride, Dietary) SB - IM MH - Blood Pressure MH - Endothelial Cells/metabolism MH - Epithelial Sodium Channels MH - Humans MH - *Hypertension MH - Kidney/metabolism MH - Sodium Chloride, Dietary/adverse effects/metabolism PMC - PMC7452925 OTO - NOTNLM OT - ENaC OT - Hypertension OT - Inflammation OT - Sodium COIS- The authors declare no conflicts of interest relevant to this manuscript. EDAT- 2020/08/28 06:00 MHDA- 2021/03/12 06:00 PMCR- 2020/08/27 CRDT- 2020/08/28 06:00 PHST- 2020/08/28 06:00 [entrez] PHST- 2020/08/28 06:00 [pubmed] PHST- 2021/03/12 06:00 [medline] PHST- 2020/08/27 00:00 [pmc-release] AID - 10.1007/s11906-020-01067-9 [pii] AID - 1067 [pii] AID - 10.1007/s11906-020-01067-9 [doi] PST - epublish SO - Curr Hypertens Rep. 2020 Aug 27;22(9):69. doi: 10.1007/s11906-020-01067-9.