AUTHOR=Ortmann Laura A. , Nandi Shyam , Li Yu-long , Zheng Hong , Patel Kaushik P. TITLE=Activation of renal epithelial Na+ channels (ENaC) in infants with congenital heart disease JOURNAL=Frontiers in Pediatrics VOLUME=Volume 12 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2024.1338672 DOI=10.3389/fped.2024.1338672 ISSN=2296-2360 ABSTRACT= Proteases known to activate ENaC were elevated in infants with congenital heart disease compared to healthy infants and their urine produced a significantly greater increase in Na + inward currents in cortical collecting duct cells. There was no further increase in urinary proteases after cardiac surgery and protease levels were not associated with post-operative fluid overload. ENaC activate could be a contributor to pre-operative fluid retention in children with unrepaired congenital heart disease.