Ye Shaohua, Zhong Huiquin, Yanamadala Swati, Campese Vito M
Division of Nephrology, Hypertension Center, Keck School of Medicine, University of Southern California, 1200 North State St, Los Angeles, CA 90033, USA.
Hypertension. 2006 Aug;48(2):309-15. doi: 10.1161/01.HYP.0000231307.69761.2e. Epub 2006 Jun 19.
Renal injury caused by the injection of phenol in the lower pole of one kidney increases blood pressure (BP), norepinephrine secretion from the posterior hypothalamic nuclei (PH), and renal sympathetic nerve activity in the rat. Renal denervation prevents these effects of phenol. We have also demonstrated that noradrenergic traffic in the brain is modulated by NO and interleukin-1beta. In this study, we tested the hypothesis that the increase in sympathetic nervous system (SNS) activity in the phenol renal injury model is because of activation of reactive oxygen species. To this end, first we examined the abundance of several components of reduced nicotinamide-adenine dinucleotide phosphate oxidase (identified as the major source of reactive oxygen species), including gp91phox/Nox2, p22phox, p47phox, and Nox3 using real-time PCR. Second, we evaluated the effects of 2 superoxide dismutase mimetic, tempol (4-hydroxy-2,2,6,6-tetramethyl piperidinoxyl), and superoxide dismutase-polyethylene glycol on central and peripheral SNS activation caused by intrarenal phenol injection. Intrarenal injection of phenol raised BP, NE secretion from the PH, renal sympathetic nerve activity, and the abundance of reduced nicotinamide-adenine dinucleotide phosphate and reduced the abundance of interleukin-1beta and neural-NO synthase mRNA in the PH, paraventricular nuclei, and locus coeruleus compared with control rats. When tempol or superoxide dismutase-polyethylene glycol were infused in the lateral ventricle before phenol, the effects of phenol on BP and SNS activity were abolished. The studies suggest that central activation of the SNS in the phenol-renal injury model is mediated by increased reactive oxygen species in brain nuclei involved in the noradrenergic control of BP.
一侧肾脏下极注射苯酚所致的肾损伤会使大鼠血压(BP)升高、下丘脑后核(PH)去甲肾上腺素分泌增加以及肾交感神经活动增强。肾去神经支配可预防苯酚的这些作用。我们还证明,大脑中的去甲肾上腺素能传递受一氧化氮和白细胞介素-1β调节。在本研究中,我们检验了以下假设:苯酚肾损伤模型中交感神经系统(SNS)活动增加是由于活性氧的激活。为此,首先我们使用实时聚合酶链反应检测了还原型烟酰胺腺嘌呤二核苷酸磷酸氧化酶(被确定为活性氧的主要来源)的几种成分的丰度,包括gp91phox/Nox2、p22phox、p47phox和Nox3。其次,我们评估了两种超氧化物歧化酶模拟物tempol(4-羟基-2,2,6,6-四甲基哌啶氮氧化物)和超氧化物歧化酶-聚乙二醇对肾内注射苯酚引起的中枢和外周SNS激活的影响。与对照大鼠相比,肾内注射苯酚可升高血压、增加PH的去甲肾上腺素分泌、增强肾交感神经活动以及还原型烟酰胺腺嘌呤二核苷酸磷酸的丰度,并降低PH、室旁核和蓝斑中白细胞介素-1β和神经型一氧化氮合酶mRNA的丰度。在注射苯酚前将tempol或超氧化物歧化酶-聚乙二醇注入侧脑室时,苯酚对血压和SNS活动的影响被消除。这些研究表明,苯酚-肾损伤模型中SNS的中枢激活是由参与血压去甲肾上腺素能控制的脑核中活性氧增加介导的。