Gaukrodger N, Avery PJ, Keavney B. Plasma potassium level is associated with common genetic variation in the -subunit of the epithelial sodium channel. Am J Physiol Regul Integr Comp Physiol 294: R1068-R1072, 2008. First published January 9, 2008 doi:10.1152/ajpregu.00732.2007.-Plasma potassium is a moderately heritable phenotype, but no robust associations between common single nucleotide polymorphisms (SNPs) and plasma potassium have previously been described. Genetic influences on renal potassium handling could be important in the etiology of hypertension. We have tested whether common genetic variation in the gene encoding the -subunit of the epithelial sodium channel (SCNN1B) affects plasma potassium and blood pressure level in a study of 1,425 members of 248 families ascertained on a proband with hypertension. We characterized family members for blood pressure using ambulatory monitoring, measured plasma potassium in venous blood samples, and genotyped four SNPs that spanned the SCNN1B gene. We found highly significant association between genotype at the SCNN1B rs889299 SNP situated in intron 4 of the gene and plasma potassium. Homozygotes for the rarer T allele had on average a 0.15 mM lower plasma potassium than homozygotes for the common C allele, with an intermediate value for heterozygotes (trend, P ϭ 0.0003). Genotype at rs889299 accounted for ϳ1% of the total variability in plasma potassium, or around 3% of the total heritable fraction. There was no association between genotype at any SCNN1B SNP and blood pressure considered as a quantitative trait, or with hypertension affection status. We have shown a modest sized but highly significant effect of common genetic variation in the SCNN1B gene on plasma potassium. Interaction between the rs889299 SNP and functional SNPs in other genes influencing aldosterone-responsive distal tubular electrolyte transport may be important in the etiology of essential hypertension.aldosterone; electrolyte; heritability; genetics THE EPITHELIAL SODIUM CHANNEL (ENaC) plays a key role in the maintenance of blood pressure and electrolyte homeostasis in the distal nephron. ENaC consists of three subunits ␣, , and ␥, which combine in a 1-to-1-to-1 ratio to form the functional channel (15). Activating mutations in the -and ␥-subunits of ENaC (encoded by the SCNN1B and SCNN1G genes, respectively) give rise to Liddle's syndrome, an autosomal dominant condition involving amiloride-sensitive hypertension, hypokalemia, and metabolic alkalosis (10,20). Conversely, loss of function mutations in the ␣-, -, or ␥-subunits of ENaC leads to recessive pseudohypoaldosteronism type I, a childhood condition characterized by severe salt wasting and hyperkalemia (6). A number of groups have investigated the role of common polymorphisms in the genes encoding the ENaC subunits as potential susceptibility alleles influencing the risk of essential hypertension to a moderate degree. However, no common single nucleotide polymorphism in any subunit of ENaC has been consistently identified as c...