Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Boston, MA.
Endocrinology. 2020 May 1;161(5). doi: 10.1210/endocr/bqaa041.
The mechanistic target of the rapamycin (mTOR) pathway plays a role in features common to both excess salt/aldosterone and cardiovascular/renal diseases. Dietary sodium can upregulate mTORC1 signaling in cardiac and renal tissue, and the inhibition of mTOR can prevent aldosterone-associated, salt-induced hypertension. The impact of sex and age on mTOR's role in volume homeostasis and the regulation of aldosterone secretion is largely unknown. We hypothesize that both age and sex modify mTOR's interaction with volume homeostatic mechanisms. The activity of 3 volume homeostatic mechanisms-cardiovascular, renal, and hormonal (aldosterone [sodium retaining] and brain natriuretic peptide [BNP; sodium losing])-were assessed in mTORC1 deficient (Raptor+/-) and wild-type male and female littermates at 2 different ages. The mice were volume stressed by being given a liberal salt (LibS) diet. Raptor+/-mice of both sexes when they aged: (1) reduced their blood pressure, (2) increased left ventricular internal diameter during diastole, (3) decreased renal blood flow, and (4) increased mineralocorticoid receptor expression. Aldosterone levels did not differ by sex in young Raptor+/- mice. However, as they aged, compared to their littermates, aldosterone decreased in males but increased in females. Finally, given the level of Na+ intake, BNP was inappropriately suppressed, but only in Raptor+/- males. These data indicate that Raptor+/- mice, when stressed with a LibS diet, display inappropriate volume homeostatic responses, particularly with aging, and the mechanisms altered, differing by sex.
雷帕霉素(mTOR)途径的机械靶点在过量盐/醛固酮和心血管/肾脏疾病的共同特征中发挥作用。膳食钠可以上调心脏和肾脏组织中 mTORC1 信号,而 mTOR 的抑制可以预防醛固酮相关的盐诱导高血压。性别和年龄对 mTOR 在容量稳态和醛固酮分泌调节中的作用的影响在很大程度上尚不清楚。我们假设年龄和性别都会改变 mTOR 与容量稳态机制的相互作用。在两个不同年龄的 mTORC1 缺陷(Raptor+/-)和野生型雄性和雌性同窝仔鼠中评估了 3 种容量稳态机制-心血管、肾脏和激素(醛固酮[保钠]和脑钠肽[BNP;排钠])的活性。通过给予自由盐(LibS)饮食使小鼠容量紧张。当 Raptor+/- 雄性和雌性小鼠年龄增长时:(1)降低血压,(2)舒张期左室内径增加,(3)肾血流量减少,(4)增加矿物质皮质激素受体表达。年轻的 Raptor+/- 小鼠的醛固酮水平没有性别差异。然而,随着年龄的增长,与同窝仔鼠相比,雄性的醛固酮降低,而雌性的醛固酮增加。最后,考虑到 Na+的摄入水平,BNP 被不恰当地抑制,但仅在 Raptor+/- 雄性中。这些数据表明,当 Raptor+/- 小鼠用 LibS 饮食应激时,会表现出不适当的容量稳态反应,特别是随着年龄的增长,且改变的机制因性别而异。