Suzuki Hiroyuki, Yamamoto Tatsuo, Ikegaya Naoki, Hishida Akira
First Department of Medicine, Hamamatsu Univ. School of Medicine, 1-20-1, Handayama, Hamamatsu 431-3192, Japan.
Am J Physiol Renal Physiol. 2004 Feb;286(2):F267-77. doi: 10.1152/ajprenal.00059.2003. Epub 2003 Oct 14.
Dietary salt intake modulates the renin-angiotensin system (RAS); however, little is known about the effect of salt intake on the progression of glomerulonephritis. We investigated the glomerular expression of TGF-beta1 type I (TbetaRI) and II (TbetaRII) TGF-beta receptors and RAS components in rats with antithymocyte serum (ATS) nephritis on normal (NSI)-, low (LSI)-, and high-salt intake (HSI) and on HSI rats receiving candesartan cilexetil (CC) and LSI rats receiving PD-123319. Glomerular lesions were less severe in rats on LSI and aggravated in those on HSI compared with those on NSI. Intrarenal renin and glomerular ANG II levels were significantly higher in LSI and lower in HSI rats. In ATS nephritis, HSI increased glomerular TbetaRI, TbetaRII, and ANG II type 1 receptor (AT1R), and decreased glomerular ANG II type 2 receptor (AT2R), whereas LSI decreased glomerular TGF-beta1 and TbetaRI and increased glomerular AT2R. CC ameliorated glomerular lesions, reduced glomerular TGF-beta1 and TbetaRII, and increased glomerular AT2R. PD-123319 aggravated glomerular lesions and increased glomerular TGF-beta1 and TbetaRII. Our results suggest that dietary salt intake influences progression of ATS nephritis by modulating glomerular TGF-beta1 and TbetaR expression resulting, at least in part, from altered glomerular AT1R and AT2R expression.
饮食中的盐摄入量可调节肾素 - 血管紧张素系统(RAS);然而,关于盐摄入量对肾小球肾炎进展的影响却知之甚少。我们研究了正常盐摄入量(NSI)、低盐摄入量(LSI)和高盐摄入量(HSI)的抗胸腺细胞血清(ATS)肾炎大鼠以及接受坎地沙坦酯(CC)的HSI大鼠和接受PD - 123319的LSI大鼠中转化生长因子β1(TGF - β1)I型(TβRI)和II型(TβRII)TGF - β受体以及RAS组分的肾小球表达情况。与NSI组大鼠相比,LSI组大鼠的肾小球病变较轻,而HSI组大鼠的病变加重。LSI组大鼠肾内肾素和肾小球血管紧张素II(ANG II)水平显著升高,HSI组大鼠则降低。在ATS肾炎中,HSI增加了肾小球TβRI、TβRII和ANG II 1型受体(AT1R),并降低了肾小球ANG II 2型受体(AT2R),而LSI降低了肾小球TGF - β1和TβRI,并增加了肾小球AT2R。CC改善了肾小球病变,降低了肾小球TGF - β1和TβRII,并增加了肾小球AT2R。PD - 123319加重了肾小球病变,并增加了肾小球TGF - β1和TβRII。我们的结果表明,饮食中的盐摄入量通过调节肾小球TGF - β1和TβR表达来影响ATS肾炎的进展,这至少部分是由肾小球AT1R和AT2R表达改变所致。