Polymorphism Disrupts Immune Signaling and Creates Renal Injury in Hypertension.

Background Spontaneously hypertensive rats of the stroke-prone line (SHR-A3) develop hypertensive renal disease as a result of naturally occurring genetic variation. Our prior work identified a single-nucleotide polymorphism unique to SHR-A3 that results in truncation of the carboxy terminus of STIM1. The SHR-B2 line, which is also hypertensive but resists hypertensive renal injury, expresses the wild-type STIM1. STIM1 plays a central role in lymphocyte calcium signaling that directs immune effector responses. Here we show that major defects in lymphocyte function affecting calcium signaling, nuclear factor of activated T cells activation, cytokine production, proliferation, apoptosis, and regulatory T-cell development are present in SHR-A3 and attributable to STIM1. Methods and Results To assess the role of variation in susceptibility to hypertensive renal injury, we created a congenic line, SHR-A3(-B2), and STIM1 function was rescued in SHR-A3. We found that gene rescue restores disturbed lymphocyte function in SHR-A3. Hypertensive renal injury was compared in SHR-A3 and the SHR-A3(-B2) congenic line. Histologically assessed renal injury was markedly reduced in SHR-A3(-B2), as were renal injury biomarker levels measured in urine. deficiency has been linked to the emergence of antibody-mediated autoimmunity. Renal glomerular immunoglobulin deposition was greater in SHR-A3 than SHR-B2 and was reduced by congenic substitution. Serum anti-double-stranded DNA antibody titers in SHR-A3 were elevated compared with SHR-B2 and were reduced in SHR-A3(-B2). Conclusions deficiency in lymphocyte function originating from truncation in SHR-A3 combines with hypertension to create end organ disease and may do so as a result of antibody formation.