Bae Eun Hui, Cho Hyun Ji, Kim In Jin, Joo Soo Yeon, Shin Ji Hye, Ma Seong Kwon, Lee JongUn, Kim Soo Wan
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Regul Pept. 2010 Jan 8;159(1-3):117-22. doi: 10.1016/j.regpep.2009.10.002.
The present study was aimed to determine whether there is an altered role of local nitric oxide (NO), atrial natriuretic peptide (ANP) and cyclooxygenase (COX) systems in the kidney in association with the aldosterone escape. Male Sprague-Dawley rats were used. Aldosterone (200 microg/day) was infused through entire time course. The control group was kept on a low sodium diet (0.02 mEq/day), and the experimental group was supplied with a higher sodium diet (2. /day). Four days after beginning the regimen, the kidneys were taken. The protein expression of NO synthase (NOS) and COX isoforms was determined by semiquantitative immunoblotting. The mRNA expression of components of ANP system was determined by real-time polymerase chain reaction. The activities of soluble and particulate guanylyl cyclases were determined by the amount of cGMP generated in responses to sodium nitroprusside and ANP, respectively. There developed aldosterone escape in the experimental group. Accordingly, the renal content and the urinary excretion of NO increased. The expression of nNOS was increased in the inner medulla. Neither the expression of eNOS nor that of iNOS was changed. The expression and the catalytic activity of soluble guanylyl cyclase remained unaltered. The mRNA expression of ANP was increased. Neither the expression of NPR-A or NPR-C nor the activity of particulate guanylyl cyclase was altered in the papilla. The protein expression of COX-2 was increased in the inner medulla, while that of COX-1 remained unchanged. In conclusion, the upregulation of nNOS, ANP, and COX-2 may be causally related with the aldosterone escape.
本研究旨在确定肾脏中局部一氧化氮(NO)、心房利钠肽(ANP)和环氧化酶(COX)系统的作用改变是否与醛固酮逃逸有关。使用雄性Sprague-Dawley大鼠。在整个实验过程中输注醛固酮(200微克/天)。对照组给予低钠饮食(0.02毫当量/天),实验组给予高钠饮食(2./天)。开始该方案4天后,取出肾脏。通过半定量免疫印迹法测定NO合酶(NOS)和COX同工型的蛋白表达。通过实时聚合酶链反应测定ANP系统各组分的mRNA表达。分别通过硝普钠和ANP刺激产生的环磷酸鸟苷(cGMP)量来测定可溶性和颗粒性鸟苷酸环化酶的活性。实验组出现了醛固酮逃逸。相应地,肾脏中NO的含量和尿排泄量增加。在内髓质中,神经元型NOS(nNOS)的表达增加。内皮型NOS(eNOS)和诱导型NOS(iNOS)的表达均未改变。可溶性鸟苷酸环化酶的表达和催化活性保持不变。ANP的mRNA表达增加。乳头中利钠肽受体A(NPR-A)或利钠肽受体C(NPR-C)的表达以及颗粒性鸟苷酸环化酶的活性均未改变。在内髓质中,COX-2的蛋白表达增加,而COX-1的表达保持不变。总之,nNOS、ANP和COX-2的上调可能与醛固酮逃逸存在因果关系。