Abnormal neonatal sodium handling in skin precedes hypertension in the SAME rat

We discovered high Na + and water content in the skin of newborn Sprague–Dawley rats, which reduced ~ 2.5-fold by 7 days of age, indicating rapid changes in extracellular volume (ECV). Equivalent changes in ECV post birth were also observed in C57Bl/6 J mice, with a fourfold reduction over 7 days, t...

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Veröffentlicht in:Pflügers Archiv 2021-06, Vol.473 (6), p.897-910
Hauptverfasser: Mullins, Linda, Ivy, Jessica, Ward, Mairi, Tenstad, Olav, Wiig, Helge, Kitada, Kento, Manning, Jon, Rakova, Natalia, Muller, Dominik, Mullins, John
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container_title Pflügers Archiv
container_volume 473
creator Mullins, Linda
Ivy, Jessica
Ward, Mairi
Tenstad, Olav
Wiig, Helge
Kitada, Kento
Manning, Jon
Rakova, Natalia
Muller, Dominik
Mullins, John
description We discovered high Na + and water content in the skin of newborn Sprague–Dawley rats, which reduced ~ 2.5-fold by 7 days of age, indicating rapid changes in extracellular volume (ECV). Equivalent changes in ECV post birth were also observed in C57Bl/6 J mice, with a fourfold reduction over 7 days, to approximately adult levels. This established the generality of increased ECV at birth. We investigated early sodium and water handling in neonates from a second rat strain, Fischer, and an Hsd11b2-knockout rat modelling the syndrome of apparent mineralocorticoid excess (SAME). Despite Hsd11b2 −/− animals exhibiting lower skin Na + and water levels than controls at birth, they retained ~ 30% higher Na + content in their pelts at the expense of K + thereafter. Hsd11b2 −/− neonates exhibited incipient hypokalaemia from 15 days of age and became increasingly polydipsic and polyuric from weaning. As with adults, they excreted a high proportion of ingested Na + through the kidney, (56.15 ± 8.21% versus control 34.15 ± 8.23%; n = 4; P 
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Equivalent changes in ECV post birth were also observed in C57Bl/6 J mice, with a fourfold reduction over 7 days, to approximately adult levels. This established the generality of increased ECV at birth. We investigated early sodium and water handling in neonates from a second rat strain, Fischer, and an Hsd11b2-knockout rat modelling the syndrome of apparent mineralocorticoid excess (SAME). Despite Hsd11b2 −/− animals exhibiting lower skin Na + and water levels than controls at birth, they retained ~ 30% higher Na + content in their pelts at the expense of K + thereafter. Hsd11b2 −/− neonates exhibited incipient hypokalaemia from 15 days of age and became increasingly polydipsic and polyuric from weaning. As with adults, they excreted a high proportion of ingested Na + through the kidney, (56.15 ± 8.21% versus control 34.15 ± 8.23%; n = 4; P &lt; 0.0001), suggesting that changes in nephron electrolyte transporters identified in adults, by RNA-seq analysis, occur by 4 weeks of age. Our data reveal that Na + imbalance in the Hsd11b2 −/− neonate leads to excess Na + storage in skin and incipient hypokalaemia, which, together with increased, glucocorticoid-induced Na + uptake in the kidney, then contribute to progressive, volume contracted, salt-sensitive hypertension. 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Equivalent changes in ECV post birth were also observed in C57Bl/6 J mice, with a fourfold reduction over 7 days, to approximately adult levels. This established the generality of increased ECV at birth. We investigated early sodium and water handling in neonates from a second rat strain, Fischer, and an Hsd11b2-knockout rat modelling the syndrome of apparent mineralocorticoid excess (SAME). Despite Hsd11b2 −/− animals exhibiting lower skin Na + and water levels than controls at birth, they retained ~ 30% higher Na + content in their pelts at the expense of K + thereafter. Hsd11b2 −/− neonates exhibited incipient hypokalaemia from 15 days of age and became increasingly polydipsic and polyuric from weaning. As with adults, they excreted a high proportion of ingested Na + through the kidney, (56.15 ± 8.21% versus control 34.15 ± 8.23%; n = 4; P &lt; 0.0001), suggesting that changes in nephron electrolyte transporters identified in adults, by RNA-seq analysis, occur by 4 weeks of age. Our data reveal that Na + imbalance in the Hsd11b2 −/− neonate leads to excess Na + storage in skin and incipient hypokalaemia, which, together with increased, glucocorticoid-induced Na + uptake in the kidney, then contribute to progressive, volume contracted, salt-sensitive hypertension. 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Equivalent changes in ECV post birth were also observed in C57Bl/6 J mice, with a fourfold reduction over 7 days, to approximately adult levels. This established the generality of increased ECV at birth. We investigated early sodium and water handling in neonates from a second rat strain, Fischer, and an Hsd11b2-knockout rat modelling the syndrome of apparent mineralocorticoid excess (SAME). Despite Hsd11b2 −/− animals exhibiting lower skin Na + and water levels than controls at birth, they retained ~ 30% higher Na + content in their pelts at the expense of K + thereafter. Hsd11b2 −/− neonates exhibited incipient hypokalaemia from 15 days of age and became increasingly polydipsic and polyuric from weaning. As with adults, they excreted a high proportion of ingested Na + through the kidney, (56.15 ± 8.21% versus control 34.15 ± 8.23%; n = 4; P &lt; 0.0001), suggesting that changes in nephron electrolyte transporters identified in adults, by RNA-seq analysis, occur by 4 weeks of age. 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subjects 11-beta-Hydroxysteroid Dehydrogenase Type 2 - genetics
11-beta-Hydroxysteroid Dehydrogenase Type 2 - metabolism
Age
Animals
Biomedical and Life Sciences
Biomedicine
Birth
Blood Pressure
Cell Biology
Glucocorticoids
Human Physiology
Hypertension
Kidney - metabolism
Kidneys
Male
Mice
Mice, Inbred C57BL
Mineralocorticoid Excess Syndrome, Apparent - genetics
Mineralocorticoid Excess Syndrome, Apparent - metabolism
Mineralocorticoid Excess Syndrome, Apparent - physiopathology
Molecular and Genomic Physiology
Molecular Medicine
Neonates
Neurosciences
Rats
Rats, Inbred F344
Rats, Sprague-Dawley
Receptors
Skin
Skin - metabolism
Sodium - metabolism
Water content
Water levels
Weaning
title Abnormal neonatal sodium handling in skin precedes hypertension in the SAME rat
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