Herrera V L, Xie H X, Lopez L V, Schork N J, Ruiz-Opazo N
Whitaker Cardiovascular Institute, Evans Department of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118,
J Clin Invest. 1998 Sep 15;102(6):1102-11. doi: 10.1172/JCI3868.
Despite the prevalence of essential hypertension, its underlying genetic basis has not been elucidated due to the complexities of its determinants. To identify a hypertension susceptibility gene, we used an approach that integrates molecular, transgenic, and genetic analysis using Dahl salt-sensitive (S) and Dahl salt-resistant (R) rats ascertained for genotype and phenotype. To determine the role of the Dahl S Q276L alpha1 Na,K-ATPase gene variant, we developed transgenic Dahl S rats bearing the Dahl R wild-type (wt) alpha1 Na, K-ATPase cDNA directed by the cognate wt promoter region, Tg[wtalpha1]. Transgenic Dahl S rats exhibited less salt-sensitive hypertension, less hypertensive renal disease, and longer life span when compared with non-transgenic Dahl S controls. Total chromosome 2 linkage analysis of F2(SxR) male rats detects cosegregation of the alpha1 Na,K-ATPase locus with salt-sensitive hypertension. These data support the alpha1 Na,K-ATPase gene as a susceptibility gene for salt-sensitive hypertension in the Dahl S rat model, and provide the basis for the study of the alpha1 Na,K-ATPase locus in human hypertension.
尽管原发性高血压普遍存在,但其潜在的遗传基础因决定因素的复杂性而尚未阐明。为了鉴定高血压易感基因,我们采用了一种综合分子、转基因和遗传分析的方法,使用了已确定基因型和表型的 Dahl 盐敏感(S)大鼠和 Dahl 盐抵抗(R)大鼠。为了确定 Dahl S Q276L α1 钠钾 ATP 酶基因变体的作用,我们构建了转基因 Dahl S 大鼠,其携带由同源野生型(wt)启动子区域指导的 Dahl R 野生型(wt)α1 钠钾 ATP 酶 cDNA,即 Tg[wtα1]。与非转基因 Dahl S 对照相比,转基因 Dahl S 大鼠表现出对盐敏感的高血压程度较轻、高血压性肾病较轻且寿命更长。对 F2(S×R)雄性大鼠进行的 2 号染色体全基因组连锁分析检测到 α1 钠钾 ATP 酶基因座与盐敏感高血压的共分离。这些数据支持 α1 钠钾 ATP 酶基因作为 Dahl S 大鼠模型中盐敏感高血压的易感基因,并为在人类高血压中研究 α1 钠钾 ATP 酶基因座提供了基础。