Padia Shetal H, Kemp Brandon A, Howell Nancy L, Gildea John J, Keller Susanna R, Carey Robert M
Division of Endocrinology and Metabolism, Department of Internal Medicine, University of Virginia Health System, Charlottesville, VA 22908-1414, USA.
Hypertension. 2009 Feb;53(2):338-43. doi: 10.1161/HYPERTENSIONAHA.108.124198. Epub 2008 Dec 15.
In Sprague-Dawley rats, renal angiotensin (Ang) type 2 receptors (AT(2)Rs) mediate natriuresis in response to renal interstitial (RI) D(1)-like receptor stimulation or RI Ang III infusion. After D(1)-like receptor activation, apical membrane (AM) but not total renal proximal tubule cell AT(2)R expression is increased, suggesting that AM AT(2)R translocation may be important for natriuresis. The onset of hypertension in spontaneously hypertensive rats (SHRs) is preceded by defects in renal sodium excretion. The present study examines AT(2)R-mediated natriuresis in response to RI Ang III infusion in Wistar-Kyoto rats (WKYs) and SHRs. WKYs and SHRs received RI Ang III infusion after 24 hours of systemic AT(1)R blockade with candesartan. In WKYs, urine sodium excretion rate increased from 0.043+/-0.01 to 0.191+/-0.06 micromol/min (P<0.05) in response to Ang III infusion, but identical conditions failed to increase the urine sodium excretion rate in SHRs. The increase in the urine sodium excretion rate was blocked by coinfusion of PD-123319, a selective AT(2)R antagonist. On confocal microscopy images, Ang III-infused WKYs demonstrated greater renal proximal tubule cell AM AT(2)R fluorescence intensity compared with SHRs (5385+/-725 versus 919+/-35; P<0.0001), and Western blot analysis demonstrated increased AM (0.050+/-0.003 versus 0.038+/-0.003; P<0.01) but not total cell AT(2)R expression in WKYs. In SHRs, AM AT(2)R expression remained unchanged in response to RI Ang III infusion. Thus, RI Ang III infusion elicits natriuresis and renal proximal tubule cell AT(2)R translocation in WKYs. Identical manipulations fail to induce natriuresis or AT(2)R translocation in SHRs, suggesting that defects in AT(2)R-mediated natriuresis and trafficking may be important to the development of hypertension in SHRs.
在斯普拉格-道利大鼠中,肾血管紧张素(Ang)2型受体(AT(2)Rs)介导对肾间质(RI)D1样受体刺激或RI血管紧张素III输注的利钠作用。在D1样受体激活后,顶端膜(AM)而非肾近端小管细胞AT(2)R的总表达增加,提示AM AT(2)R易位可能对利钠作用很重要。自发性高血压大鼠(SHRs)在高血压发作之前存在肾钠排泄缺陷。本研究检测了Wistar-Kyoto大鼠(WKYs)和SHRs中对RI血管紧张素III输注的AT(2)R介导的利钠作用。用坎地沙坦进行24小时全身AT(1)R阻断后,WKYs和SHRs接受RI血管紧张素III输注。在WKYs中,对血管紧张素III输注的反应是尿钠排泄率从0.043±0.01增加到0.191±0.06微摩尔/分钟(P<0.05),但相同条件下未能增加SHRs的尿钠排泄率。尿钠排泄率的增加被选择性AT(2)R拮抗剂PD-123319的共同输注所阻断。在共聚焦显微镜图像上,与SHRs相比,接受血管紧张素III输注的WKYs显示出更高的肾近端小管细胞AM AT(2)R荧光强度(5385±725对919±35;P<0.0001),蛋白质印迹分析显示WKYs中AM(0.050±0.003对0.038±0.003;P<0.01)而非细胞AT(2)R总表达增加。在SHRs中,对RI血管紧张素III输注的反应是AM AT(2)R表达保持不变。因此,RI血管紧张素III输注在WKYs中引发利钠作用和肾近端小管细胞AT(2)R易位。相同的操作未能在SHRs中诱导利钠作用或AT(2)R易位,提示AT(2)R介导的利钠作用和转运缺陷可能对SHRs高血压的发生很重要。