Department of Pharmacology, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, 960-1295, Japan.
BMC Nephrol. 2012 Dec 2;13:160. doi: 10.1186/1471-2369-13-160.
Urinary Ca2+ excretion increases with dietary NaCl. NaCl-induced calciuria may be associated with hypertension, urinary stone formation and osteoporosis, but its mechanism and long-term effects are not fully understood. This study examined alterations in the expressions of renal Ca2+ transporters, channels and claudins upon salt loading to better understand the mechanism of salt-induced urinary Ca2+ loss.
Eight-week old Wistar-Kyoto rats were fed either 0.3% or 8% NaCl diet for 8 weeks. Renal cortical expressions of Na+/Ca2+ exchanger 1 (NCX1), Ca2+ pump (PCMA1b), Ca2+ channel (TRPV5), calbindin-D28k, and claudins (CLDN-2, -7, -8, -16 and -19) were analyzed by quantitative PCR, western blot and/or immunohistochemistry.
Fractional excretion of Ca2+ increased 6.0 fold with high-salt diet. Renal cortical claudin-2 protein decreased by approximately 20% with decreased immunological staining on tissue sections. Claudin-16 and -19 expressions were not altered. Renal cortical TRPV5, calbindin-D28k and NCX1 expressions increased 1.6, 1.5 and 1.2 fold, respectively.
Chronic high-salt diet decreased claudin-2 protein and increased renal TRPV5, calbindin-D28k, and NCX1. Salt loading is known to reduce the proximal tubular reabsorption of both Na+ and Ca2+. The reduction in claudin-2 protein expression may be partly responsible for the reduced Ca2+ reabsorption in this segment. The concerted upregulation of more distal Ca2+-transporting molecules may be a physiological response to curtail the loss of Ca2+, although the magnitude of compensation does not seem adequate to bring the urinary Ca2+ excretion down to that of the normal-diet group.
尿钙排泄随膳食 NaCl 增加而增加。NaCl 诱导的钙尿可能与高血压、尿路结石形成和骨质疏松症有关,但其机制和长期影响尚未完全阐明。本研究通过盐负荷检查肾钙转运体、通道和紧密连接蛋白表达的改变,以更好地了解盐诱导尿钙丢失的机制。
8 周龄 Wistar-Kyoto 大鼠给予 0.3%或 8%NaCl 饮食 8 周。采用定量 PCR、western blot 和/或免疫组化分析肾皮质中 Na+/Ca2+交换体 1(NCX1)、钙泵(PCMA1b)、钙通道(TRPV5)、钙结合蛋白 D28k 和紧密连接蛋白(CLDN-2、-7、-8、-16 和-19)的表达。
高盐饮食使尿钙排泄分数增加了 6.0 倍。肾皮质紧密连接蛋白-2 蛋白减少了约 20%,组织切片免疫染色减少。紧密连接蛋白-16 和-19 的表达没有改变。肾皮质 TRPV5、钙结合蛋白 D28k 和 NCX1 的表达分别增加了 1.6、1.5 和 1.2 倍。
慢性高盐饮食减少了紧密连接蛋白-2 蛋白,增加了肾 TRPV5、钙结合蛋白 D28k 和 NCX1。盐负荷已知可减少近端肾小管对 Na+和 Ca2+的重吸收。该段中钙重吸收减少部分可能与紧密连接蛋白-2 蛋白表达减少有关。更远处钙转运分子的协同上调可能是一种生理反应,以限制 Ca2+的丢失,尽管补偿的幅度似乎不足以使尿钙排泄降至正常饮食组的水平。