Amaral João S, Pinho Maria João, Soares-da-Silva Patrício
Institute of Pharmacology and Therapeutics, Faculty of Medicine, 4200-319 Porto, Portugal.
Nephrol Dial Transplant. 2009 Jul;24(7):2058-67. doi: 10.1093/ndt/gfn752. Epub 2009 Jan 20.
Partial renal ablation is associated with compensatory renal growth, significant azotaemia, a significant increase in fractional excretion of sodium and changes in solute transport. The present study evaluated the occurrence of adaptations in the remnant kidney, especially in renal amino acid transporters and sodium transporters and their putative role in sodium handling in the early stages (24 h and 1 week) after uninephrectomy.
Wistar rats aged 8 weeks old were submitted to renal ablation of the right kidney--Unx rats (n = 10). 24 hours (n = 5) and 1 week (n = 5) after surgery, rats were anesthetized and the left kidney was removed. Urinary and plasmatic levels of catecholamines, sodium, urea and creatinine were measured. Gene expression of the amino acid and sodium transporters was determined by Real-time reverse transcription PCR. Protein expression was evaluated by Western blot using specific antibodies for the amino acid and sodium transporters.
Uninephrectomized (Unx) rats for 24 h showed a lower urinary excretion of L-DOPA, dopamine and DOPAC than the corresponding Sham rats, accompanied by an increase in the expression of the Na(+)-K(+)-ATPase protein (64% increase). Unx rats for 1 week presented a hypertrophied remnant kidney, higher urine outflow and a approximately 2-fold increase in the fractional excretion of sodium. The NHE3 mRNA expression was significantly decreased in Unx rats throughout the study (approximately 20% decrease). LAT1 transcript and protein were consistently overexpressed at both 24 h and 1 week after uninephrectomy. In contrast, 4F2hc and LAT2 transcript abundance was lower in 24-h Unx rats than in Sham rats (a 36% decrease in both cases).
These results provide evidence that the renal expression of the amino acid transporters LAT1, LAT2 and 4F2hc and the sodium transporters Na(+)-K(+)-ATPase and NHE3 is differently regulated following unilateral nephrectomy. In conclusion, this study allowed us to characterize the renal adaptations in the early stages after uninephrectomy, which showed a combined interaction of multiple mechanisms regulating sodium homeostasis including the renal dopaminergic system, and the abundance of amino acid transporters and sodium transporters.
部分肾切除与代偿性肾生长、显著氮血症、钠分数排泄显著增加以及溶质转运变化有关。本研究评估了残余肾中适应性变化的发生情况,特别是肾氨基酸转运体和钠转运体的变化,以及它们在单侧肾切除术后早期(24小时和1周)对钠处理的假定作用。
将8周龄的Wistar大鼠进行右肾切除——单侧肾切除大鼠(Unx,n = 10)。术后24小时(n = 5)和1周(n = 5),将大鼠麻醉并切除左肾。测量儿茶酚胺、钠、尿素和肌酐的尿液和血浆水平。通过实时逆转录PCR测定氨基酸和钠转运体的基因表达。使用针对氨基酸和钠转运体的特异性抗体,通过蛋白质印迹法评估蛋白质表达。
单侧肾切除24小时的Unx大鼠,其L-多巴、多巴胺和DOPAC的尿排泄量低于相应的假手术大鼠,同时Na(+)-K(+)-ATP酶蛋白表达增加(增加64%)。单侧肾切除1周的Unx大鼠出现残余肾肥大、尿流量增加以及钠分数排泄增加约2倍。在整个研究过程中,Unx大鼠的NHE3 mRNA表达显著降低(约降低20%)。单侧肾切除术后24小时和1周,LAT1转录本和蛋白均持续过度表达。相比之下,24小时Unx大鼠的4F2hc和LAT2转录本丰度低于假手术大鼠(两种情况均降低36%)。
这些结果证明,单侧肾切除后,氨基酸转运体LAT1、LAT2和4F2hc以及钠转运体Na(+)-K(+)-ATP酶和NHE3的肾表达受到不同调节。总之,本研究使我们能够描述单侧肾切除术后早期的肾适应性变化,这些变化显示了多种调节钠稳态机制的联合相互作用,包括肾多巴胺能系统以及氨基酸转运体和钠转运体的丰度。