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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2018 ; 13
(4
): e0189464
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gab.com Text
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English Wikipedia
Sodium bicarbonate cotransporter NBCe2 gene variants increase sodium and
bicarbonate transport in human renal proximal tubule cells
#MMPMID29642240
Gildea JJ
; Xu P
; Kemp BA
; Carlson JM
; Tran HT
; Bigler Wang D
; Langouët-Astrié CJ
; McGrath HE
; Carey RM
; Jose PA
; Felder RA
PLoS One
2018[]; 13
(4
): e0189464
PMID29642240
show ga
RATIONALE: Salt sensitivity of blood pressure affects >30% of the hypertensive
and >15% of the normotensive population. Variants of the electrogenic sodium
bicarbonate cotransporter NBCe2 gene, SLC4A5, are associated with increased blood
pressure in several ethnic groups. SLC4A5 variants are also highly associated
with salt sensitivity, independent of hypertension. However, little is known
about how NBCe2 contributes to salt sensitivity, although NBCe2 regulates renal
tubular sodium bicarbonate transport. We hypothesized that SLC4A5 rs10177833 and
rs7571842 increase NBCe2 expression and human renal proximal tubule cell (hRPTC)
sodium transport and may be a cause of salt sensitivity of blood pressure.
OBJECTIVE: To characterize the hRPTC ion transport of wild-type (WT) and
homozygous variants (HV) of SLC4A5. METHODS AND RESULTS: The expressions of NBCe2
mRNA and protein were not different between hRPTCs carrying WT or HV SLC4A5
before or after dopaminergic or angiotensin (II and III) stimulation. However,
luminal to basolateral sodium transport, NHE3 protein, and Cl-/HCO3- exchanger
activity in hRPTCs were higher in HV than WT SLC4A5. Increasing intracellular
sodium enhanced the apical location of NBCe2 in HV hRPTCs (4.24±0.35% to
11.06±1.72% (P<0.05, N = 3, 2-way ANOVA, Holm-Sidak test)) as determined by Total
Internal Reflection Fluorescence Microscopy (TIRFM). In hRPTCs isolated from
kidney tissue, increasing intracellular sodium enhanced bicarbonate-dependent pH
recovery rate and increased NBCe2 mRNA and protein expressions to a greater
extent in HV than WT SLC4A5 (+38.00±6.23% vs HV normal salt (P<0.01, N = 4, 2-way
ANOVA, Holm-Sidak test)). In hRPTCs isolated from freshly voided urine,
bicarbonate-dependent pH recovery was also faster in those from salt-sensitive
and carriers of HV SLC4A5 than from salt-resistant and carriers of WT SLC4A5. The
faster NBCe2-specific bicarbonate-dependent pH recovery rate in HV SCL4A5 was
normalized by SLC4A5- but not SLC4A4-shRNA. The binding of purified hepatocyte
nuclear factor type 4A (HNF4A) to DNA was increased in hRPTCs carrying HV SLC4A5
rs7571842 but not rs10177833. The faster NBCe2-specific bicarbonate-dependent pH
recovery rate in HV SCL4A5 was abolished by HNF4A antagonists. CONCLUSION: NBCe2
activity is stimulated by an increase in intracellular sodium and is
hyper-responsive in hRPTCs carrying HV SLC4A5 rs7571842 through an aberrant
HNF4A-mediated mechanism.