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Effect of Mineralocorticoid Treatment in Mice with Collecting Duct-Specific Knockout of Endothelin 1.

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Renal Physiology

Published online on

Abstract

Aldosterone increases blood pressure (BP) by stimulating sodium (Na) reabsorption within the distal nephron and collecting duct (CD). Aldosterone also stimulates endothelin-1 (ET-1) production that acts within the CD to inhibit Na reabsorption via a negative feedback mechanism. We tested the hypothesis that this renal aldosterone-endothelin feedback system regulates electrolyte balance and BP by comparing the effect of a high-salt (NaCl) diet and mineralocorticoid stimulation in control and CD specific ET-1 knockout mice (CD ET-1 KO). Metabolic balance and radiotelemetric BP were measured before and after treatment with desoxycorticosterone pivalate (DOCP) in mice fed a high-salt diet with saline to drink. CD ET-1 KO mice consumed more high-salt diet and saline and had greater urine output than controls. CD ET-1 KO mice exhibited increased BP and greater fluid retention and body weight (BW) than controls on a high-salt diet. DOCP with high-salt feeding further increased BP in CD ET-1 KO mice and by the end of the study the CD ET-1 KO mice are substantially hypernatremic. Unlike controls, CD ET-1 KO mice failed to respond acutely to or escape from DOCP treatment. We conclude that local ET-1 production in the CD is required for the appropriate renal response to Na loading and lack of local ET-1 results in abnormal fluid and electrolyte handling when challenged with a high-salt diet and with DOCP treatment. Additionally, local ET-1 production is necessary, under these experimental conditions, for renal compensation to, and escape from, the chronic effects of mineralocorticoids.