Excess dietary potassium raises blood pressure in male mice by an aldosterone-dependent increase in ENaC
摘要
Hypertension is a risk factor for cardiovascular disease. Low dietary potassium (K+) intake is associated with higher blood pressure (BP) and increased activity of the kidney NaCl cotransporter NCC. Increasing dietary K+ can lower NCC activity and reduce BP, but a threshold for beneficial effects of dietary K+ is apparent, with very high K+ intakes associated with higher BP. Here, we examine in male C57Bl/6J mice if an optimal BP-lowering K+ intake window exists and the molecular basis of K+ driven increases in BP. Telemetric BP recordings are performed in mice receiving diets with normal (0.74%) NaCl content and progressively increasing K+ content (0.75% to 5% K+, as KCl) for 5 days. None of the diets examined reduce BP despite lowering NCC activity and above 1.75% K+ intake systolic BP (SBP) is raised, concurrent with higher aldosterone and sodium channel (αENaC) activity. On a high NaCl diet (1.57% Na+), K+-driven increases in αENaC and SBP are absent and high NaCl does not increase SBP. We conclude that the higher BP subsequent to excess K+ intake is aldosterone and ENaC-dependent, and increased dietary K+ is beneficial when Na+ intake is high.