Joly E, Seqqat R, Flamion B, Caron N, Michel A, Imig J D, Kramp R
Service de Physiologie et Pharmacologie, Université de Mons-Hainaut, Belgium.
Am J Physiol Regul Integr Comp Physiol. 2006 Oct;291(4):R977-86. doi: 10.1152/ajpregu.00401.2005. Epub 2006 May 4.
This study examined the role of intrarenal ANG II in the renal vascular reactivity changes occurring in the remaining kidney undergoing adaptation following contralateral nephrectomy. Renal blood flow responses to intrarenal injections of ANG II (0.25 to 5 ng) were measured in anesthetized euvolemic male Wistar rats 1, 4, 12, and 24 wk after uninephrectomy (UNX) or sham procedure (SHAM). At week 4, renal vasoconstriction induced by 2 ng ANG II was greater in UNX (69 +/- 5%) than in SHAM rats (50 +/- 3%; P < 0.01). This response was inhibited, by 50 and 66%, and by 20 and 25%, in SHAM and UNX rats, after combined injections of ANG II and losartan, or PD-123319 (P < 0.05), respectively. Characteristics of ANG II receptor binding in isolated preglomerular resistance vessels were similar in the two groups. After prostanoid inhibition with indomethacin, renal vasoconstriction was enhanced by 42 +/- 8% (P < 0.05), only in SHAM rats, whereas after 20-HETE inhibition with HET0016, it was reduced by 53 +/- 16% (P < 0.05), only in UNX rats. These differences vanished after concomitant prostanoid and 20-HETE inhibition in the two groups. After UNX, renal cortical protein expression of cytochrome P-450 2c23 isoform (CYP2c23) and cyclooxygenase-1 (COX-1) was unaltered, but it was decreased for CYP4a and increased for COX-2. In conclusion, renal vascular reactivity to ANG II was significantly increased in the postuninephrectomy adapted kidney, independently of protein expression, but presumably involving interactions between 20-HETE and COX in the renal microvasculature and changes in the paracrine activity of ANG II and 20-HETE.
本研究探讨了肾内血管紧张素II(ANG II)在对侧肾切除术后适应性变化的残余肾脏肾血管反应性改变中的作用。在单侧肾切除(UNX)或假手术(SHAM)后1、4、12和24周,对麻醉状态下血容量正常的雄性Wistar大鼠测量肾内注射ANG II(0.25至5 ng)后的肾血流反应。在第4周时,2 ng ANG II诱导的肾血管收缩在UNX大鼠中(69±5%)大于SHAM大鼠(50±3%;P<0.01)。在联合注射ANG II和氯沙坦或PD - 123319后,SHAM和UNX大鼠的这种反应分别被抑制了50%和66%,以及20%和25%(P<0.05)。两组中分离的肾小球前阻力血管中ANG II受体结合特性相似。在用吲哚美辛抑制前列腺素后,仅在SHAM大鼠中肾血管收缩增强了42±8%(P<0.05),而在用HET0016抑制20 - 羟基二十碳四烯酸(20 - HETE)后,则仅在UNX大鼠中肾血管收缩降低了53±16%(P<0.05)。在两组中同时抑制前列腺素和20 - HETE后,这些差异消失。UNX后,细胞色素P - 450 2c23同工型(CYP2c23)和环氧化酶 - 1(COX - 1)的肾皮质蛋白表达未改变,但CYP4a降低,COX - 2升高。总之,在单侧肾切除术后适应性变化的肾脏中,肾血管对ANG II的反应性显著增加,与蛋白表达无关,但可能涉及肾微血管中20 - HETE与COX之间的相互作用以及ANG II和20 - HETE旁分泌活性的变化。