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致密斑的原肾素受体对于肾素释放和血压控制至关重要。

The macula densa prorenin receptor is essential in renin release and blood pressure control.

机构信息

Departments of Physiology and Neuroscience, and Medicine, Zilkha Neurogenetic Institute, University of Southern California , Los Angeles, California.

Division of Vascular Medicine and Pharmacology, Department of Internal Medicine, Erasmus MC, Rotterdam , The Netherlands.

出版信息

Am J Physiol Renal Physiol. 2018 Sep 1;315(3):F521-F534. doi: 10.1152/ajprenal.00029.2018. Epub 2018 Apr 18.

Abstract

The prorenin receptor (PRR) was originally proposed to be a member of the renin-angiotensin system (RAS); however, recent work questioned their association. The present paper describes a functional link between the PRR and RAS in the renal juxtaglomerular apparatus (JGA), a classic anatomical site of the RAS. PRR expression was found in the sensory cells of the JGA, the macula densa (MD), and immunohistochemistry-localized PRR to the MD basolateral cell membrane in mouse, rat, and human kidneys. MD cell PRR activation led to MAP kinase ERK1/2 signaling and stimulation of PGE release, the classic pathway of MD-mediated renin release. Exogenous renin or prorenin added to the in vitro microperfused JGA-induced acute renin release, which was inhibited by removing the MD or by the administration of a PRR decoy peptide. To test the function of MD PRR in vivo, we established a new mouse model with inducible conditional knockout (cKO) of the PRR in MD cells based on neural nitric oxide synthase-driven Cre-lox recombination. Deletion of the MD PRR significantly reduced blood pressure and plasma renin. Challenging the RAS by low-salt diet + captopril treatment caused further significant reductions in blood pressure, renal renin, cyclooxygenase-2, and microsomal PGE synthase expression in cKO vs. wild-type mice. These results suggest that the MD PRR is essential in a novel JGA short-loop feedback mechanism, which is integrated within the classic MD mechanism to control renin synthesis and release and to maintain blood pressure.

摘要

原肾素受体 (PRR) 最初被提议为肾素-血管紧张素系统 (RAS) 的成员;然而,最近的工作对它们的关联性提出了质疑。本文描述了 PRR 和 RAS 之间在肾球旁器 (JGA) 中的功能联系,JGA 是 RAS 的经典解剖部位。在 JGA 的感觉细胞、致密斑 (MD) 中发现了 PRR 的表达,并且免疫组织化学将 PRR 定位在小鼠、大鼠和人肾脏的 MD 基底外侧细胞膜上。MD 细胞 PRR 的激活导致 MAP 激酶 ERK1/2 信号传导和 PGE 释放的刺激,这是 MD 介导的肾素释放的经典途径。外源性肾素或原肾素添加到体外微灌注的 JGA 中会引起急性肾素释放,这可以通过去除 MD 或给予 PRR 诱饵肽来抑制。为了测试 MD PRR 在体内的功能,我们建立了一种新的小鼠模型,基于神经型一氧化氮合酶驱动的 Cre-lox 重组,在 MD 细胞中诱导条件性敲除 (cKO) PRR。MD PRR 的缺失显著降低了血压和血浆肾素。通过低盐饮食+卡托普利治疗挑战 RAS 导致 cKO 与野生型小鼠相比血压、肾素、环加氧酶-2 和微粒体 PGE 合酶表达进一步显著降低。这些结果表明,MD PRR 是新型 JGA 短环路反馈机制所必需的,该机制与经典 MD 机制整合在一起,以控制肾素的合成和释放并维持血压。

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