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前列腺素在集合管源性内皮素-1对血压和水排泄的调节中的作用。

Role of prostaglandins in collecting duct-derived endothelin-1 regulation of blood pressure and water excretion.

作者信息

Ge Yuqiang, Strait Kevin A, Stricklett Peter K, Yang Tianxin, Kohan Donald E

机构信息

Division of Nephrology, Univ. of Utah Health Sciences Center, 900 East 30 North, Salt Lake City, UT 84132, USA.

出版信息

Am J Physiol Renal Physiol. 2007 Dec;293(6):F1805-10. doi: 10.1152/ajprenal.00307.2007. Epub 2007 Oct 3.

Abstract

Collecting duct (CD)-derived endothelin-1 (ET-1) exerts natriuretic, diuretic, and hypotensive effects. In vitro studies have implicated cyclooxygenase (COX) metabolites, and particularly PGE(2), as important mediators of CD ET-1 effects. However, it is unknown whether PGE(2) mediates CD-derived ET-1 actions in vivo. To test this, CD ET-1 knockout (KO) and control mice were studied. During normal salt and water intake, urinary PGE(2) excretion was unexpectedly increased in CD ET-1 KO mice compared with controls. Salt loading markedly increased urinary PGE(2) excretion in both groups of mice; however, the levels remained relatively higher in KO animals. Acutely isolated inner medullary collecting duct (IMCD) from KO mice also had increased PGE(2) production. The increased IMCD PGE(2) was COX-2 dependent, since NS-398 blocked all PGE(2) production. However, increased CD ET-1 KO COX-2 protein or mRNA could not be detected in inner medulla or IMCD, respectively. Inner medullary COX-1 mRNA and protein levels and IMCD COX-1 mRNA levels were unaffected by Na intake or CD ET-1 KO. KO mice on a normal or high-Na diet had elevated blood pressure compared with controls; this difference was not altered by indomethacin or NS-398 treatment. However, indomethacin or NS-398 did increase urine osmolality and reduce urine volume in KO, but not control, animals. In summary, IMCD COX-2-dependent PGE(2) production is increased in CD ET-1 KO mice, indicating that CD-derived ET-1 is not a primary regulator of IMCD PGE(2). Furthermore, the increased PGE(2) in CD ET-1 KO mice partly compensates for loss of ET-1 with respect to maintaining urinary water excretion, but not in blood pressure control.

摘要

集合管(CD)源性内皮素-1(ET-1)具有利钠、利尿和降压作用。体外研究表明环氧化酶(COX)代谢产物,尤其是前列腺素E2(PGE2),是CD源性ET-1作用的重要介质。然而,PGE2是否在体内介导CD源性ET-1的作用尚不清楚。为了验证这一点,我们对CD ET-1基因敲除(KO)小鼠和对照小鼠进行了研究。在正常盐和水摄入情况下,与对照小鼠相比,CD ET-1 KO小鼠的尿PGE2排泄意外增加。两组小鼠在盐负荷时尿PGE2排泄均显著增加;然而,KO小鼠的PGE2水平仍相对较高。急性分离的KO小鼠内髓集合管(IMCD)的PGE2生成也增加。IMCD中增加的PGE2依赖于COX-2,因为NS-398可阻断所有PGE2的生成。然而,在内髓或IMCD中分别未检测到CD ET-1 KO小鼠的COX-2蛋白或mRNA增加。内髓COX-1 mRNA和蛋白水平以及IMCD COX-1 mRNA水平不受钠摄入或CD ET-1 KO的影响。与对照小鼠相比,正常或高钠饮食的KO小鼠血压升高;吲哚美辛或NS-398治疗并未改变这种差异。然而,吲哚美辛或NS-398确实增加了KO小鼠(而非对照小鼠)的尿渗透压并减少了尿量。总之,CD ET-1 KO小鼠中IMCD依赖于COX-2的PGE2生成增加,表明CD源性ET-1不是IMCD PGE2的主要调节因子。此外,CD ET-1 KO小鼠中增加的PGE2在维持尿水排泄方面部分补偿了ET-1的缺失,但在血压控制方面并非如此。

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