Predicted Effect of Circadian Regulation of Renal Transporters in a Hypertensive Rat
Bibliographic record
Abstract
ABSTRACT The kidney regulates extracellular fluid and electrolyte homeostasis. Its function is modulated by the renin-angiotensin-aldosterone system (RAAS). Overactivation of the RAAS, such as in chronic Ang II infusion, promotes vasoconstriction, anti-natriuresis, and hypertension. Kidney function is also modulated by circadian clocks. Indeed, glomerular filtration rate, filtered electrolyte loads, urine volume, and urinary excretion all exhibit notable diurnal rhythms, which reflect, in part, the regulation of renal transporter proteins by circadian clock genes. Key renal transporters that are regulated by clock gene proteins include sodium-hydrogen exchanger 3 (NHE3), sodium-glucose cotransporter 1 (SGLT1), Na + -K + -2Cl − cotransporter (NKCC2), Na + -Cl − cotransporter (NCC), and epithelial sodium channel (ENaC), which are targeted by diuretics used to treat hypertension. The objective of the present study was to assess the effect of administration time on the natriuretic and diuretic effects of loop, thiazide, and K + -sparing diuretics, which are common treatments for hypertension, and how those effects differ between a normotensive and hypertensive kidney. Loop diuretics inhibit NKCC2 on the apical membrane of the thick ascending limb; notably, In Ang II-induced hypertension, NKCC2 is differentially regulated along the medullary versus cortical thick ascending limb. Thiazide diuretics inhibit NCC on the distal convoluted tubule, and K + -sparing diuretics inhibit ENaC on the connecting tubule and collecting duct. We simulated Na + transporter inhibition using computational models of kidney function at different times of day. The simulation results predicted qualitatively similar diurnal oscillations in segmental transport in the normotensive and hypertensive kidneys, and highlighted significant time-of-day differences in the natriuresis, diuresis, and kaliuresis responses. NEW & NOTEWORTHY Chronic infusion of angiotensin II promotes vasoconstriction, salt retention, and hypertension. Blood pressure and kidney function exhibit circadian rhythms. Given the diurnal variations in the expression levels of key renal electrolyte transporters, how do the natriuretic and diuretic effects of diuretics, a common treatment for hypertension that targets renal transporters, vary during the day? To answer this question, we simulated Na + transporter inhibition using computational models of kidney function at different times of day.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".