Dissociation of sodium-chloride cotransporter expression and blood pressure during chronic high dietary potassium supplementation

Dietary potassium (K+) supplementation is associated with a lowering effect in blood pressure (BP), but not all studies agree. Here, we examined the effects of short- and long-term K+ supplementation on BP in mice, whether differences depend on the accompanying anion or the sodium (Na+) intake and molecular alterations in the kidney that may underlie BP changes. Relative to the control diet, BP was higher in mice fed a high NaCl (1.57% Na+) diet for 7 weeks or fed a K+-free diet for 2 weeks. BP was highest on a K+-free/high NaCl diet. Commensurate with increased abundance and phosphorylation of the thiazide sensitive sodium-chloride-cotransporter (NCC) on the K+-free/high NaCl diet, BP returned to normal with thiazides. Three weeks of a high K+ diet (5% K+) increased BP (predominantly during the night) independently of dietary Na+ or anion intake. Conversely, 4 days of KCl feeding reduced BP. Both feeding periods resulted in lower NCC levels but in increased levels of cleaved (active) α and γ subunits of the epithelial Na+ channel ENaC. The elevated BP after chronic K+ feeding was reduced by amiloride but not thiazide. Our results suggest that dietary K+ has an optimal threshold where it may be most effective for cardiovascular health.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:8

Enthalten in:

JCI insight - 8(2023), 5 vom: 08. März

Sprache:

Englisch

Beteiligte Personen:

Little, Robert [VerfasserIn]
Murali, Sathish K [VerfasserIn]
Poulsen, Søren B [VerfasserIn]
Grimm, Paul R [VerfasserIn]
Assmus, Adrienne [VerfasserIn]
Cheng, Lei [VerfasserIn]
Ivy, Jessica R [VerfasserIn]
Hoorn, Ewout J [VerfasserIn]
Matchkov, Vladimir [VerfasserIn]
Welling, Paul A [VerfasserIn]
Fenton, Robert A [VerfasserIn]

Links:

Volltext

Themen:

451W47IQ8X
9NEZ333N27
Epithelial Sodium Channels
Epithelial transport of ions and water
Hypertension
Journal Article
Nephrology
Potassium, Dietary
Research Support, Non-U.S. Gov't
Sodium
Sodium Chloride
Sodium Chloride Symporters
Sodium channels
Thiazides

Anmerkungen:

Date Completed 09.03.2023

Date Revised 08.04.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1172/jci.insight.156437

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM352301244