Genetic and nongenetic determinants of salt sensitivity and blood pressure. Am J Clin Nutr 1997 Feb;65(2 Suppl):587S-593S
Date
02/01/1997Pubmed ID
9022553DOI
10.1093/ajcn/65.2.587SScopus ID
2-s2.0-1842294593 (requires institutional sign-in at Scopus site) 64 CitationsAbstract
Salt sensitivity is characterized by an alteration of kidney function that necessitates higher arterial pressure to excrete a given amount of sodium and is expressed as a reduction in the slope of the pressure-natriuresis relation. Excess renal exposure to catecholamines, angiotensin II, aldosterone, and other mineralocorticoids all reduce the sensitivity of the pressure-natriuretic relation and lead to salt sensitivity. Inhibition of these pathways has opposite effects, as do excess circulating atrial natriuretic peptide and overactivity of various intrarenal paracrine systems, including vasodilator and natriuretic products of arachidonic acid metabolism, such as prostaglandin E2 and kinins. Salt sensitivity can also be inherited and ongoing studies are attempting to identify the genes that contribute to this trait. Abnormalities of renal function of Dahl salt-sensitive rats appear to precede the hypertension resulting from high salt intake. Although polymorphic differences have been identified between the Dahl salt-sensitive rat and normotensive rats, the specific genes contributing to the salt sensitivity have not yet been determined.
Author List
Cowley AW JrAuthor
Allen W. Cowley Jr PhD Professor in the Physiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AnimalsBlood Pressure
Disease Models, Animal
Homeostasis
Humans
Hypertension
Kidney
Natriuresis
Rats
Sodium
Sodium Chloride, Dietary