Forebrain Electroneutral Transporters in Salt-sensitive Hypertension: an MRI Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Furosemide (Diuretic), Hypertonic Saline Infusion.
- Who it may be relevant to
- Registry conditions: Salt-Sensitivity of Blood Pressure. Basic parameters: 40 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The overall objective of this project is to identify the key salt-sensing regions of the brain and determine the underlying mechanism of sodium sensing. The investigators will assess how the brain responds to an acute increase of salt in the blood using MRI. This will be done during a 30-minute infusion of a saline solution containing 3% salt. One trial will be conducted with a salt sensing channel blocker and one trial without the salt sensing channel blocker. This will help to assess the role of a specific salt sensing channel in the brain. Salt sensitivity of BP will be assessed using 7-day dietary feeding where participants will be given food to consume for 7-days. Comparisons will be made between salt resistant (no change in blood pressure going from low to high salt diets) and salt sensitive adults (a change in blood pressure going from low to high salt diets). The investigators think the changes in MRI will be greater in salt sensitive compared to salt resistant subjects.
Detailed description
The ability of the brain to sense changing sodium levels in the blood is critical in mediating the neurohumoral responses to hypernatremia, however, the mechanisms underlying sodium sensing in humans is poorly understood. The purpose of this study is to identify key sodium-sensing regions of the human brain in middle-aged men and women with high blood pressure and determine if the Na-K-2Cl co-transporter (NKCC2) mediates the neurohumoral response to acute hypernatremia. The investigators plan on comparing these central sodium responses to acute hypernatremia between salt-sensitive and salt-resistant adults. In this randomized double-blinded crossover study subjects will have a 3% NaCl (hypertonic saline) infusion with or without NKCC2 antagonism (furosemide). Completion of this project will increase the understanding of blood pressure regulation, which has major public health implications.
Interventions
- Drug Furosemide (Diuretic)
The diuretic furosemide will be given during a 3% hypertonic saline infusion to examine blockade of the NKCC2. - Other Hypertonic Saline Infusion
3% Hypertonic saline infusion to acutely increase sodium and osmolality
Primary outcome measures
- Bold fMRI [Time frame: 1 hour]
Secondary outcome measures (1)
- Blood Pressure [Time frame: 1 hour]
Eligibility criteria
Inclusion criteria
- Age: > 40 years or < 60 years
- Blood pressure: > 100/60 mmHg or < 140/90 mmHg
- BMI: > 18.5 kg/m2 or < 35 kg/m2
- Serum potassium: > 3.5 mmol/L or < 5.5 mmol/L
- No history of cardiovascular, renal, metabolic, or neurological disease
Exclusion criteria
- Age: < 40 years or > 60 years
- Blood pressure: < 100/60 mmHg or > 140/90 mmHg
- BMI: < 18.5 kg/m2 or > 30 kg/m2
- Serum potassium: < 3.5 mmol/L or > 5.5 mmol/L
- Abnormal ECG
- History of - cardiovascular, cancer, metabolic, respiratory, renal disease
- Hormone replacement therapy
- Current tobacco or nicotine use
- Pregnant or nursing mothers
- Major brain injury (concussions do not count)
- Clinically diagnosed psychiatric or neurological disorder
- Clinically diagnosed anxiety or depression
- Psychiatric, neurological, anxiety or depression medications
- Hypertension medications
- Sulfonamide drug allergy
- Contra-indications to MRI (implants, metal, etc)
- Claustrophobia
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Crossover
- Masking
- Double blind
- Primary purpose
- Basic science
Study locations
United States · 1 center
- University of Delaware — Newark
Identifiers
NCT: NCT06094816 · 2053776 · R01HL163906