Department of Physiology, Wayne State University, School of Medicine, Detroit, Michigan, USA.
Am J Hypertens. 2012 Apr;25(4):487-91. doi: 10.1038/ajh.2011.247. Epub 2012 Jan 12.
The mechanism by which blood pressure increases during renovascular hypertension is incompletely understood. We, therefore, tested the hypothesis that in the 2-kidney, 1-clip (2K-1C) rat, in which hypertension develops due to increased angiotensin II (Ang II) levels, there is increased expression and phosphorylation of Na,K-ATPase at Ser-11 and Ser-18 in the kidney cortex. The rationale is Ang II is reported to directly stimulate Na,K-ATPase activity in proximal tubules, which reabsorb 2/3 of filtered sodium, via increased phosphorylation at Ser-11 and Ser-18 and the Na,K-ATPase drives sodium reabsorption.
Five-week-old Sprague-Dawley rats underwent unilateral or sham clipping of the right renal artery and placement of telemetry transmitters. Six weeks later blood pressure and plasma Ang II were measured and kidneys harvested. The amount of Na,K-ATPase, phosphorylation at Ser-11 and Ser-18, and the expression of β-actin in each kidney cortex were measured by quantitative immunoblotting.
Clipping significantly increased mean arterial pressure from 110 ± 3 to 148 ± 13 mm Hg, plasma Ang II, cortical Na,K-ATPase in the unclipped kidney of 2K-1C compared to sham-clipped rats, the total cortical Na,K-ATPase in both kidneys compared to sham-clipped rats, and the extent to which the Na,K-ATPase was phosphorylated at Ser-11. Clipping did not significantly change phosphorylation at Ser-18, β-actin, or the total protein in the cortexes of both kidneys.
Thus, in the kidney cortex of rats with renovascular hypertension there is increased expression of Na,K-ATPase and a selective increase in its phosphorylation at Ser-11 that could increase the capacity to reabsorb sodium and water.
肾血管性高血压期间血压升高的机制尚不完全清楚。因此,我们检验了以下假说,即在 2 肾 1 夹(2K-1C)大鼠中,由于血管紧张素 II(Ang II)水平升高而导致高血压的发展,肾脏皮质中 Na,K-ATPase 的丝氨酸-11(Ser-11)和丝氨酸-18(Ser-18)的表达和磷酸化增加。其依据是有报道称,Ang II 可直接刺激近端小管中的 Na,K-ATPase 活性,通过 Ser-11 和 Ser-18 的磷酸化增加,从而重吸收 2/3 的滤过钠,而 Na,K-ATPase 驱动钠重吸收。
5 周龄 Sprague-Dawley 大鼠接受单侧或假夹闭右肾动脉并放置遥测发射器。6 周后测量血压和血浆 Ang II,并采集肾脏。通过定量免疫印迹法测量每个肾脏皮质中的 Na,K-ATPase、Ser-11 和 Ser-18 的磷酸化程度以及β-肌动蛋白的表达量。
夹闭显著增加了平均动脉压,从 110±3 至 148±13mmHg,血浆 Ang II,2K-1C 大鼠未夹闭肾脏的皮质 Na,K-ATPase,与假夹闭大鼠相比,双侧肾脏的总皮质 Na,K-ATPase,以及 Na,K-ATPase 在 Ser-11 处的磷酸化程度。夹闭未显著改变 Ser-18 磷酸化、β-肌动蛋白或两侧肾脏皮质的总蛋白。
因此,在肾血管性高血压大鼠的肾脏皮质中,Na,K-ATPase 的表达增加,其在 Ser-11 处的磷酸化选择性增加,这可能增加了重吸收钠和水的能力。