Abstract
To explore the mechanism of the hypertension in dopamine receptor-4 (Drd4) null mice, we determined the salt sensitivity and renal sodium transport proteins in Drd4−/− and Drd4+/+ mice with varied salt diets. On normal NaCl diet (NS), mean arterial pressures (MAP, telemetry) were higher in Drd4−/− than Drd4+/+; Low NaCl diet (LS) tended to decrease MAP in both strains; high NaCl diet (HS) elevated MAP with sodium excretion decreased and pressure-natriuresis curve shifted to right in Drd4−/− relative to Drd4+/+ mice. Drd4−/− mice exhibited increased renal sodium–hydrogen exchanger 3 (NHE3), sodium–potassium-2–chloride cotransporter (NKCC2), sodium–chloride cotransporter (NCC), and outer medullary α-epithelial sodium channel (αENaC) on NS, decreased NKCC2, NCC, αENaC, and αNa+–K+–ATPase on LS, and increased αENaC on HS. NKCC2, NCC, αENaC, and αNa+–K+–ATPase in plasma membrane were greater in Drd4−/− than in Drd4+/+ mice with HS. D4R was expressed in proximal and distal convoluted tubules, thick ascending limbs, and outer medullary collecting ducts and colocalized with NKCC2 and NCC. The phosphorylation of NKCC2 was enhanced but ubiquitination was reduced in the KO mice. There were no differences between the mouse strains in serum aldosterone concentrations and urinary dopamine excretions despite their changes with diets. The mRNA expressions of renal NHE3, NKCC2, NCC, and αENaC on NS were not altered in Drd4−/− mice. Thus, increased protein expressions of NHE3, NKCC2, NCC and αENaC are associated with hypertension in Drd4−/− mice; increased plasma membrane protein expression of NKCC2, NCC, αENaC, and αNa+–K+–ATPase may mediate the salt sensitivity of Drd4−/− mice.

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Acknowledgements
All authors thank Dr. Mark Knepper (National Institutes of Health) for providing rabbit antibodies against sodium transporters, Dr. Pedro Jose (George Washington University) for gifting initial Drd4−/− mice and Figdraw (www.figdraw.com) for providing drawing tool software.
Funding
XW and her colleagues are supported by the National Natural Science Foundation of China (81970605). MZ is supported by Postgraduate Research & Practice Innovation Program of Jiangsu Province (JX10413970). ML, ZR, and PW are supported by Nanjing Municipal Health Bureau (YKK22254, YKK21251, YKK20217). ZR is supported by Nanjing Medical University (NMUB2020195).
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MZ and ML completed most experiments on mice, performed immunostanings with microscopic imaging, analyzed and figured the data and drafted the manuscript. WW completed most of protein work. ZR purified and labeled antibodies and performed qPCR and analyses. PW performed experiments on coimmunoprecipitation. YX provided assistance with purifying antibodies. XW conceptualized, designed the entire study, revised the manuscript critically, and is responsible for the integrity of all data included. All authors read and approved the final version of submitted manuscript.
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Zhang, M., Liu, M., Wang, W. et al. The salt sensitivity of Drd4-null mice is associated with the upregulations of sodium transporters in kidneys. Hypertens Res 47, 2144–2156 (2024). https://doi.org/10.1038/s41440-024-01724-5
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DOI: https://doi.org/10.1038/s41440-024-01724-5
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