Div. of Nephrology, C3121 MCN, Vanderbilt Univ. School of Medicine and Nashville Veterans Affairs Hospital, Nashville, TN 37232.
Am J Physiol Renal Physiol. 2013 Dec 15;305(12):F1680-6. doi: 10.1152/ajprenal.00409.2013. Epub 2013 Oct 23.
We have recently demonstrated that intrarenal dopamine plays an important role in preventing the development of systemic hypertension. Similarly, renal cytochrome P-450 (CYP)-epoxygenase-derived arachidonic acid metabolites, epoxyeicosatrienoic acids (EETs), also are antihypertensive through inhibiting sodium reabsorption and vasodilation. The potential interaction between renal dopamine and epoxygenase systems was investigated. Catechol-O-methyl-transferase (COMT)(-/-) mice with increased intrarenal dopamine levels and proximal tubule deletion of aromatic amino acid decarboxylase (ptAADC(-/-)) mice with renal dopamine deficiency were treated with a low-salt diet or high-salt diet for 2 wk. Wild-type or Cyp2c44(-/-) mice were treated with gludopa, which selectively increased renal dopamine levels. In low salt-treated mice, urinary EET levels were related to renal dopamine levels, being highest in COMT(-/-) mice and lowest in ptAADC(-/-) mice. In high salt-treated mice, total EET and individual EET levels in both the kidney and urine were also highest in COMT(-/-) mice and lowest in ptAADC(-/-) mice. Selective increases in renal dopamine in response to gludopa administration led to marked increases in both total and all individual EET levels in the kidney without any changes in blood levels. qRT-PCR and immunoblotting indicated that gludopa increased renal Cyp2c44 mRNA and protein levels. Gludopa induced marked increases in urine volume and urinary sodium excretion in wild-type mice. In contrast, gludopa did not induce significant increases in urine volume or urinary sodium excretion in Cyp2c44(-/-) mice. These studies demonstrate that renal EET levels are maintained by intrarenal dopamine, and Cyp2c44-derived EETs play an important role in intrarenal dopamine-induced natriuresis and diuresis.
我们最近的研究表明,肾脏多巴胺在预防全身高血压的发展中起着重要作用。同样,肾细胞色素 P-450(CYP)-环氧合酶衍生的花生四烯酸代谢物,环氧二十碳三烯酸(EETs),也通过抑制钠重吸收和血管舒张起到降压作用。研究了肾脏多巴胺和环氧合酶系统之间的潜在相互作用。用低盐饮食或高盐饮食处理 2 周后,多巴胺水平升高的儿茶酚-O-甲基转移酶(COMT)(-/-)小鼠和多巴胺缺乏的近端肾小管芳香族氨基酸脱羧酶(ptAADC)(-/-)小鼠。用 gludopa 处理野生型或 Cyp2c44(-/-)小鼠,选择性增加肾多巴胺水平。在低盐处理的小鼠中,尿 EET 水平与肾多巴胺水平相关,COMT(-/-)小鼠最高,ptAADC(-/-)小鼠最低。在高盐处理的小鼠中,肾脏和尿液中的总 EET 和个体 EET 水平在 COMT(-/-)小鼠中也是最高的,而在 ptAADC(-/-)小鼠中则是最低的。对 gludopa 给药的肾多巴胺的选择性增加导致肾脏中总 EET 和所有个体 EET 水平的显著增加,而血液水平没有任何变化。qRT-PCR 和免疫印迹表明 gludopa 增加了肾 Cyp2c44 mRNA 和蛋白水平。Gludopa 在野生型小鼠中引起尿量和尿钠排泄的显著增加。相比之下,Gludopa 并没有引起 Cyp2c44(-/-)小鼠的尿量或尿钠排泄的显著增加。这些研究表明,肾 EET 水平由肾内多巴胺维持,Cyp2c44 衍生的 EETs 在肾内多巴胺诱导的排钠利尿中起着重要作用。