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在小鼠中,Na(+)-K(+)-2Cl(-)协同转运蛋白 NKCC2 的突变与严重多尿和尿素选择性浓缩缺陷有关,但无高肾素血症。

Mutation of the Na(+)-K(+)-2Cl(-) cotransporter NKCC2 in mice is associated with severe polyuria and a urea-selective concentrating defect without hyperreninemia.

机构信息

Molecular Animal Breeding and Biotechnology, and Laboratory for Functional Genome Analysis (LAFUGA), Gene Center, LMU Munich, Munich, Germany.

出版信息

Am J Physiol Renal Physiol. 2010 Jun;298(6):F1405-15. doi: 10.1152/ajprenal.00522.2009. Epub 2010 Mar 10.

Abstract

The bumetanide-sensitive Na(+)-K(+)-2Cl(-) cotransporter NKCC2, located in the thick ascending limb of Henle's loop, plays a critical role in the kidney's ability to concentrate urine. In humans, loss-of-function mutations of the solute carrier family 12 member 1 gene (SLC12A1), coding for NKCC2, cause type I Bartter syndrome, which is characterized by prenatal onset of a severe polyuria, salt-wasting tubulopathy, and hyperreninemia. In this study, we describe a novel chemically induced, recessive mutant mouse line termed Slc12a1(I299F) exhibiting late-onset manifestation of type I Bartter syndrome. Homozygous mutant mice are viable and exhibit severe polyuria, metabolic alkalosis, marked increase in plasma urea but close to normal creatininemia, hypermagnesemia, hyperprostaglandinuria, hypotension,, and osteopenia. Fractional excretion of urea is markedly decreased. In addition, calcium and magnesium excretions are more than doubled compared with wild-type mice, while uric acid excretion is twofold lower. In contrast to hyperreninemia present in human disease, plasma renin concentration in homozygotes is not increased. The polyuria observed in homozygotes may be due to the combination of two additive factors, a decrease in activity of mutant NKCC2 and an increase in medullary blood flow, due to prostaglandin-induced vasodilation, that impairs countercurrent exchange of urea in the medulla. In conclusion, this novel viable mouse line with a missense Slc12a1 mutation exhibits most of the features of type I Bartter syndrome and may represent a new model for the study of this human disease.

摘要

布美他尼敏感的 Na(+)-K(+)-2Cl(-) 协同转运蛋白 NKCC2 位于 Henle 袢升支粗段,在肾脏浓缩尿液的能力中发挥着关键作用。在人类中,溶质载体家族 12 成员 1 基因(SLC12A1)编码 NKCC2 的功能丧失突变导致 I 型巴特综合征,其特征是产前出现严重的多尿、失盐性肾小管病和高肾素血症。在这项研究中,我们描述了一种新型的化学诱导隐性突变小鼠品系,称为 Slc12a1(I299F),表现出 I 型巴特综合征的迟发性表现。纯合突变小鼠具有活力,表现出严重的多尿、代谢性碱中毒、血浆尿素显著增加但接近正常的肌酸酐血症、高镁血症、高前列腺素尿、低血压、骨质疏松症。尿素的分数排泄明显减少。此外,与野生型小鼠相比,钙和镁的排泄增加了两倍以上,而尿酸的排泄则降低了一倍。与人类疾病中存在的高肾素血症相反,纯合子的血浆肾素浓度没有增加。纯合子中观察到的多尿可能是由于两个附加因素的结合,即突变 NKCC2 活性降低和由于前列腺素诱导的血管舒张导致的髓质血流量增加,这损害了髓质中尿素的逆流交换。总之,这种新型的具有错义 Slc12a1 突变的可存活小鼠品系表现出 I 型巴特综合征的大多数特征,可能代表研究这种人类疾病的新模型。

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