<p>Hypertension is a risk factor for cardiovascular disease. Low dietary potassium (K<sup>+</sup>) intake is associated with higher blood pressure (BP) and increased activity of the kidney NaCl cotransporter NCC. Increasing dietary K<sup>+</sup> can lower NCC activity and reduce BP, but a threshold for beneficial effects of dietary K<sup>+</sup> is apparent, with very high K<sup>+</sup> intakes associated with higher BP. Here, we examine in male C57Bl/6J mice if an optimal BP-lowering K<sup>+</sup> intake window exists and the molecular basis of K<sup>+</sup> driven increases in BP. Telemetric BP recordings are performed in mice receiving diets with normal (0.74%) NaCl content and progressively increasing K<sup>+</sup> content (0.75% to 5% K<sup>+</sup>, as KCl) for 5 days. None of the diets examined reduce BP despite lowering NCC activity and above 1.75% K<sup>+</sup> intake systolic BP (SBP) is raised, concurrent with higher aldosterone and sodium channel (αENaC) activity. On a high NaCl diet (1.57% Na<sup>+</sup>), K<sup>+</sup>-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<sup>+</sup> intake is aldosterone and ENaC-dependent, and increased dietary K<sup>+</sup> is beneficial when Na<sup>+</sup> intake is high.</p>

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Excess dietary potassium raises blood pressure in male mice by an aldosterone-dependent increase in ENaC

  • Adrienne M. Assmus,
  • Louise N. Odgaard,
  • Ingrid M. Garrelds,
  • A. H. Jan Danser,
  • Vladimir Matchkov,
  • Paul A. Welling,
  • Robert A. Fenton

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.