Nephrol Dial Transplant (2003) 18: 2463-2467
© 2003 European Renal Association-European Dialysis and Transplant Association
Editorial Comment
WNK kinases, distal tubular ion handling and hypertension
1Division of Nephrology and Department of Physiology, Limoges University Hospital, 2Department of Genetics Hôpital Européen G. Pompidou and INSERM U36, Collège de France, Paris, France and 3Division of Nephrology, University of Alabama at Birmingham, AL, USA
Correspondence and offprint requests to: Jean-Michel Achard, Service de Néphrologie. CHU Dupuytren, Limoges, 87042, France. Email: jean-michel.achard@unilim.fr
Keywords: familial hyperkalaemic hypertension; WNK kinases
| The first 150 words of the full text of this article appear below. |
| Introduction |
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Familial hyperkalaemic hypertension (FHH) was originally described by Paver and Pauline in 1964 [1]. Also referred to as Gordon syndrome [2] or pseudohypoaldosteronism type 2 [3], the FHH syndromes are rare autosomal dominant diseases characterized by the unusual association of low renin hypertension with hyperkalaemia and metabolic acidosis despite normal glomerular filtration rate. These clinical and biological features are the mirror image of the Gitelman syndrome. Together with the peculiar sensitivity of FHH patients to thiazide diuretics [4,5], it suggests an increased sodium reabsorption through the thiazide-sensitive NaCl co-transporter (NCCT) as the main mechanism of the disease.
Genetic analyses, however, have excluded NCCT as being directly involved in all the families studied so far, but, instead, found evidence for three loci on chromosomes 1, 17 [6] and 12 [7], and for further genetic heterogeneity [8
| FHH and WNK4 |
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WNK4 and NCCT
WNK4 and paracellular permeability
| FHH and WNK1 |
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| Perspectives |
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