Sun Zhongjie
Dept. of Medicine, Box 100274, College of Medicine, Univ. of Florida, 1600 SW Archer Rd., Gainesville, FL 32610-0274, USA.
Am J Physiol Renal Physiol. 2006 Jun;290(6):F1472-7. doi: 10.1152/ajprenal.00430.2005. Epub 2006 Jan 5.
Chronic cold exposure causes hypertension and diuresis. The aim of this study was to determine whether vasopressin (AVP) plays a role in cold-induced hypertension and diuresis. Two groups of Long-Evans (LE) and two groups of homozygous AVP-deficient Brattleboro (VD) rats were used. Blood pressure (BP) was not different among the four groups during a 2-wk control period at room temperature (25 degrees C, warm). After the control period, one LE group and one VD group were exposed to cold (5 degrees C); the remaining groups were kept at room temperature. BP and body weight were measured weekly during exposure to cold. Food intake, water intake, urine output, and urine osmolality were measured during weeks 1, 3, and 5 of cold exposure. At the end of week 5, all animals were killed and blood was collected for measurement of plasma AVP. Kidneys were removed for measurement of renal medulla V2 receptor mRNA and aquaporin-2 (AQP-2) protein expression. BP of LE and VD rats increased significantly by week 2 of cold exposure and reached a high level by week 5. BP elevations developed at approximately the same rate and to the same degree in LE and VD rats. AVP deficiency significantly increased urine output and solute-free water clearance and decreased urine osmolality. Chronic cold exposure increased urine output and solute-free water clearance and decreased urine osmolality in LE rats, indicating that cold exposure caused diuresis in LE rats. Cold exposure failed to affect these parameters in VD rats, suggesting that the AVP system is responsible for cold-induced diuresis. Cold exposure did not alter plasma AVP in LE rats. Renal medulla V2 receptor mRNA and AQP-2 protein expression levels were decreased significantly in the cold-exposed LE rats, suggesting that cold exposure inhibited renal V2 receptors and AVP-inducible AQP-2 water channels. We conclude that 1) AVP may not be involved in the pathogenesis of cold-induced hypertension, 2) the AVP system plays a critical role in cold-induced diuresis, and 3) cold-induced diuresis is due to suppression of renal V2 receptors and the associated AQP-2 water channels, rather than inhibition of AVP release.
长期寒冷暴露会导致高血压和利尿。本研究的目的是确定血管加压素(AVP)是否在寒冷诱导的高血压和利尿中起作用。使用了两组长 Evans(LE)大鼠和两组纯合 AVP 缺陷型 Brattleboro(VD)大鼠。在室温(25 摄氏度,温暖)下为期 2 周的对照期内,四组大鼠的血压(BP)没有差异。对照期结束后,一组 LE 大鼠和一组 VD 大鼠暴露于寒冷环境(5 摄氏度);其余组保持在室温。在暴露于寒冷期间每周测量血压和体重。在寒冷暴露的第 1、3 和 5 周测量食物摄入量、水摄入量、尿量和尿渗透压。在第 5 周结束时,处死所有动物并采集血液用于测量血浆 AVP。取出肾脏用于测量肾髓质 V2 受体 mRNA 和水通道蛋白-2(AQP-2)蛋白表达。到寒冷暴露第 2 周时,LE 和 VD 大鼠的血压显著升高,并在第 5 周达到高水平。LE 和 VD 大鼠的血压升高速率和程度大致相同。AVP 缺乏显著增加尿量和无溶质水清除率,并降低尿渗透压。长期寒冷暴露增加了 LE 大鼠的尿量和无溶质水清除率,并降低了尿渗透压,表明寒冷暴露导致 LE 大鼠利尿。寒冷暴露未影响 VD 大鼠的这些参数,提示 AVP 系统负责寒冷诱导的利尿。寒冷暴露未改变 LE 大鼠的血浆 AVP。寒冷暴露的 LE 大鼠肾髓质 V2 受体 mRNA 和 AQP-2 蛋白表达水平显著降低,提示寒冷暴露抑制了肾 V2 受体和 AVP 诱导的 AQP-2 水通道。我们得出结论:1)AVP 可能不参与寒冷诱导的高血压发病机制;2)AVP 系统在寒冷诱导的利尿中起关键作用;3)寒冷诱导的利尿是由于肾 V2 受体和相关 AQP-2 水通道的抑制,而非 AVP 释放的抑制。