Evidence map›Paper›PMID 21282561›Full record

ArticleHypertension (Dallas, Tex. : 1979)2011

Hsd11b2 haploinsufficiency in mice causes salt sensitivity of blood pressure.

Matthew A Bailey, Eilidh Craigie, Dawn E W Livingstone, Yuri V Kotelevtsev, Emad A S Al-Dujaili, Christopher J Kenyon, John J Mullins

Open access · bronzeAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 45 citations in OpenAlex.

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  18. A urine-concentrating defect in 11β-hydroxysteroid dehydrogenase type 2 null mice.American journal of physiology. Renal physiology · 2012
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  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Matthew A Bailey *British Heart Foundation/University Centre for Cardiovascular Science, The University of Edinburgh, Edinburgh, Scotland, UK.
Eilidh Craigie *British Heart Foundation/University Centre for Cardiovascular Science, The University of Edinburgh, Edinburgh, Scotland, UK.
Dawn E W LivingstoneBritish Heart Foundation/University Centre for Cardiovascular Science, The University of Edinburgh, Edinburgh, Scotland, UK.
Yuri V KotelevtsevBritish Heart Foundation/University Centre for Cardiovascular Science, The University of Edinburgh, Edinburgh, Scotland, UK.
Emad A S Al-DujailiDietetics, Nutrition and Biological Sciences Research, Queen Margaret University, Edinburgh, Scotland, UK.
Christopher J KenyonBritish Heart Foundation/University Centre for Cardiovascular Science, The University of Edinburgh, Edinburgh, Scotland, UK.
John J MullinsBritish Heart Foundation/University Centre for Cardiovascular Science, The University of Edinburgh, Edinburgh, Scotland, UK.
Queen Margaret University · GB

Funding

British Heart FoundationMedical Research CouncilWellcome Trust 079134
6 · The paper itself

Abstract

Salt sensitivity of blood pressure is an independent risk factor for cardiovascular morbidity. Mechanistically, abnormal mineralocorticoid action and subclinical renal impairment may blunt the natriuretic response to high sodium intake, causing blood pressure to rise. 11β-Hydroxysteroid dehydrogenase type 2 (11βHSD2) controls ligand access to the mineralocorticoid receptor, and ablation of the enzyme causes severe hypertension. Polymorphisms in HSD11B2 are associated with salt sensitivity of blood pressure in normotensives. In this study, we used mice heterozygote for a null mutation in Hsd11b2 (Hsd11b2(+/-)) to define the mechanisms linking reduced enzyme activity to salt sensitivity of blood pressure. A high-sodium diet caused a rapid and sustained increase in blood pressure in Hsd11b2(+/-) mice but not in wild-type littermates. During the adaptation to high-sodium diet, heterozygotes displayed impaired sodium excretion, a transient positive sodium balance, and hypokalemia. After 21 days of high-sodium feeding, Hsd11b2(+/-) mice had an increased heart weight. Mineralocorticoid receptor antagonism partially prevented the increase in heart weight but not the increase in blood pressure. Glucocorticoid receptor antagonism prevented the rise in blood pressure. In Hsd11b2(+/-) mice, high-sodium feeding caused suppression of aldosterone and a moderate but sustained increase in corticosterone. This study demonstrates an inverse relationship among 11βHSD2 activity, heart weight, and blood pressure in a clinically important context. Reduced activity causes salt sensitivity of blood pressure, but this does not reflect illicit activation of mineralocorticoid receptors by glucocorticoids. Instead, we have identified a novel interaction among 11βHSD2, dietary salt, and circulating glucocorticoids.

Indexed as

11-beta-Hydroxysteroid Dehydrogenase Type 2Analysis of VarianceAnimalsBlood PressureHaploinsufficiencyHormone AntagonistsHypertensionMiceMifepristoneMutationPolymorphism, GeneticReceptors, GlucocorticoidReceptors, MineralocorticoidReverse Transcriptase Polymerase Chain ReactionSodium Chloride, Dietary11-beta-Hydroxysteroid Dehydrogenase Type 2Hormone AntagonistsMifepristoneReceptors, GlucocorticoidReceptors, MineralocorticoidSodium Chloride, Dietary

Identifiers

PMID21282561
PMCPMC4830399
OpenAlexW2167023605

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.