Liddle Syndrome
Epithelial Sodium Channels
Sodium Channels
Regulation of the epithelial sodium channel (ENaC) by membrane trafficking. (1/10)
(+info)Airway surface liquid volume regulation determines different airway phenotypes in liddle compared with betaENaC-overexpressing mice. (2/10)
(+info)Hrs controls sorting of the epithelial Na+ channel between endosomal degradation and recycling pathways. (3/10)
(+info)The R563Q mutation of the epithelial sodium channel beta-subunit is associated with hypertension. (4/10)
(+info)3-Monoglucuronyl-glycyrrhretinic acid is a substrate of organic anion transporters expressed in tubular epithelial cells and plays important roles in licorice-induced pseudoaldosteronism by inhibiting 11beta-hydroxysteroid dehydrogenase 2. (5/10)
(+info)Genetic diagnosis of Liddle's syndrome by mutation analysis of SCNN1B and SCNN1G in a Chinese family. (6/10)
BACKGROUND: Liddle's syndrome is a rare autosomal-dominant monogenic form of salt-sensitive hypertension. This study aimed to screen the gene mutation in beta and gamma subunits of the epithelial sodium channel (ENaC) of a Chinese family with Liddle's syndrome, an autosomal dominant form of hypertension. METHODS: DNA samples from the proband with early-onset, treatment-resistant hypertension and suppressed plasma renin activity were initially screened for mutations in the C-terminal exons of the ENaC beta or gamma subunit genes, using amplification by polymerase chain reaction and direct DNA sequencing. We also screened the C-terminus of SCNN1B and SCNN1G in family members, and screened for the mutation in 150 controls. RESULTS: Genetic analysis of the beta ENaC gene revealed a missense mutation of CCC to TCC at codon 616 in the proband, her mother and her grandmother. One hundred and fifty randomly selected controls had not the mutation, indicating that this is not a common genetic polymorphism. There was no mutation of the gamma ENaC gene in any of the individuals examined. CONCLUSIONS: Through direct DNA sequencing analysis, we established the diagnosis of Liddle's syndrome for the proband and her families, and provided tailored therapies to this abnormality. These results provide further evidence that Pro616Ser is a critical amino acid that has a key role in the inhibition of sodium channel activity. (+info)Salt-induced hypertension in a mouse model of Liddle syndrome is mediated by epithelial sodium channels in the brain. (7/10)
(+info)Renal tubular NEDD4-2 deficiency causes NCC-mediated salt-dependent hypertension. (8/10)
(+info)Liddle Syndrome is a rare genetic disorder that affects the kidney's ability to regulate sodium and potassium levels in the body. It is characterized by early onset hypertension (high blood pressure), hypokalemia (low potassium levels), and metabolic alkalosis (a shift in the body's acid-base balance towards higher pH).
The disorder is caused by mutations in the SCNN1B and SCNN1G genes, which encode for subunits of the epithelial sodium channel (ENaC) in the distal tubules of the kidney. These mutations lead to an overactive ENaC, resulting in increased sodium reabsorption and potassium excretion, which ultimately causes hypertension and hypokalemia.
Liddle Syndrome is typically inherited in an autosomal dominant manner, meaning that only one copy of the mutated gene is sufficient to cause the disorder. Treatment usually involves the use of medications that block the ENaC channel, such as amiloride or triamterene, which can help control blood pressure and correct electrolyte imbalances.
Epithelial Sodium Channels (ENaC) are a type of ion channel found in the epithelial cells that line the surface of many types of tissues, including the airways, kidneys, and colon. These channels play a crucial role in regulating sodium and fluid balance in the body by allowing the passive movement of sodium ions (Na+) from the lumen or outside of the cell to the inside of the cell, following their electrochemical gradient.
ENaC is composed of three subunits, alpha, beta, and gamma, which are encoded by different genes. The channel is normally closed and opens in response to various stimuli, such as hormones, neurotransmitters, or changes in osmolarity. Once open, the channel allows sodium ions to flow through, creating a positive charge that can attract chloride ions (Cl-) and water molecules, leading to fluid absorption.
In the kidneys, ENaC plays an essential role in regulating sodium reabsorption in the distal nephron, which helps maintain blood pressure and volume. In the airways, ENaC is involved in controlling the hydration of the airway surface liquid, which is necessary for normal mucociliary clearance. Dysregulation of ENaC has been implicated in several diseases, including hypertension, cystic fibrosis, and chronic obstructive pulmonary disease (COPD).
A syndrome, in medical terms, is a set of symptoms that collectively indicate or characterize a disease, disorder, or underlying pathological process. It's essentially a collection of signs and/or symptoms that frequently occur together and can suggest a particular cause or condition, even though the exact physiological mechanisms might not be fully understood.
For example, Down syndrome is characterized by specific physical features, cognitive delays, and other developmental issues resulting from an extra copy of chromosome 21. Similarly, metabolic syndromes like diabetes mellitus type 2 involve a group of risk factors such as obesity, high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that collectively increase the risk of heart disease, stroke, and diabetes.
It's important to note that a syndrome is not a specific diagnosis; rather, it's a pattern of symptoms that can help guide further diagnostic evaluation and management.
Sodium channels are specialized protein structures that are embedded in the membranes of excitable cells, such as nerve and muscle cells. They play a crucial role in the generation and transmission of electrical signals in these cells. Sodium channels are responsible for the rapid influx of sodium ions into the cell during the initial phase of an action potential, which is the electrical signal that travels along the membrane of a neuron or muscle fiber. This sudden influx of sodium ions causes the membrane potential to rapidly reverse, leading to the depolarization of the cell. After the action potential, the sodium channels close and become inactivated, preventing further entry of sodium ions and helping to restore the resting membrane potential.
Sodium channels are composed of a large alpha subunit and one or two smaller beta subunits. The alpha subunit forms the ion-conducting pore, while the beta subunits play a role in modulating the function and stability of the channel. Mutations in sodium channel genes have been associated with various inherited diseases, including certain forms of epilepsy, cardiac arrhythmias, and muscle disorders.
Hypertension is a medical term used to describe abnormally high blood pressure in the arteries, often defined as consistently having systolic blood pressure (the top number in a blood pressure reading) over 130 mmHg and/or diastolic blood pressure (the bottom number) over 80 mmHg. It is also commonly referred to as high blood pressure.
Hypertension can be classified into two types: primary or essential hypertension, which has no identifiable cause and accounts for about 95% of cases, and secondary hypertension, which is caused by underlying medical conditions such as kidney disease, hormonal disorders, or use of certain medications.
If left untreated, hypertension can lead to serious health complications such as heart attack, stroke, heart failure, and chronic kidney disease. Therefore, it is important for individuals with hypertension to manage their condition through lifestyle modifications (such as healthy diet, regular exercise, stress management) and medication if necessary, under the guidance of a healthcare professional.
Liddle's syndrome - Wikipedia
Liddle syndrome: MedlinePlus Genetics
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Mechanism by which Liddle's syndrome mutations increase activity of a human epithelial Na+ channel - Wikidata
Liddle syndrome (Concept Id: C0221043) - MedGen - NCBI
Liddle Syndrome - Genitourinary Disorders - MSD Manual Professional Edition
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Hypertension13
- The first indication of the syndrome often is the incidental finding of hypertension during a routine physical exam. (wikipedia.org)
- Because this syndrome is rare, it may only be considered by the treating physician after the child's hypertension does not respond to medications for lowering blood pressure. (wikipedia.org)
- Liddle described the syndrome in a family of people exemplifying a heritable, autosomal dominant hypertension with low potassium, renin, and aldosterone. (wikipedia.org)
- Liddle syndrome is an inherited form of high blood pressure ( hypertension ). (medlineplus.gov)
- Corvol P. Liddle's syndrome: heritable human hypertension caused by mutations in the Beta subunit of the epithelial sodium channel. (medlineplus.gov)
- Hypertension caused by a truncated epithelial sodium channel gamma subunit: genetic heterogeneity of Liddle syndrome. (medlineplus.gov)
- A de novo missense mutation of the beta subunit of the epithelial sodium channel causes hypertension and Liddle syndrome, identifying a proline-rich segment critical for regulation of channel activity. (medlineplus.gov)
- Liddle syndrome is a rare hereditary disorder involving increased activity of the epithelial sodium channel (ENaC), which causes the kidneys to excrete potassium but retain too much sodium and water, leading to hypertension. (msdmanuals.com)
- Liddle syndrome is an autosomal dominant form of hypertension, resulting from mutations in the cytoplasmic C-terminus of either the beta or gamma subunits of the amiloride-sensitive epithelial Na channel (ENaC) which lead to constitutively increased channel activity. (nih.gov)
- Liddle syndrome is an inherited form of arterial hypertension with autosomal dominant pattern of inheritance. (bvsalud.org)
- We describe a case, genetically confirmed, in which hypertension refractory to conventional treatment is the only manifestation of said syndrome, making diagnosis difficult and delayed until adulthood. (bvsalud.org)
- PURPOSE: Liddle syndrome is a hereditary form of arterial hypertension caused by mutations in the genes coding of the epithelial sodium channel - SCNN1A, SCNN1B and SCNN1G. (bvsalud.org)
- Hypertension is a key feature of some uncommon genetic disorders, including familial hyperaldosteronism, pseudohypoaldosteronism type 2, Liddle syndrome, and tumors known as paragangliomas. (usppharm.com)
Amiloride3
- Indeed, neither Liddle syndrome nor amiloride is cost Real Clopidogrel or treatment discussed or Joint National Committee guideline clot If a costs Real Clopidogrel by clinicians without evaluation only as a potassium African Americans represent a In cost Real Clopidogrel of improving in patients with hyperthyroidism, has been planned and after successful treatment to poorer control rates, and. (tabtbah.com)
- Amiloride is the treatment of choice for Liddle phenotype, which is characterized by high blood pressure, low blood potassium, and metabolic alkalosis in conjunction with a low plasma renin activity and a low aldosterone. (worldsbest.rehab)
- Because Liddle phenotype usually involves an upregulation of ENaC channels, leading to retention of sodium and water and to hypokalemia, amiloride is useful as an ENaC channel inhibitor due to its promotion of sodium excretion and its potassium-sparing effects, restoring potassium to normal levels. (worldsbest.rehab)
Liddle's1
- Liddle's syndrome, also called Liddle syndrome, is a genetic disorder inherited in an autosomal dominant manner that is characterized by early, and frequently severe, high blood pressure associated with low plasma renin activity, metabolic alkalosis, low blood potassium, and normal to low levels of aldosterone. (wikipedia.org)
Hyperaldosteronism2
- Primary hyperaldosteronism (also known as Conn's syndrome), is due to an aldosterone-secreting adrenal tumor (adenoma) or adrenal hyperplasia. (wikipedia.org)
- Aldosterone levels are high in hyperaldosteronism, whereas they are low to normal in Liddle syndrome. (wikipedia.org)
Aldosterone4
- spironolactone is not effective because it acts by regulating aldosterone and Liddle syndrome does not respond to this regulation. (wikipedia.org)
- PURPOSE: Through describing the confusing misdiagnosis process of Liddle syndrome, we try to reveal the importance of accurate aldosterone-renin detection and a genetic test for Liddle syndrome. (bvsalud.org)
- Conn's syndrome is overproduction of the mineralocorticoid hormone aldosterone by the adrenal glands. (the-medical-dictionary.com)
- Measuring aldosterone alone is not considered adequate to diagnose Conn's syndrome. (the-medical-dictionary.com)
Metabolic alkalosis1
- Metabolic alkalosis in the syndrome of AME may be treated with potassium-sparing diuretics. (medscape.com)
ENaC4
- This syndrome is caused by dysregulation of the epithelial sodium channel (ENaC) due to a genetic mutation at the 16p13-p12 locus. (wikipedia.org)
- The latter group includes Liddle syndrome, a rare genetic disease with autosomal dominant inheritance, caused by gain-of-function mutations in the genes that code for the epithelial sodium channel (ENaC), involved in sodium reabsorption in the distal renal tubules. (bvsalud.org)
- In Liddle syndrome, ENaC activity get at least 30 minutes to exercise physical activity. (rsmraiganj.in)
- Some people with the Liddle phenotype have Liddle syndrome, which involves a genetic mutation resulting in upregulation of the epithelial sodium channel (ENaC), located in the apical membrane of polarized epithelial cells in the late distal tubule and collecting duct of the kidney. (worldsbest.rehab)
Diagnosis4
- Genetic testing helps to confirm the diagnosis and initiate appropriate treatment, a case of Liddle syndrome. (nih.gov)
- AAEE minimonograph #27: Differential diagnosis of myotonic syndromes. (medscape.com)
- A Gene test is an important method for the diagnosis of Liddle syndrome. (bvsalud.org)
- The diagnosis of Loeys Dietz syndrome can be made by clinical examination of the patient with further investigations for affected organ systems. (medicalfoxx.com)
Genetic heterogeneity1
- Andersen-Tawil syndrome: a model of clinical variability, pleiotropy, and genetic heterogeneity. (medscape.com)
Ingestion1
- It can be mimicked by liquorice ingestion (glycyrrhizin) and Liddle syndrome. (the-medical-dictionary.com)
Epithelial1
- Therapy of Liddle syndrome is based on administration of epithelial sodium channel blocker amilorid. (bvsalud.org)
Sodium1
- Liddle syndrome involves abnormal kidney function, with excess reabsorption of sodium and loss of potassium from the renal tubule, and is treated with a combination of low sodium diet and potassium-sparing diuretics (e.g. amiloride). (wikipedia.org)
Cystic fibrosis1
- Some examples of affected proteins include those linked to cystic fibrosis, Angelman's syndrome, and Liddle syndrome. (novusbio.com)
Kidney1
- citation needed] Liddle syndrome resolves completely after kidney transplantation. (wikipedia.org)
Disorder1
- Autoimmune polyendocrine syndrome type II, also known as Schmidt syndrome, is a rare autoimmune disorder in which there is a steep drop in production of several essential hormones by the glands that secrete these hormones. (rarediseases.org)
Adrenogenital syndrome1
- Congenital abnormality of steroid metabolism (eg, adrenogenital syndrome, 17? (unboundmedicine.com)
SCNN1G2
- Liddle syndrome is caused by mutations in the SCNN1B or SCNN1G gene. (medlineplus.gov)
- A heterozygous variant of SCNN1G was found with whole exome sequencing and Liddle syndrome is indicated. (bvsalud.org)
Severe2
- Junker J, Haverkamp W, Schulze-Bahr E, Eckardt L, Paulus W, Kiefer R. Amiodarone and acetazolamide for the treatment of genetically confirmed severe Andersen syndrome. (medscape.com)
- Phenotypic variability makes it difficult to identify patients with Liddle syndrome, often resulting in misdiagnosis and severe complications at early age. (bvsalud.org)
Abnormal1
- People with triple A syndrome often experience abnormal sweating, difficulty regulating blood pressure, unequal pupil size (anisocoria), and other signs and symptoms of autonomic nervous system dysfunction (dysautonomia). (beds.ac.uk)
Genes3
- This syndrome is caused by a mutation in specific genes that provide information for forming proteins. (medicalfoxx.com)
- The four genes, which mutations cause Loeys Dietz syndrome have a signaling role in promoting the growth and development of various tissue- blood vessel, bone, extracellular matrix. (medicalfoxx.com)
- Since the genes involved in this syndrome have a role in connective tissue growth and development, many other body systems are involved [2,7] . (medicalfoxx.com)
Diseases1
- Loeys Dietz syndrome is inherited in autosomal-dominant pattern (other autosomal dominant diseases see here: Liddle syndrome, Dubowitz syndrome). (medicalfoxx.com)
Patients2
- Patients with Liddle syndrome present at age 35 years. (msdmanuals.com)
- Among those Liddle syndrome patients confirmed by a genetic test, for Test kit A all ARR were screened positive while for test kit B negative. (bvsalud.org)
Achalasia1
- Triple A syndrome is an inherited condition characterized by three specific features: achalasia, Addison disease, and alacrima. (beds.ac.uk)
Rare1
- Liddle syndrome is a rare condition, although its prevalence is unknown. (medlineplus.gov)
Clinical2
- Autoimmune polyglandular syndrome type I is characterized by the presence of 2 of 3 major clinical symptoms: Addison disease, and/or hypoparathyroidism, and/or chronic mucocutaneous candidiasis (Neufeld et al. (beds.ac.uk)
- Our objective was to examine a family suspected from Liddle syndrome including genetic testing and evaluate clinical and biochemical features of affected family members. (bvsalud.org)
Symptoms1
- Some people with Liddle syndrome have no additional signs or symptoms, especially in childhood. (medlineplus.gov)
Alacrima1
- The third major feature of triple A syndrome is a reduced or absent ability to secrete tears (alacrima). (beds.ac.uk)
AUTONOMIC NERVOU1
- Many of the features of triple A syndrome are caused by dysfunction of the autonomic nervous system. (beds.ac.uk)
Chronic1
- BARNES, T. R. Syndromes of chronic schizophrenia. (bvsalud.org)