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醛固酮对于血管紧张素Ⅱ诱导的 pendrin 上调是必需的。

Aldosterone Is Essential for Angiotensin II-Induced Upregulation of Pendrin.

机构信息

Division of Clinical Epigenetics, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan;

Division of Clinical Epigenetics, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.

出版信息

J Am Soc Nephrol. 2018 Jan;29(1):57-68. doi: 10.1681/ASN.2017030243. Epub 2017 Oct 11.

Abstract

The renin-angiotensin-aldosterone system has an important role in the control of fluid homeostasis and BP during volume depletion. Dietary salt restriction elevates circulating angiotensin II (AngII) and aldosterone levels, increasing levels of the Cl/HCO exchanger pendrin in -intercalated cells and the Na-Cl cotransporter (NCC) in distal convoluted tubules. However, the independent roles of AngII and aldosterone in regulating these levels remain unclear. In C57BL/6J mice receiving a low-salt diet or AngII infusion, we evaluated the membrane protein abundance of pendrin and NCC; assessed the phosphorylation of the mineralocorticoid receptor, which selectively inhibits aldosterone binding in intercalated cells; and measured BP by radiotelemetry in pendrin-knockout and wild-type mice. A low-salt diet or AngII infusion upregulated NCC and pendrin levels, decreased the phosphorylation of mineralocorticoid receptor in -intercalated cells, and increased plasma aldosterone levels. Notably, a low-salt diet did not alter BP in wild-type mice, but significantly decreased BP in pendrin-knockout mice. To dissect the roles of AngII and aldosterone, we performed adrenalectomies in mice to remove aldosterone from the circulation. In adrenalectomized mice, AngII infusion again upregulated NCC expression, but did not affect pendrin expression despite the decreased phosphorylation of mineralocorticoid receptor. By contrast, AngII and aldosterone coadministration markedly elevated pendrin levels in adrenalectomized mice. Our results indicate that aldosterone is necessary for AngII-induced pendrin upregulation, and suggest that pendrin contributes to the maintenance of normal BP in cooperation with NCC during activation of the renin-angiotensin-aldosterone system by dietary salt restriction.

摘要

肾素-血管紧张素-醛固酮系统在容量减少时对液体平衡和血压的控制起着重要作用。饮食盐限制会升高循环血管紧张素 II(AngII)和醛固酮水平,增加闰细胞中的 Cl/HCO 交换蛋白 pendrin 和远端卷曲小管中的 Na-Cl 共转运蛋白(NCC)的水平。然而,AngII 和醛固酮在调节这些水平方面的独立作用仍不清楚。在接受低盐饮食或 AngII 输注的 C57BL/6J 小鼠中,我们评估了 pendrin 和 NCC 的膜蛋白丰度;评估了选择性抑制闰细胞中醛固酮结合的矿物质皮质激素受体的磷酸化;并通过无线电遥测测量 pendrin 敲除和野生型小鼠的血压。低盐饮食或 AngII 输注上调 NCC 和 pendrin 水平,降低闰细胞中矿物质皮质激素受体的磷酸化,并增加血浆醛固酮水平。值得注意的是,低盐饮食不会改变野生型小鼠的血压,但显著降低 pendrin 敲除小鼠的血压。为了剖析 AngII 和醛固酮的作用,我们对小鼠进行肾上腺切除术以去除循环中的醛固酮。在肾上腺切除的小鼠中,AngII 输注再次上调 NCC 表达,但尽管矿物质皮质激素受体的磷酸化减少,仍不影响 pendrin 表达。相比之下,AngII 和醛固酮共同给药在肾上腺切除的小鼠中显着上调 pendrin 水平。我们的结果表明,醛固酮是 AngII 诱导 pendrin 上调所必需的,并且表明在饮食盐限制激活肾素-血管紧张素-醛固酮系统时,pendrin 与 NCC 合作有助于维持正常血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b70d/5748905/ebdd2d04ea4d/ASN.2017030243absf1.jpg

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