Reduced ENaC activity and blood pressure in mice with genetic knockout of the insulin receptor in the renal collecting duct

L Li, RM Garikepati, S Tsukerman… - American Journal …, 2013 - journals.physiology.org
L Li, RM Garikepati, S Tsukerman, D Kohan, JB Wade, S Tiwari, CM Ecelbarger
American Journal of Physiology-Renal Physiology, 2013journals.physiology.org
To elucidate the role of the insulin receptor (IR) in collecting duct (CD), we bred mice with IR
selectively deleted from CD principal cells using an aquaporin-2 promoter to drive Cre-
recombinase expression. Young, adult male knockout (KO) mice had altered plasma and
electrolyte homeostasis under high-(HS) and low-sodium (LS) diets, relative to wild-type
(WT) littermates. One week of LS feeding led to a significant reduction in urine potassium
(K+) and sodium (Na+) excretion in KO, and a reduction in the ratio of Na+ to chloride (Cl−) …
To elucidate the role of the insulin receptor (IR) in collecting duct (CD), we bred mice with IR selectively deleted from CD principal cells using an aquaporin-2 promoter to drive Cre-recombinase expression. Young, adult male knockout (KO) mice had altered plasma and electrolyte homeostasis under high- (HS) and low-sodium (LS) diets, relative to wild-type (WT) littermates. One week of LS feeding led to a significant reduction in urine potassium (K+) and sodium (Na+) excretion in KO, and a reduction in the ratio of Na+ to chloride (Cl) in plasma, relative to WT. HS diet (1 wk) increased plasma K+ and reduced urine Na+ to Cl ratio in the KO. Furthermore, KO mice had a significantly (P = 0.025) blunted natriuretic response to benzamil, an epithelial sodium channel (ENaC) antagonist. Western blotting of cortex homogenates revealed modestly, but significantly (∼15%), lower band density for the β-subunit of ENaC in the KO vs. WT mice, with no differences for the α- or γ-subunits. Moreover, blood pressure (BP), measured by radiotelemetry, was significantly lower in KO vs. WT mice under basal conditions (mmHg): 112 ± 5 (WT), 104 ± 2 (KO), P = 0.023. Chronic insulin infusion reduced heart rate in the WT, but not in the KO, and modestly reduced BP in the WT only. Overall, these results support a fundamental role for insulin through its classic receptor in the modulation of electrolyte homeostasis and BP.
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