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Genetic heterogeneity of Bartter's syndrome revealed by mutations in the K+ channel, ROMK
Author(s): Simon DB, Karet FE, RodriguezSoriano J, Hamdan JH, DiPietro A, Trachtman H, Sanjad SA, Lifton RP
Source: NATURE GENETICS    Volume: 14    Issue: 2    Pages: 152-156    Published: OCT 1996  
Times Cited: 415     References: 16     
Abstract: Mutations in the Na-K-2Cl cotransporter (NKCC2), a mediator of renal salt reabsorption, cause Bartter's syndrome, featuring salt wasting, hypokalaemic alkalosis, hypercalciuria and low blood pressure. NKCC2 mutations can be excluded in some Bartter's kindreds, prompting examination of regulators of cotransporter activity. One regulator is believed to be ROMK, an ATP-sensitive K+ channel that 'recycles' reabsorbed K+ back to the tubule lumen, Examination of the ROMK gene reveals mutations that co-segregate with the disease and disrupt ROMK function in four Bartter's kindreds. Our findings establish the genetic heterogeneity of Bartter's syndrome, and demonstrate the physiologic role of ROMK in vivo.
Document Type: Article
Language: English
Addresses:
1. YALE UNIV, SCH MED, BOYER CTR MOL MED, HOWARD HUGHES MED INST, DEPT MED, NEW HAVEN, CT 06510 USA
2. YALE UNIV, SCH MED, BOYER CTR MOL MED, HOWARD HUGHES MED INST, DEPT GENET, NEW HAVEN, CT 06510 USA
3. HOSP CRUCES, DEPT PEDIAT, E-48903 BARACALDO, SPAIN
4. DHARAN HLTH CTR, SPECIALTY PEDIAT SERV DIV, DHAHRAN 31311, SAUDI ARABIA
5. SCHNEIDER CHILDRENS HOSP, ALBERT EINSTEIN COLL MED, DEPT PEDIAT, I-80131 NAPLES, ITALY
6. KING FAISAL SPECIALIST HOSP & RES CTR, DEPT PEDIAT, RIYADH 11211, SAUDI ARABIA
Publisher: NATURE PUBLISHING CO, 345 PARK AVE SOUTH, NEW YORK, NY 10010-1707
Subject Category: Genetics & Heredity
IDS Number: VL446
ISSN: 1061-4036
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