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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Lazelle, Rebecca A. McCully, Belinda H. Terker, Andrew S. Himmerkus, Nina Blankenstein, Katharina I. Mutig, Kerim Bleich, Markus Bachmann, Sebastian Yang, Chao-Ling Ellison, David H. |
| Description | Author Affiliation: Lazelle RA ( Division of Nephrology and Hypertension, Department of Medicine, and.); McCully BH ( Division of Trauma, Critical Care and Acute Care Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon); Terker AS ( Division of Nephrology and Hypertension, Department of Medicine, and.); Himmerkus N ( Institute of Physiology, Christian-Albrechts-University Kiel, Kiel, Germany); Blankenstein KI ( Institute of Vegetative Anatomy, Charité, Universitätsmedizin Berlin, Campus Charité-Mitte, Berlin, Germany); Mutig K ( Institute of Vegetative Anatomy, Charité, Universitätsmedizin Berlin, Campus Charité-Mitte, Berlin, Germany); Bleich M ( Institute of Physiology, Christian-Albrechts-University Kiel, Kiel, Germany); Bachmann S ( Institute of Vegetative Anatomy, Charité, Universitätsmedizin Berlin, Campus Charité-Mitte, Berlin, Germany); Yang CL ( Division of Nephrology and Hypertension, Department of Medicine, and Renal Section, VA Portland Health Care System, Portland, Oregon.); Ellison DH ( Division of Nephrology and Hypertension, Department of Medicine, and Institute of Vegetative Anatomy, Charité, Universitätsmedizin Berlin, Campus Charité-Mitte, Berlin, Germany) |
| Abstract | Tacrolimus is a widely used immunosuppressive drug that inhibits the phosphatase calcineurin when bound to the 12 kDa FK506-binding protein (FKBP12). When this binding occurs in T cells, it leads to immunosuppression. Tacrolimus also causes side effects, however, such as hypertension and hyperkalemia. Previously, we reported that tacrolimus stimulates the renal thiazide-sensitive sodium chloride cotransporter (NCC), which is necessary for the development of hypertension. However, it was unclear if tacrolimus-induced hypertension resulted from tacrolimus effects in renal epithelial cells directly or in extrarenal tissues, and whether inhibition of calcineurin was required. To address these questions, we developed a mouse model in which FKBP12 could be deleted along the nephron. FKBP12 disruption alone did not cause phenotypic effects. When treated with tacrolimus, however, BP and the renal abundance of phosphorylated NCC were lower in mice lacking FKBP12 along the nephron than in control mice. Mice lacking FKBP12 along the nephron also maintained a normal relationship between plasma potassium levels and the abundance of phosphorylated NCC with tacrolimus treatment. In cultured cells, tacrolimus inhibited dephosphorylation of NCC. Together, these results suggest that tacrolimus causes hypertension predominantly by inhibiting calcineurin directly in cells expressing NCC, indicating thiazide diuretics may be particularly effective for lowering BP in tacrolimus-treated patients with hypertension. |
| File Format | HTM / HTML |
| ISSN | 10466673 |
| e-ISSN | 15333450 |
| Journal | Journal of the American Society of Nephrology |
| Issue Number | 5 |
| Volume Number | 27 |
| Language | English |
| Publisher | American Society of Nephrology |
| Publisher Date | 2016-05-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Nephrology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nephrology |
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