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血管紧张素II反馈是肾皮质肾素、环氧化酶-2和神经元型一氧化氮合酶表达的调节因子。

Angiotensin II feedback is a regulator of renocortical renin, COX-2, and nNOS expression.

作者信息

Kammerl Martin C, Richthammer Wolfgang, Kurtz Armin, Krämer Bernhard K

机构信息

Institut für Physiologie, Universität Regensburg, 93040 Regensburg, Germany.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2002 Jun;282(6):R1613-7. doi: 10.1152/ajpregu.00464.2001.

Abstract

Salt restriction leads to parallel increases of renin, cyclooxygenase-2 (COX-2), and neuronal nitric oxide synthase (nNOS) gene expression in the juxtaglomerular apparatus of rat kidneys. Because the upregulation of these genes is strongly enhanced if salt restriction is combined with inhibition of the renin-angiotensin-aldosterone system, our study aimed to find out whether the juxtaglomerular expressions of renin, COX-2, and nNOS are subject to a common direct negative feedback control by ANG II. For this purpose, male Sprague-Dawley rats were fed a low-salt diet (0.02% wt/wt) with or without additional treatment with the ANG I-converting enzyme (ACE) inhibitor ramipril (10 mg x kg body wt(-1) x day(-1)) for 1 wk, and renocortical renin, COX-2, and nNOS mRNAs were assayed. To narrow down possible indirect effects of the ACE inhibitor that may result from insufficient aldosterone production, the animals received mineralocorticoid substitution with fludrocortisone (6 mg. kg body wt(-1) x day(-1)). Thus mineralocorticoid substitution prevented the fall of systolic blood pressure and of glomerular filtration induced by ramipril in rats on low-salt diet. Although fludrocortisone had no effect on basal renin, COX-2, and nNOS mRNA, it clearly attenuated the threefold increases of both renin and COX-2 mRNA in response to low-salt diet. In rats on low-salt diet, ramipril further increased renin mRNA ninefold, COX-2 mRNA fourfold, and nNOS 2.5-fold in the absence of fludrocortisone. In the presence of fludrocortisone, ramipril increased renin mRNA 10-fold, COX-2 mRNA 2.5-fold, and nNOS mRNA 2.5-fold. These data indicate that mineralocorticoid substitution lowers the overall expression of juxtaglomerular renin and COX-2 during low-salt intake and attenuates a further rise of COX-2 expression by ACE inhibition, but it does not change the stimulatory effect of ACE inhibition on renin and nNOS expression. We conclude that the expression of renin, COX-2, and nNOS in the juxtaglomerular apparatus during low-salt diet is markedly limited by a direct feedback inhibition through ANG II.

摘要

限盐会导致大鼠肾脏球旁器中肾素、环氧化酶 -2(COX -2)和神经元型一氧化氮合酶(nNOS)基因表达平行增加。由于限盐与肾素 - 血管紧张素 - 醛固酮系统抑制联合使用时,这些基因的上调会显著增强,因此我们的研究旨在探究球旁器中肾素、COX -2和nNOS的表达是否受到血管紧张素II(ANG II)共同的直接负反馈控制。为此,将雄性Sprague - Dawley大鼠喂食低钠饮食(0.02% 重量/重量),持续1周,部分大鼠额外给予血管紧张素I转换酶(ACE)抑制剂雷米普利(10 mg·kg体重⁻¹·天⁻¹)进行处理,然后检测肾皮质肾素、COX -2和nNOS的mRNA水平。为了缩小因醛固酮生成不足可能导致的ACE抑制剂间接效应,动物接受了氟氢可的松(6 mg·kg体重⁻¹·天⁻¹)的盐皮质激素替代治疗。因此,盐皮质激素替代治疗可防止雷米普利诱导的低钠饮食大鼠收缩压下降和肾小球滤过率降低。虽然氟氢可的松对基础肾素、COX -2和nNOS mRNA没有影响,但它明显减弱了低钠饮食引起的肾素和COX -2 mRNA三倍的增加。在低钠饮食的大鼠中,在没有氟氢可的松的情况下,雷米普利使肾素mRNA增加9倍,COX -2 mRNA增加4倍,nNOS增加2.5倍。在有氟氢可的松的情况下,雷米普利使肾素mRNA增加10倍,COX -2 mRNA增加2.5倍,nNOS mRNA增加2.5倍。这些数据表明,盐皮质激素替代治疗可降低低钠摄入期间球旁器肾素和COX -2的整体表达,并减弱ACE抑制引起的COX -2表达进一步升高,但不改变ACE抑制对肾素和nNOS表达的刺激作用。我们得出结论,低钠饮食期间球旁器中肾素、COX -2和nNOS的表达受到ANG II直接反馈抑制的显著限制。

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