Renal tubular SGK1 is required to achieve blood pressure surge and circadian rhythm.

Details

Serval ID
serval:BIB_12827BBF62FA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Renal tubular SGK1 is required to achieve blood pressure surge and circadian rhythm.
Journal
American journal of physiology. Renal physiology
Author(s)
Staub O., Debonneville A., Stifanelli M., Juffre A., Maillard M.P., Gumz M.L., Al-Qusairi L.
ISSN
1522-1466 (Electronic)
ISSN-L
1522-1466
Publication state
Published
Issued date
01/11/2023
Peer-reviewed
Oui
Volume
325
Number
5
Pages
F629-F637
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
Publication Status: ppublish
Abstract
Blood pressure (BP) follows a circadian pattern that rises during the active phase of the day (morning surge) and decreases during the inactive (night dipping) phase of the day. The morning surge coincides with increased circulating glucocorticoids and aldosterone, ligands for glucocorticoid receptors and mineralocorticoid receptors, respectively. Serum- and glucocorticoid-induced kinase 1 (SGK1), a clock-controlled and glucocorticoid receptor- and mineralocorticoid receptor-induced gene, plays a role in BP regulation in human and animal models. However, the role of SGK1 in BP circadian regulation has not yet been demonstrated. Using telemetry, we analyzed BP in the inducible renal tubule-specific Sgk1 <sup>Pax8/LC1</sup> model under basal K <sup>+</sup> diet (1% K <sup>+</sup> ) and high-K <sup>+</sup> diet (HKD; 5% K <sup>+</sup> ). Our data revealed that, under basal conditions, renal SGK1 plays a minor role in BP regulation; however, after 1 wk of HKD, Sgk1 <sup>Pax8/LC1</sup> mice exhibited significant defects in diastolic BP (DBP), including a blunted surge, a decreased amplitude, and reduced day/night differences. After prolonged HKD (7 wk), Sgk1 <sup>Pax8/LC1</sup> mice had lower BP than control mice and exhibited reduced DBP amplitude, together with decreased DBP day/night differences and midline estimating statistic of rhythm (MESOR). Interestingly, renal SGK1 deletion increased pulse pressure, likely secondary to an increase in circulating aldosterone. Taken together, our data suggest that 1) the kidney plays a significant role in setting the BP circadian rhythm; 2) renal tubule SGK1 mediates the BP surge and, thus, the day/night BP difference; 3) long-term renal SGK1 deletion results in lower BP in mutant compared with control mice; and 4) renal SGK1 indirectly regulates pulse pressure due to compensatory alterations in aldosterone levels.NEW & NOTEWORTHY Dysregulation of blood pressure (BP) circadian rhythm is associated with metabolic, cardiovascular, and kidney diseases. Our study provides experimental evidence demonstrating, for the first time, that renal tubule serum- and glucocorticoid-induced kinase 1 (SGK1) plays an essential role in inducing the BP surge. Inhibitors and activators of SGK1 signaling are parts of several therapeutic strategies. Our findings highlight the importance of the drug intake timing to be in phase with SGK1 function to avoid dysregulation of BP circadian rhythm.
Keywords
Animals, Humans, Mice, Aldosterone, Blood Pressure/physiology, Circadian Rhythm, Glucocorticoids/metabolism, Kidney/metabolism, aldosterone, circadian rhythm, kidney, serum- and glucocorticoid-induced kinase 1, surge
Pubmed
Web of science
Create date
12/09/2023 16:40
Last modification date
19/12/2023 8:12
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