National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland 20892, USA.
Kidney Int. 2012 Mar;81(6):529-38. doi: 10.1038/ki.2011.451. Epub 2012 Jan 18.
The juxtaglomerular (JG) cell product renin is rate limiting in the generation of the bioactive octapeptide angiotensin II. Rates of synthesis and secretion of the aspartyl protease renin by JG cells are controlled by multiple afferent and efferent pathways originating in the CNS, cardiovascular system, and kidneys, and making critical contributions to the maintenance of extracellular fluid volume and arterial blood pressure. Since both excesses and deficits of angiotensin II have deleterious effects, it is not surprising that control of renin is secured by a complex system of feedforward and feedback relationships. Mice with genetic alterations have contributed to a better understanding of the networks controlling renin synthesis and secretion. Essential input for the setting of basal renin generation rates is provided by β-adrenergic receptors acting through cyclic adenosine monophosphate, the primary intracellular activation mechanism for renin mRNA generation. Other major control mechanisms include COX-2 and nNOS affecting renin through PGE2, PGI2, and nitric oxide. Angiotensin II provides strong negative feedback inhibition of renin synthesis, largely an indirect effect mediated by baroreceptor and macula densa inputs. Adenosine appears to be a dominant factor in the inhibitory arms of the baroreceptor and macula densa mechanisms. Targeted gene mutations have also shed light on a number of novel aspects related to renin processing and the regulation of renin synthesis and secretion.
肾小球旁器(JG)细胞产物肾素是生成生物活性八肽血管紧张素 II 的限速酶。JG 细胞合成和分泌天冬氨酸蛋白酶肾素的速率受源自中枢神经系统、心血管系统和肾脏的多条传入和传出途径的控制,这些途径对细胞外液容量和动脉血压的维持起着至关重要的作用。由于血管紧张素 II 的过多和缺乏都会产生有害影响,因此肾素的控制受到复杂的前馈和反馈关系系统的保护也就不足为奇了。具有基因改变的小鼠有助于更好地理解控制肾素合成和分泌的网络。β-肾上腺素能受体通过环磷酸腺苷(cAMP)为基础肾素生成速率的设定提供了必要的输入,cAMP 是肾素 mRNA 生成的主要细胞内激活机制。其他主要控制机制包括 COX-2 和 nNOS 通过 PGE2、PGI2 和一氧化氮影响肾素。血管紧张素 II 对肾素合成具有强烈的负反馈抑制作用,主要是通过压力感受器和致密斑传入介导的间接效应。腺苷似乎是压力感受器和致密斑机制的抑制臂中的主导因素。靶向基因突变也揭示了与肾素加工以及肾素合成和分泌的调节相关的许多新方面。