mortality/aging
• all homozygotes died between postnatal days P8 and P13, on average at P10
• daily injection of betamethasone (a synthetic glucocorticoid), from P5 extended survival to ~17 days; however, betamethasone-treated homozygotes failed to thrive and eventually died
|
growth/size/body
weight loss
(
J:77285
)
• homozygotes displayed weight loss prior to death; however, reduced weight gain was not attributed to growth inhibition
|
hematopoietic system
• at P8, the hematocrit was increased from 32% in wild-type to 44%, indicating severe dehydration
|
homeostasis/metabolism
• plasma angiotensin II levels were increased 50-fold at P8
|
• plasma aldosterone levels were increased 65-fold at P8
|
• plasma renin concentration was normal at P0 but increased 8-fold at P4
• plasma renin levels were increased 440-fold at P8
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dehydration
(
J:77285
)
• at P8, homozygotes were severely dehydrated
|
• amiloride-sensitive epithelial Na+ channel (ENaC)-mediated Na+ reabsorption was reduced to 24% in the kidney and to 16% in the colon
|
• homozygotes displayed hyperkalemia at P8
|
• homozygotes displayed hyponatremia at P8
|
• at P8, homozygotes displayed impaired distal tubular Na+ reabsorption relative to wild-type controls
• homozygotes displayed impaired amiloride-sensitive Na+ reabsorption, leading to changes similar to pseudohypoaldosteronism type 1
• amiloride-sensitive epithelial Na+ channel (ENaC)-mediated Na+ reabsorption was reduced to 24% in the kidney
|
• at P8, homozygotes showed a significant increase in urine Na+ (35.4 +/- 3.3 mmol/l) relative to wild-type controls (9.1 +/- 1.2 mmol/l)
|
• at P8, homozygotes exhibited a strong activation of the renin-angiotensin-aldosterone system, with a 440-fold increase in plasma renin levels, a 50-fold increase in plasma angiotensin II levels, and a 65-fold increase in plasma aldosterone levels relative to wild-type controls
• renin activity in the vascular pole region and along the entire afferent arteriole was highly increased along with the rise in plasma renin levels
|
renal/urinary system
N |
• homozygotes displayed a normal glomerular filtration rate relative to wild-type controls
|
• at P8, homozygotes showed a significant increase in urine Na+ (35.4 +/- 3.3 mmol/l) relative to wild-type controls (9.1 +/- 1.2 mmol/l)
|
• at P8, the macula densa segment of the distal tubule appeared enlarged
• at P8, the extraglomerular mesangium showed significant hyperplasia
• at P8, renin-producing granular cells extended upstream along the afferent arteriole
• at P8, renin granules were detected in nearly all extraglomerular mesangium cells
• signs of changes at the glomerular vascular pole were first observed at P4
|
• at P8, the extraglomerular mesangium showed significant hyperplasia
• at P8, renin granules were detected in nearly all extraglomerular mesangium cells
|
• at P8, renin-producing granular cells extended upstream along the afferent arteriole
|
• at P8, the macula densa segment of the distal tubule appeared enlarged
|
• at P8, homozygotes displayed morphological changes at the glomerular vascular pole
|
• homozygotes showed an 8-fold increase in fractional excretion of Na+ leading to hypovolemia
• however, after amiloride injection, homozygotes displayed a lower increase in the fractional excretion of Na+ (from 2.7 to 4.5%) than wild-type (0.3 to 8%) and heterozygous (0.9 to 8.5%) controls
|
• at P8, homozygotes displayed impaired distal tubular Na+ reabsorption relative to wild-type controls
• homozygotes displayed impaired amiloride-sensitive Na+ reabsorption, leading to changes similar to pseudohypoaldosteronism type 1
• amiloride-sensitive epithelial Na+ channel (ENaC)-mediated Na+ reabsorption was reduced to 24% in the kidney
|
cardiovascular system
hypovolemia
(
J:77285
)
• homozygotes showed an 8-fold increase in fractional excretion of Na+ leading to hypovolemia
|
Mouse Models of Human Disease |
DO ID | OMIM ID(s) | Ref(s) | |
autosomal dominant pseudohypoaldosteronism type 1 | DOID:0060855 |
OMIM:177735 |
J:77285 |