Kidney and Metabolic Bone Diseases Vol.26 No.3(6)

Theme Regulation, disease states and drug targets of kidney tubular transporters -- Topics
Title Sodium transport and hypertension
Publish Date 2013/08
Author Yuichi Inoue Department of Nephrology, Tokyo Medical and Dental University
Author Shinichi Uchida Department of Nephrology, Tokyo Medical and Dental University
[ Summary ] Increased Na-Cl absorption in the kidneys causes hypertension. Pseudohypoaldosteronism type 2 and Liddle's syndrome are hereditary hypertensive diseases characterized by increased Na-Cl reabsorption in the kidneys. Activation of the WNK-OSR1/SPAK-NCC cascade has been identified as the cause of hypertension in association with PHA II. This cascade is regulated by aldosterone and insulin. Impaired Nedd4-2 mediated ENac ubiquitination is identified as the cause of hypertension in Liddle's syndrome. This WNK-OSR 1/SPAK-NCC cascade is a potential target for anti-hypertensive drugs.
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