Oyekan A O, Youseff T, Fulton D, Quilley J, McGiff J C
Department of Pharmacology, New York Medical College, Valhalla, New York 10595, USA.
J Clin Invest. 1999 Oct;104(8):1131-7. doi: 10.1172/JCI6786.
Renal function is perturbed by inhibition of nitric oxide synthase (NOS). To probe the basis of this effect, we characterized the effects of nitric oxide (NO), a known suppressor of cytochrome P450 (CYP) enzymes, on metabolism of arachidonic acid (AA), the expression of omega-hydroxylase, and the efflux of 20-hydroxyeicosatetraenoic acid (20-HETE) from the isolated kidney. The capacity to convert [(14)C]AA to HETEs and epoxides (EETs) was greater in cortical microsomes than in medullary microsomes. Sodium nitroprusside (10-100 microM), an NO donor, inhibited renal microsomal conversion of [(14)C]AA to HETEs and EETs in a dose-dependent manner. 8-bromo cGMP (100 microM), the cell-permeable analogue of cGMP, did not affect conversion of [(14)C]AA. Inhibition of NOS with N(omega)-nitro-L-arginine-methyl ester (L-NAME) significantly increased conversion of [(14)C]AA to HETE and greatly increased the expression of omega-hydroxylase protein, but this treatment had only a modest effect on epoxygenase activity. L-NAME induced a 4-fold increase in renal efflux of 20-HETE, as did L-nitroarginine. Oral treatment with 2% sodium chloride (NaCl) for 7 days increased renal epoxygenase activity, both in the cortex and the medulla. In contrast, cortical omega-hydroxylase activity was reduced by treatment with 2% NaCl. Coadministration of L-NAME and 2% NaCl decreased conversion of [(14)C]AA to HETEs without affecting epoxygenase activity. Thus, inhibition of NOS increased omega-hydroxylase activity, CYP4A expression, and renal efflux of 20-HETE, whereas 2% NaCl stimulated epoxygenase activity.
一氧化氮合酶(NOS)的抑制会扰乱肾功能。为探究此效应的基础,我们研究了一氧化氮(NO)(一种已知的细胞色素P450(CYP)酶抑制剂)对花生四烯酸(AA)代谢、ω-羟化酶表达以及从离体肾脏中20-羟基二十碳四烯酸(20-HETE)流出的影响。皮质微粒体将[(14)C]AA转化为羟基二十碳四烯酸(HETEs)和环氧化二十碳三烯酸(EETs)的能力高于髓质微粒体。NO供体硝普钠(10 - 100微摩尔)以剂量依赖性方式抑制肾微粒体将[(14)C]AA转化为HETEs和EETs。8-溴环鸟苷酸(100微摩尔)(cGMP的细胞可渗透类似物)不影响[(14)C]AA的转化。用N(ω)-硝基-L-精氨酸甲酯(L-NAME)抑制NOS可显著增加[(14)C]AA向HETE的转化,并大幅增加ω-羟化酶蛋白的表达,但这种处理对环氧化酶活性仅有适度影响。L-NAME使肾脏中20-HETE的流出增加了4倍,L-硝基精氨酸也有同样效果。用2%氯化钠(NaCl)口服治疗7天可增加皮质和髓质中的肾环氧化酶活性。相反,用2%NaCl处理会降低皮质中的ω-羟化酶活性。联合给予L-NAME和2%NaCl可减少[(14)C]AA向HETEs的转化,而不影响环氧化酶活性。因此,抑制NOS会增加ω-羟化酶活性、CYP4A表达以及肾脏中20-HETE的流出,而2%NaCl则刺激环氧化酶活性。