Hypertension affects approximately 20% of Americans and is associated with approximately 200,000 deaths annually from myocardial infarction, stroke and renal disease and yet, the precise molecular causes of disease are poorly understood. There is increasing epidemiological and experimental evidence that the prenatal administration of glucocorticoids to pregnant mothers increases blood pressure and cardiovascular disease in adult progeny. Unfortunately, the precise molecular determinants of this effect are not understood. Because glucocorticoids cause a wide range of developmental and physiologic effects in disparate tissues, it is not clear which glucocorticoid effect predisposes to hypertension. There is, at present, no method to experimentally target glucocorticoids to specific tissues in the developing fetus, and thus, distinguishing primary glucocorticoid effects from secondary sequelae has not been possible. In the course of studies to understand precise structural determinants of steroid hormone receptor function, we have generated a mutant glucocorticoid receptor with enhanced sensitivity to glucocorticoids. In this proposal, we will take advantage of recent advances in recombinant mouse genetics to create a gain-of-function GR knock-in mouse, which will allow us to assess the effects of glucocorticoid expression in individual tissues, and thereby gain insight into fundamental mechanisms of hypertension.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Small Research Grants (R03)
Project #
1R03DK064907-01
Application #
6675810
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Rankin, Tracy L
Project Start
2003-09-01
Project End
2005-05-31
Budget Start
2003-09-01
Budget End
2004-05-31
Support Year
1
Fiscal Year
2003
Total Cost
$81,750
Indirect Cost
Name
Yale University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
Goodwin, Julie E; Zhang, Junhui; Velazquez, Heino et al. (2010) The glucocorticoid receptor in the distal nephron is not necessary for the development or maintenance of dexamethasone-induced hypertension. Biochem Biophys Res Commun 394:266-71
Zhang, Junhui; Ge, Renshang; Matte-Martone, Catherine et al. (2009) Characterization of a novel gain of function glucocorticoid receptor knock-in mouse. J Biol Chem 284:6249-59