Department of Pharmacology, Kagawa University Medical School, Kagawa, Japan.
Am J Hypertens. 2012 Mar;25(3):354-8. doi: 10.1038/ajh.2011.224. Epub 2011 Nov 24.
We recently reported that aldosterone-induced cellular senescence via an increase in p21, a cyclin-dependent kinase (CDK) inhibitor, in rat kidney and cultured human proximal tubular cells. In the present study, we investigated the contribution of aldosterone to the renal p21 expression and senescence during the development of angiotensin II (AngII)-induced hypertension.
Mice received 1% salt in drinking water and vehicle or AngII, and were divided into five groups: 1, vehicle; 2, AngII; 3, AngII+olmesartan; 4, AngII+eplerenone; and 5, AngII+hydralazine.
Plasma aldosterone levels were increased by AngII infusion. Eplerenone further elevated the plasma aldosterone level, but olmesartan and hydralazine did not. AngII group showed significant increase in blood pressure compared to vehicle. Olmesartan and hydralazine, but not eplerenone, suppressed the AngII-salt hypertension. The increase in urinary protein excretion by AngII-salt was suppressed only by olmesartan. AngII with high salt induced a greater expression of p21 mRNA in the kidney than vehicle. Olmesartan abolished the increase in p21 expression, whereas neither eplerenone nor hydralazine affected it. AngII with high salt did not change the expression of p16, another CDK inhibitor. The mice lacking p21 showed identical changes on blood pressure and albuminuria in response to AngII with high salt compared to wild type.
These results suggest that aldosterone does not predominantly contribute to renal p21 expression and senescence during the development of AngII-salt hypertension, and that the increase in p21 in the kidney is not likely involved in the development of hypertension and albuminuria.
我们最近报道,醛固酮通过增加细胞周期蛋白依赖性激酶(CDK)抑制剂 p21 诱导大鼠肾脏和培养的人近端肾小管细胞发生衰老。在本研究中,我们研究了醛固酮在血管紧张素 II(AngII)诱导的高血压发展过程中对肾脏 p21 表达和衰老的贡献。
小鼠饮用 1%盐水和载体或 AngII,分为五组:1、载体;2、AngII;3、AngII+奥美沙坦;4、AngII+依普利酮;5、AngII+肼屈嗪。
AngII 输注使血浆醛固酮水平升高。依普利酮进一步升高血浆醛固酮水平,但奥美沙坦和肼屈嗪没有。AngII 组的血压明显高于对照组。奥美沙坦和肼屈嗪,但不是依普利酮,抑制了 AngII-盐高血压。AngII-盐引起的尿蛋白排泄增加仅被奥美沙坦抑制。AngII 加高盐诱导肾脏 p21mRNA 表达增加大于载体。奥美沙坦消除了 p21 表达的增加,而依普利酮和肼屈嗪均未影响。AngII 加高盐并未改变另一种 CDK 抑制剂 p16 的表达。与野生型相比,缺乏 p21 的小鼠对 AngII 加高盐的血压和白蛋白尿的反应相同。
这些结果表明,醛固酮在 AngII-盐高血压发展过程中对肾脏 p21 表达和衰老的作用不大,肾脏 p21 的增加不太可能参与高血压和白蛋白尿的发展。