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Brief observation| Volume 114, ISSUE 6, P495-498, April 15, 2003

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Familial hyperkalemic hypertension: phenotypic analysis in a large family with the WNK1 deletion mutation

      The familial hyperkalemic hypertension syndromes (
      • Paver W.
      • Pauline G.
      Hypertension and hyperpotassaemia without renal disease in a young male.
      ,
      • Arnold J.E.
      • Healy J.K.
      Hyperkalemia, hypertension and systemic acidosis without renal failure associated with a tubular defect in potassium excretion.
      ), also referred to as Gordon syndrome (
      • Gordon R.D.
      The syndrome of hypertension and hyperkalemia with normal glomerular filtration rate: Gordon’s syndrome.
      ) or pseudohypoaldosteronism type 2 (
      • Schambelan M.
      • Sebastian A.
      • Rector F.J.
      Mineralocorticoid-resistant renal hyperkalemia without salt wasting (type II pseudohypoaldosteronism) role of increased renal chloride reabsorption.
      ), are rare, autosomal dominant forms of hyperkalemia characterized by impaired renal potassium secretion, hyperchloremic metabolic acidosis, hypertension, and a normal glomerular filtration rate. Patients with these syndromes respond to treatment with thiazide diuretics. Recently, deletions (WNK1) and missense mutations (WNK4) in the genes for a novel family of serine/threonine kinases—WNK (With No Lysine [K]) (
      • Xu B.
      • English J.M.
      • Wilsbacher J.L.
      • et al.
      WNK1, a novel mammalian serine/threonine protein kinase lacking the catalytic lysine in subdomain II.
      )—have accounted for the disease in different families (
      • Wilson F.
      • Disse-Nicodème S.
      • Choate K.
      • et al.
      Mutations in WNK kinases reveal a novel mechanism of human hypertension.
      ). In this report, we describe the phenotypic manifestations of the intronic deletion of WNK1 in a large French pedigree, including 17 patients with the mutation and 32 unaffected relatives.
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      References

        • Paver W.
        • Pauline G.
        Hypertension and hyperpotassaemia without renal disease in a young male.
        Med J Aust. 1964; 2: 305-306
        • Arnold J.E.
        • Healy J.K.
        Hyperkalemia, hypertension and systemic acidosis without renal failure associated with a tubular defect in potassium excretion.
        Am J Med. 1969; 47: 461-472
        • Gordon R.D.
        The syndrome of hypertension and hyperkalemia with normal glomerular filtration rate: Gordon’s syndrome.
        Aust N Z J Med. 1986; 16: 183-184
        • Schambelan M.
        • Sebastian A.
        • Rector F.J.
        Mineralocorticoid-resistant renal hyperkalemia without salt wasting (type II pseudohypoaldosteronism).
        Kidney Int. 1981; 19: 716-727
        • Xu B.
        • English J.M.
        • Wilsbacher J.L.
        • et al.
        WNK1, a novel mammalian serine/threonine protein kinase lacking the catalytic lysine in subdomain II.
        J Biol Chem. 2000; 275: 16795-16801
        • Wilson F.
        • Disse-Nicodème S.
        • Choate K.
        • et al.
        Mutations in WNK kinases reveal a novel mechanism of human hypertension.
        Science. 2001; 293: 1107-1112
        • André J.L.
        • Deschamps J.P.
        • Gueguen R.
        Arterial blood pressure in 17,067 children and adolescents.
        Arch Fr Pediatr. 1980; 37: 477-482
        • Mansfield T.
        • Simon D.
        • Farfel Z.
        • et al.
        Multilocus linkage of familial hyperkalaemia and hypertension, pseudohypoaldosteronism type II, to chromosomes 1q31-42 and 17p11-q21.
        Nat Genet. 1997; 16: 202-205
        • O’Shaughnessy K.
        • Fu B.
        • Johnson A.
        • Gordon R.D.
        Linkage of Gordon’s syndrome to the long arm of chromosome 17 in a region recently linked to familial essential hypertension.
        J Hum Hypertens. 1998; 12: 675-678
        • Disse-Nicodeme S.
        • Achard J.-M.
        • Desitter I.
        • et al.
        A new locus on chromosome 12p13.3 for pseudohypoaldosteronism type II, an autosomal dominant form of hypertension.
        Am J Hum Genet. 2000; 67: 302-310
        • Disse-Nicodeme S.
        • Desitter I.
        • Fiquet-Kempf B.
        • et al.
        Genetic heterogeneity of familial hyperkalaemic hypertension.
        J Hypertens. 2001; 19: 1957-1964
        • Gordon R.D.
        Syndrome of hypertension and hyperkalemia with normal glomerular filtration rate.
        Hypertension. 1986; 8: 93-102
        • Sauder S.E.
        • Kelch R.P.
        • Grekin R.J.
        • Kelsch R.C.
        Suppression of plasma renin activity in a boy with chronic hyperkalemia.
        Am J Dis Child. 1987; 141: 922-927
        • Farfel Z.
        • Iaina A.
        • Rosenthal T.
        • et al.
        Familial hyperpotassemia and hypertension accompanied by normal plasma aldosterone levels: possible hereditary cell membrane defect.
        Arch Intern Med. 1978; 138: 1828-1832
        • Spitzer A.
        • Edelmann C.M.
        • Goldberg L.D.
        • Henneman P.H.
        Short stature, hyperkalemia and acidosis.
        Kidney Int. 1973; 3: 251-257
        • Weinstein S.F.
        • Allan D.M.E.
        • Mendoza S.A.
        Hyperkalemia, acidosis and short stature associated with a defect in renal potassium excretion.
        J Pediatr. 1974; 85: 355-358
        • Iitaka K.
        • Watanabe N.
        • Asakura A.
        • et al.
        Familial hyperkalaemia, metabolic acidosis and short stature with normal renin and aldosterone levels.
        Int J Pediatr Nephrol. 1980; 1: 242-245
        • Brautbar N.
        • Levi J.
        • Rosler A.
        • et al.
        Familial hyperkalemia, hypertension, and hyporeninemia with normal aldosterone levels. A tubular defect in potassium handling.
        Arch Intern Med. 1978; 138: 607-610
        • Nahum H.
        • Paillard M.
        • Prigent A.
        • et al.
        Pseudohypoaldosteronism type II.
        Am J Nephrol. 1986; 6: 253-262
        • Gordon R.D.
        • Hodsman G.P.
        The syndrome of hypertension and hyperkalaemia without renal failure: long term correction by thiazide diuretic.
        Scott Med J. 1986; 31: 43-44
        • Scheinman S.J.
        • Guay-Woodford L.M.
        • Thakker R.V.
        • Warnock D.G.
        Genetic disorders of renal electrolyte transport.
        N Engl J Med. 1999; 340: 1177-1187
        • Rodriguez-Soriano J.
        • Vallo A.
        • Dominguez M.J.
        “Chloride-shunt” syndrome.
        Pediatr Nephrol. 1989; 3: 113-121
        • Semmekrot B.
        • Monnens L.
        • Theelen B.G.
        • et al.
        The syndrome of hypertension and hyperkalaemia with normal glomerular function (Gordon’s syndrome). A pathophysiological study.
        Pediatr Nephrol. 1987; 1: 473-478
        • Stratton J.D.
        • McNicholas T.A.
        • Farrington K.
        Recurrent calcium stones in Gordon’s syndrome.
        Br J Urol. 1998; 82: 925