Cardio-Renal Physiology and Medicine, Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Am J Physiol Renal Physiol. 2019 Sep 1;317(3):F547-F559. doi: 10.1152/ajprenal.00180.2019. Epub 2019 Jun 26.
The collecting duct (CD) concentrates the urine, thereby maintaining body water volume and plasma osmolality within a normal range. The endocrine hormone arginine vasopressin acts in the CD to increase water permeability via the vasopressin 2 receptor (V2R)-aquaporin (AQP) axis. Recent studies have suggested that autocrine factors may also contribute to the regulation of CD water permeability. Nitric oxide is produced predominantly by nitric oxide synthase 1 (NOS1) in the CD and acts as a diuretic during salt loading. The present study sought to determine whether CD NOS1 regulates diuresis during changes in hydration status. Male and female control and CD NOS1 knockout (CDNOS1KO) mice were hydrated (5% sucrose water), water deprived, or acutely challenged with the V2R agonist desmopressin. In male mice, water deprivation resulted in decreased urine flow and increased plasma osmolality, copeptin concentration, and kidney AQP2 abundance independent of CD NOS1. In female control mice, water deprivation reduced urine flow, increased plasma osmolality and copeptin, but did not significantly change total AQP2; however, there was increased basolateral AQP3 localization. Surprisingly, female CDNOS1KO mice while on the sucrose water presented with symptoms of dehydration. Fibroblast growth factor 21, an endocrine regulator of sweetness preference, was significantly higher in female CDNOS1KO mice, suggesting that this was reducing their drive to drink the sucrose water. With acute desmopressin challenge, female CDNOS1KO mice failed to appropriately concentrate their urine, resulting in higher plasma osmolality than controls. In conclusion, CD NOS1 plays only a minor role in urine-concentrating mechanisms.
收集管(CD)浓缩尿液,从而将身体的水含量和血浆渗透压维持在正常范围内。内分泌激素精氨酸血管加压素通过血管加压素 2 受体(V2R)-水通道蛋白(AQP)轴在 CD 中作用以增加水通透性。最近的研究表明,自分泌因子也可能有助于调节 CD 的水通透性。一氧化氮主要由 CD 中的一氧化氮合酶 1(NOS1)产生,并在盐负荷时作为利尿物质。本研究旨在确定 CD NOS1 是否调节水合状态变化时的利尿作用。雄性和雌性对照和 CD NOS1 敲除(CDNOS1KO)小鼠接受水合(5%蔗糖水)、水剥夺或 V2R 激动剂去氨加压素急性挑战。在雄性小鼠中,水剥夺导致尿量减少,血浆渗透压、copeptin 浓度和肾脏 AQP2 丰度增加,而与 CD NOS1 无关。在雌性对照小鼠中,水剥夺减少了尿量,增加了血浆渗透压和 copeptin,但总 AQP2 没有明显变化;然而,基底外侧 AQP3 的定位增加。令人惊讶的是,雌性 CDNOS1KO 小鼠在蔗糖水状态下出现脱水症状。成纤维细胞生长因子 21 是甜味偏好的内分泌调节剂,在雌性 CDNOS1KO 小鼠中显著升高,表明这降低了它们对蔗糖水的饮用欲望。在急性去氨加压素挑战中,雌性 CDNOS1KO 小鼠未能适当浓缩尿液,导致血浆渗透压高于对照。总之,CD NOS1 在尿液浓缩机制中仅起次要作用。