Review

Nature Clinical Practice Nephrology (2006) 2, 637-650
doi:10.1038/ncpneph0301  
Received 8 August 2005 | Accepted 3 July 2006

Mechanisms of Disease: the role of GRK4 in the etiology of essential hypertension and salt sensitivity

Robin A Felder* and Pedro A Jose

Correspondence *Department of Pathology, Post Office Box 800403, University of Virginia Health Sciences Center, Charlottesville, VA 22908, USA

Email
 rfelder@virginia.edu

Are polymorphisms of the G protein-coupled receptor kinase GRK4 the key to developing new tools for the diagnosis and management of essential hypertension? Here, Felder and Jose explore the therapeutic potential of manipulating this protein, which regulates the activity of the dopamine-1 receptor. The role of GRK4 is set in the context of the contributions of the dopaminergic and renin–angiotensin systems to the pathogenesis of hypertension.

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