Azukizawa S, Kaneko M, Nakano S, Kigoshi T, Uchida K, Morimoto S
Department of Internal Medicine, Kanazawa Medical University, Ishikawa, Japan.
Endocrinology. 1991 Nov;129(5):2729-33. doi: 10.1210/endo-129-5-2729.
Streptozotocin-induced chronic diabetic rats develop hyporeninemic hypoaldosteronism. The hypoaldosteronism is associated with selective unresponsiveness of aldosterone to angiotensin II (AII) and an atrophy of the zona glomerulosa. To assess the nature of the adrenal unresponsiveness to AII, we examined the [125I]monoiodoAII binding and the responses of pregnenolone formation and aldosterone production to AII using adrenal glomerulosa cells from diabetic rats 6 weeks after an injection of streptozotocin. Comparisons were made using the cells from control rats treated with vehicle. Diabetic rats had low levels of plasma renin activity, plasma 18-hydroxycorticosterone, and plasma aldosterone, and normal levels of plasma corticosterone and plasma potassium. The zona glomerulosa width was narrower in diabetic than in control rats. Scatchard analysis of the AII binding data demonstrated that the number and affinity of the receptors were similar in the cells from control and diabetic rats. When corrected to an uniform number of cells per group, baseline levels of pregnenolone formation and aldosterone production were similar in the cells from control and diabetic rats. However, cells from diabetic rats had a less sensitive and lower response of both pregnenolone formation and aldosterone production to AII. In contrast, the effect of ACTH on pregnenolone formation and aldosterone production was similar in the cells from control and diabetic rats. These results indicate that the main defect responsible for the hypoaldosteronism may be located on some step(s) mediating between AII receptors and conversion of cholesterol to pregnenolone, presumably on the calcium messenger system, with a disturbance downstream from AII binding.
链脲佐菌素诱导的慢性糖尿病大鼠会出现低肾素性低醛固酮血症。这种低醛固酮血症与醛固酮对血管紧张素II(AII)的选择性无反应以及球状带萎缩有关。为了评估肾上腺对AII无反应的性质,我们在注射链脲佐菌素6周后,使用糖尿病大鼠的肾上腺球状带细胞,检测了[125I]单碘AII结合以及孕烯醇酮生成和醛固酮产生对AII的反应。使用接受赋形剂处理的对照大鼠的细胞进行比较。糖尿病大鼠的血浆肾素活性、血浆18-羟皮质酮和血浆醛固酮水平较低,而血浆皮质酮和血浆钾水平正常。糖尿病大鼠的球状带宽度比对照大鼠窄。对AII结合数据的Scatchard分析表明,对照大鼠和糖尿病大鼠细胞中受体的数量和亲和力相似。当校正为每组细胞数量一致时,对照大鼠和糖尿病大鼠细胞中孕烯醇酮生成和醛固酮产生的基线水平相似。然而,糖尿病大鼠细胞对AII的孕烯醇酮生成和醛固酮产生反应较不敏感且较低。相反,促肾上腺皮质激素对对照大鼠和糖尿病大鼠细胞中孕烯醇酮生成和醛固酮产生的作用相似。这些结果表明,导致低醛固酮血症的主要缺陷可能位于AII受体与胆固醇转化为孕烯醇酮之间的某些步骤上,可能是在钙信使系统上,且在AII结合的下游存在干扰。