Angiotensin-independent mechanism for aldosterone synthesis during chronic extracellular fluid volume depletion

J Clin Invest. 1997 Mar 1;99(5):855-60. doi: 10.1172/JCI119249.

Abstract

Wild-type (Agt+/+) and homozygous angiotensinogen deletion mutant (Agt-/-) littermates were placed on normal (NS) or low Na diet (LS) for 2 weeks. Plasma aldosterone levels (P(aldo)) were comparable during NS, and similarly elevated during LS in Agt+/+ and Agt-/-. Moreover, in both, the elevation in P(aldo) was accompanied by marked increase in adrenal zona glomerulosa cells and adrenal P450aldo mRNA. Agt-/- mice were distinguished from Agt+/+ mice by their higher plasma K level, by approximately 1.5 and approximately 3.8 mEq/liter during NS and LS, respectively. Within the Agt-/- group, P(aldo) was directly proportional to plasma K. The importance of K for the hyperaldosteronism during dietary Na restriction was verified by the observation that superimposition of K restriction led to hypotension in Agt+/+ and uniform death in Agt-/- mice along with a reduction in P(aldo) by 75 and 90%, respectively. Thus, suppression of potassium, but not angiotensin, led to a marked attenuation of hyperaldosteronism during dietary Na restriction. Therefore, (a) a powerful angiotensin-independent mechanism exists for the hyperaldosteronism during LS; (b) high K is a central component of this mechanism; (c) contrary to current belief, the tonic effect of high K on aldosterone synthesis and release does not require an intact renin-angiotensin system; and (d) normally, intermediary feedback signals for hyperaldosteronism, i.e., both hypotension and high K, are effectively masked by aldosterone actions.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adrenal Glands / metabolism
  • Adrenal Glands / pathology
  • Aldosterone / blood
  • Aldosterone / metabolism*
  • Angiotensin II / metabolism*
  • Angiotensin II / physiology*
  • Angiotensinogen / genetics*
  • Angiotensinogen / metabolism*
  • Animals
  • Blood Pressure
  • Blotting, Northern
  • Cytochrome P-450 CYP11B2 / genetics
  • Diet, Sodium-Restricted
  • Extracellular Space / drug effects
  • Genetic Engineering
  • Glyceraldehyde-3-Phosphate Dehydrogenases / analysis
  • Glyceraldehyde-3-Phosphate Dehydrogenases / metabolism
  • Hypotension / chemically induced
  • Mice
  • Mice, Mutant Strains
  • Mixed Function Oxygenases / genetics
  • Potassium / blood
  • Potassium / metabolism*
  • Potassium / physiology*
  • RNA, Messenger / analysis
  • RNA, Messenger / metabolism
  • Renin-Angiotensin System / genetics
  • Renin-Angiotensin System / physiology
  • Sequence Deletion
  • Signal Transduction
  • Sodium / pharmacology
  • Zona Glomerulosa / cytology

Substances

  • RNA, Messenger
  • Angiotensinogen
  • Angiotensin II
  • Aldosterone
  • Sodium
  • Mixed Function Oxygenases
  • Cytochrome P-450 CYP11B2
  • Glyceraldehyde-3-Phosphate Dehydrogenases
  • Potassium