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1 Department of Cellular and Molecular Physiology, Yale University, New Haven, Connecticut, United States
2 Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, Connecticut, United States
* To whom correspondence should be addressed. E-mail: tong.wang{at}yale.edu.
ROMK knockout null mice with a high survival rate and varying severity of hydronephrosis provide a good model to study type II Bartter syndrome pathophysiology (26). During the development of such a colony we found that more male than female null mice survived, 58.70% vs. 33.33%. To investigate the possible mechanism of this difference, we compared the survival rates, renal functions, degree of hydronephrosis, PGE2 and TXB2 production between male and female ROMK wild-type and null mice. We observed that female ROMK Bartters mice exhibited lower GFR (0.37 vs. 0.54 ml/min/100gBW, P <0.05) and higher fractional Na+ excretion (0.66% vs. 0.48%, P<0.05) than male Bartters. No significant differences in acid-base parameters, urinary K+ excretion and plasma electrolyte concentrations were observed between genders. In addition, we assessed the liquid retention rate in the kidney to evaluate the extent of hydronephrosis and observed that 67% of male and 90% of female ROMK null mice were hydronephrotic mice. Urinary PGE2 excretion was higher in both genders of ROMK null mice: 1.35 vs. 1.10 ng/24hr in males and 2.90 vs. 0.87 ng/24hr in females. TXB2 excretion was higher in female mice in both wild-type and ROMK null mice. The increments of urinary PGE2 and TXB2 were significantly higher in female null mice than males, 233.33% vs. 22.74% of PGE2 and 85.67% vs. 20.36% of TXB2. These data demonstrate a more severe Bartter phenotype in female ROMK null mice, and higher PGE2 and TXB2 production may be one of the mechanisms of this manifestation.
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