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肾素-血管紧张素系统与神经元型一氧化氮合酶在致密斑中对环氧合酶-2调节的相互作用

Interactions of the renin-angiotensin system and neuronal nitric oxide synthase in regulation of cyclooxygenase-2 in the macula densa.

作者信息

Harris R C, Cheng H, Wang J, Zhang M, McKanna J A

机构信息

George M. O'Brien Kidney and Urologic Diseases Center and Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.

出版信息

Acta Physiol Scand. 2000 Jan;168(1):47-51. doi: 10.1046/j.1365-201x.2000.00642.x.

Abstract

Cyclooxygenase-2 (COX-2) expression in rat kidney is localized to the macula densa and the immediately proximal cTALH and increases after salt restriction. Either ACE inhibitors or AT1 receptor blockers increase COX-2 expression in both control and salt-restricted animals, suggesting that the RAS activation feedback inhibits renal cortical COX-2 expression. To determine whether increased COX-2 expression in response to ACE inhibition mediated increases in renin production, rats were treated with Captopril for 1 week with or without the specific COX-2 inhibitor, SC58236. Plasma renin activity increased significantly in the Captopril group. This increase was partially reversed by simultaneous treatment with SC58236. Kidney renin activity also increased in the Captopril group compared with control, which was also significantly inhibited by SC58236 treatment. Because of the localization of bNOS to MD and surrounding cTALH, the current study investigated the role of NO in the regulation of COX-2 expression. Rats were fed a normal diet, low salt diet or low salt diet combined with captopril and half of them were treated with the neuronal NOS inhibitor, 7-NI, and half with vehicle. After 7 days, mRNA was extracted and the microsome proteins purified from renal cortex. COX-2 mRNA expression was measured by Northern-blot and normalized with GAPDH. 7-NI treatment decreased COX-2 mRNA and immunoreactive COX-2 expression in each group. In summary, these studies indicate that COX-2 from macula densa/cTALH is a regulator of renin production and release. Angiotensin II may be a negative regulator of cTALH/macula densa COX-2 expression, and NO may mediate increased renal cortical COX-2 expression seen in volume depletion. These studies suggest important interactions between the NO and COX-2 systems in the regulation of arteriolar tone and the renin-angiotensin system by the macula densa.

摘要

环氧化酶-2(COX-2)在大鼠肾脏中的表达定位于致密斑和紧邻的近端皮质升支粗段(cTALH),且在限盐后增加。血管紧张素转换酶(ACE)抑制剂或血管紧张素Ⅱ1型(AT1)受体阻滞剂均可增加正常饮食和限盐动物的COX-2表达,提示肾素-血管紧张素系统(RAS)激活通过反馈机制抑制肾皮质COX-2表达。为了确定ACE抑制介导的COX-2表达增加是否会导致肾素生成增加,将大鼠用卡托普利治疗1周,同时给予或不给予特异性COX-2抑制剂SC58236。卡托普利组血浆肾素活性显著增加。同时给予SC58236可部分逆转这一增加。与对照组相比,卡托普利组肾脏肾素活性也增加,SC58236治疗也可显著抑制该增加。由于脑型一氧化氮合酶(bNOS)定位于致密斑和周围的cTALH,本研究探讨了一氧化氮(NO)在调节COX-2表达中的作用。将大鼠喂以正常饮食、低盐饮食或低盐饮食联合卡托普利,其中一半用神经元型一氧化氮合酶抑制剂7-硝基吲唑(7-NI)处理,另一半用溶剂处理。7天后,提取mRNA并从肾皮质纯化微粒体蛋白。通过Northern杂交法测量COX-2 mRNA表达并用甘油醛-3-磷酸脱氢酶(GAPDH)进行标准化。7-NI处理降低了每组中COX-2 mRNA和免疫反应性COX-2的表达。总之,这些研究表明致密斑/cTALH中的COX-2是肾素生成和释放的调节因子。血管紧张素Ⅱ可能是cTALH/致密斑COX-2表达的负调节因子,而NO可能介导了容量耗竭时肾皮质COX-2表达的增加。这些研究提示在致密斑调节小动脉张力和肾素-血管紧张素系统过程中,NO和COX-2系统之间存在重要的相互作用。

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