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NCC和ENaC对血压和肾功能的调节:来自基因工程小鼠的启示。

Regulation of blood pressure and renal function by NCC and ENaC: lessons from genetically engineered mice.

作者信息

Verouti Sophia N, Boscardin Emilie, Hummler Edith, Frateschi Simona

机构信息

Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.

Department of Pharmacology and Toxicology, University of Lausanne, Lausanne, Switzerland.

出版信息

Curr Opin Pharmacol. 2015 Apr;21:60-72. doi: 10.1016/j.coph.2014.12.012. Epub 2015 Jan 20.

Abstract

The activity of the thiazide-sensitive Na(+)/Cl(-) cotransporter (NCC) and of the amiloride-sensitive epithelial Na(+) channel (ENaC) is pivotal for blood pressure regulation. NCC is responsible for Na(+) reabsorption in the distal convoluted tubule (DCT) of the nephron, while ENaC reabsorbs the filtered Na(+) in the late DCT and in the cortical collecting ducts (CCD) providing the final renal adjustment to Na(+) balance. Here, we aim to highlight the recent advances made using transgenic mouse models towards the understanding of the regulation of NCC and ENaC function relevant to the control of sodium balance and blood pressure. We thus like to pave the way for common mechanisms regulating these two sodium-transporting proteins and their potential implication in structural remodeling of the nephron segments and Na(+) and Cl(-) reabsorption.

摘要

噻嗪类敏感的Na(+)/Cl(-)共转运体(NCC)和阿米洛利敏感的上皮Na(+)通道(ENaC)的活性对血压调节至关重要。NCC负责肾单位远曲小管(DCT)中的Na(+)重吸收,而ENaC在DCT晚期和皮质集合管(CCD)中重吸收滤过的Na(+),对Na(+)平衡进行最终的肾脏调节。在此,我们旨在强调利用转基因小鼠模型在理解与钠平衡和血压控制相关的NCC和ENaC功能调节方面取得的最新进展。因此,我们希望为调节这两种钠转运蛋白的共同机制及其在肾单位节段结构重塑以及Na(+)和Cl(-)重吸收中的潜在影响铺平道路。

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