Dietary salt modulates the sodium chloride cotransporter expression likely through an aldosterone-mediated

Lingyun Lai1, Xiuyan Feng, Defeng Liu

  • 1Department of Nephrology, Hua Shan Hospital, Fudan University School of Medicine, 12 Wulumuqi Zhong Road, Shanghai, 200040, China.

Insights

Dietary salt intake influences sodium chloride cotransporter (NCC) levels via the WNK4-ERK1/2 pathway, involving aldosterone. High salt decreases NCC and increases WNK4, while low salt has opposite effects.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Endocrinology

Background:

  • WNK kinases (WNK1, WNK4) are implicated in pseudohypoaldosteronism type II (PHA II), a condition characterized by hypertension and electrolyte imbalances.
  • The sodium chloride cotransporter (NCC) is crucial for salt reabsorption and is regulated by phosphorylation, trafficking, dietary salt, and hormones like aldosterone.
  • Previous research indicated that WNK4 inhibits NCC protein expression.

Purpose of the Study:

  • To investigate the role of the WNK4-mediated mechanism in regulating NCC abundance in response to dietary salt changes.
  • To elucidate the interplay between dietary salt, aldosterone, and the WNK4-ERK1/2 pathway in controlling NCC expression.

Main Methods:

  • Rats were fed high-salt (HS) or low-salt (LS) diets, with or without aldosterone infusion or spironolactone administration.
  • NCC and WNK4 mRNA and protein expression levels were analyzed.
  • ERK1/2 phosphorylation was assessed in rat tissues and in HEK293 cells.
  • WNK4 overexpression and knockdown experiments were performed in HEK293 cells.

Main Results:

  • High-salt diet decreased NCC expression while increasing WNK4 expression; low-salt diet had opposite effects.
  • Aldosterone infusion increased NCC and decreased WNK4 expression in HS-fed rats.
  • Spironolactone administration decreased NCC and increased WNK4 expression in LS-fed rats.
  • ERK1/2 phosphorylation correlated with WNK4 expression and was modulated by dietary salt and aldosterone.

Conclusions:

  • Dietary salt intake significantly impacts NCC protein abundance through an aldosterone-dependent mechanism.
  • The WNK4-ERK1/2 signaling pathway is likely involved in mediating the effects of dietary salt on NCC regulation.
  • These findings provide insights into the molecular mechanisms underlying salt homeostasis and hypertension.

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