Sakuma Yoriko, Nonoguchi Hiroshi, Takayama Masanobu, Yang Tianxin, Terada Yoshio, Inoue Takeaki, Nakayama Yushi, Kohda Yukimasa, Sasaki Sei, Tomita Kimio
Department of Nephrology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
Hypertens Res. 2005 Aug;28(8):671-9. doi: 10.1291/hypres.28.671.
Hyperosmolality in the renal medullary interstitium is generated by the renal countercurrent multiplication system, in which the medullary thick ascending limb (MAL) and the outer medullary collecting duct (OMCD) primarily participate. Since arginine vasopressin (AVP) regulates Na-K-ATPase activity directly via protein kinase A and indirectly via hyperosmolality, we investigated the acute and chronic effects of hyperosmolality on Na-K-ATPase and AVP-dependent cAMP generation in the MAL and OMCD. Microdissected MAL and OMCD from control and dehydrated rats were used for the measurement of Na-K-ATPase activity, mRNA expression of alpha-1, beta-1, and beta-2 subunits of Na-K-ATPase, and AVP-dependent cAMP generation. Na-K-ATPase activity in the MAL from dehydrated rats, as measured in isotonic medium, was higher than that of control rats. Moreover, incubation of samples in hypertonic medium (490 mOsm/kg H2O) further increased Na-K-ATPase activity. Dehydration increased alpha-1, beta-1, and beta-2 mRNA expression in the MAL without changing that in the OMCD. Western blot analysis revealed that in the outer medulla, the expression of beta-1, but not that of alpha-1 or beta-2, was stimulated by dehydration. Incubation of MAL or OMCD in hypertonic medium increased AVP-dependent cAMP generation. Higher levels of AVP-dependent cAMP were generated in the MAL from dehydrated rats than that of controls, although incubation in hypertonic medium did not lead to additional increases in AVP-dependent cAMP accumulation. In contrast, AVP-dependent cAMP generation in the OMCD was stimulated by dehydration, and was further stimulated by incubation in hypertonic medium. These findings demonstrate that Na-K-ATPase is upregulated short- and long-term hyperosmolality in the MAL, but not in OMCD.
肾髓质间质的高渗状态由肾逆流倍增系统产生,其中髓质厚升支(MAL)和外髓集合管(OMCD)起主要作用。由于精氨酸加压素(AVP)通过蛋白激酶A直接调节钠钾ATP酶活性,并通过高渗状态间接调节,我们研究了高渗状态对MAL和OMCD中钠钾ATP酶以及AVP依赖的环磷酸腺苷(cAMP)生成的急性和慢性影响。从对照大鼠和脱水大鼠中显微分离出的MAL和OMCD用于测量钠钾ATP酶活性、钠钾ATP酶α-1、β-1和β-2亚基的mRNA表达以及AVP依赖的cAMP生成。在等渗培养基中测量时,脱水大鼠MAL中的钠钾ATP酶活性高于对照大鼠。此外,将样本在高渗培养基(490 mOsm/kg H₂O)中孵育可进一步提高钠钾ATP酶活性。脱水增加了MAL中α-1、β-1和β-2的mRNA表达,而OMCD中的表达未发生变化。蛋白质印迹分析显示,在外髓中,脱水刺激了β-1的表达,但未刺激α-1或β-2的表达。将MAL或OMCD在高渗培养基中孵育可增加AVP依赖的cAMP生成。脱水大鼠MAL中产生的AVP依赖的cAMP水平高于对照大鼠,尽管在高渗培养基中孵育并未导致AVP依赖的cAMP积累进一步增加。相比之下,脱水刺激了OMCD中AVP依赖的cAMP生成,并且在高渗培养基中孵育可进一步刺激其生成。这些发现表明,高渗状态在短期和长期内均上调了MAL中的钠钾ATP酶,但未上调OMCD中的钠钾ATP酶。