TASK-3 channel deletion in mice recapitulates low-renin essential hypertension

Hypertension. 2012 May;59(5):999-1005. doi: 10.1161/HYPERTENSIONAHA.111.189662. Epub 2012 Apr 9.

Abstract

Idiopathic primary hyperaldosteronism (IHA) and low-renin essential hypertension (LREH) are common forms of hypertension, characterized by an elevated aldosterone-renin ratio and hypersensitivity to angiotensin II. They are suggested to be 2 states within a disease spectrum that progresses from LREH to IHA as the control of aldosterone production by the renin-angiotensin system is weakened. The mechanism(s) that drives this progression remains unknown. Deletion of Twik-related acid-sensitive K(+) channels (TASK) subunits, TASK-1 and TASK-3, in mice (T1T3KO) produces a model of human IHA. Here, we determine the effect of deleting only TASK-3 (T3KO) on the control of aldosterone production and blood pressure. We find that T3KO mice recapitulate key characteristics of human LREH, salt-sensitive hypertension, mild overproduction of aldosterone, decreased plasma-renin concentration with elevated aldosterone:renin ratio, hypersensitivity to endogenous and exogenous angiotensin II, and failure to suppress aldosterone production with dietary sodium loading. The relative differences in levels of aldosterone output and aldosterone:renin ratio and in autonomy of aldosterone production between T1T3KO and T3KO mice are reminiscent of differences in human hypertensive patients with LREH and IHA. Our studies establish a model of LREH and suggest that loss of TASK channel activity may be one mechanism that advances the syndrome of low renin hypertension.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aldosterone / metabolism
  • Angiotensin II / pharmacology
  • Animals
  • Disease Models, Animal
  • Gene Expression Regulation
  • Humans
  • Hyperaldosteronism / genetics*
  • Hyperaldosteronism / physiopathology
  • Hypertension / genetics*
  • Hypertension / physiopathology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Potassium Channels / genetics*
  • Potassium Channels / metabolism
  • Random Allocation
  • Real-Time Polymerase Chain Reaction
  • Renin-Angiotensin System / genetics*
  • Renin-Angiotensin System / physiology
  • Sensitivity and Specificity
  • Sequence Deletion
  • Sodium / metabolism
  • Sodium / pharmacology

Substances

  • Potassium Channels
  • TASK3 protein, mouse
  • Angiotensin II
  • Aldosterone
  • Sodium