Compromised regulation of the collecting duct ENaC activity in mice lacking AT receptor.

ENaC-mediated sodium reabsorption in the collecting duct (CD) is a critical determinant of urinary sodium excretion. Existing evidence suggest direct stimulatory actions of Angiotensin II (Ang II) on ENaC in the CD, independently of the aldosterone-mineralocorticoid receptor (MR) signaling. Deletion of the major renal AT receptor isoform, AT R, decreases blood pressure and reduces ENaC abundance despite elevated aldosterone levels. The mechanism of this insufficient compensation is not known. Here, we used patch clamp electrophysiology in freshly isolated split-opened CDs to investigate how AT R dysfunction compromises functional ENaC activity and its regulation by dietary salt intake. Ang II had no effect on ENaC activity in CDs from AT R -/- mice suggesting no complementary contribution of AT receptors. We next found that AT R deficient mice had lower ENaC activity when fed with low (<0.01% Na ) and regular (0.32% Na ) but not with high (∼2% Na ) salt diet, when compared to the respective values obtained in Wild type (WT) animals. Inhibition of AT R with losartan in wild-type animals reproduces the effects of genetic ablation of AT R on ENaC activity arguing against contribution of developmental factors. Interestingly, manipulation with aldosterone-MR signaling via deoxycosterone acetate (DOCA) and spironolactone had much reduced influence on ENaC activity upon AT R deletion. Consistently, AT R -/- mice have a markedly diminished MR abundance in cytosol. Overall, we conclude that AT R deficiency elicits a complex inhibitory effect on ENaC activity by attenuating ENaC P and precluding adequate compensation via aldosterone cascade due to decreased MR availability.