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缺乏肾素的小鼠对血管紧张素 II 诱导的器官损伤的易感性增加。

Increased Susceptibility of Mice Lacking Renin-b to Angiotensin II-Induced Organ Damage.

机构信息

From the Department of Physiology, Medical College of Wisconsin, Milwaukee (P.N., J.G., J.W., K.-T.L., J.L.G., C.D.S.).

Department of Neuroscience and Pharmacology, Roy J. and Lucille. Carver College of Medicine, University of Iowa (A.R.N., L.A., S.Y.Z., D.A.M., K.R.).

出版信息

Hypertension. 2020 Aug;76(2):468-477. doi: 10.1161/HYPERTENSIONAHA.120.14972. Epub 2020 Jun 8.

Abstract

Several cardiac and renal diseases are attributed to a dysregulation of the renin-angiotensin system. Renin, the rate-limiting enzyme of the renin-angiotensin system, has 2 isoforms. The classical renin isoform (renin-a) encoding preprorenin is mainly confined to the juxtaglomerular cells and released into the circulation upon stimulation. Alternatively, renin-b is predicted to remain intracellular and is expressed in the brain, heart, and adrenal gland. In the brain, ablation of renin-b (Ren-b mice) results in increased brain renin-angiotensin system activity. However, the consequences of renin-b ablation in tissues outside the brain remain unknown. Therefore, we hypothesized that renin-b protects from hypertensive cardiac and renal end-organ damage in mice. Ren-b mice exhibited normal blood pressure at baseline. Thus, we induced hypertension by using a slow pressor dose of Ang II (angiotensin II). Ang II increased blood pressure in both wild type and Ren-b to the same degree. Although the blood pressure between Ren-b and wild-type mice was elevated equally, 4-week infusion of Ang II resulted in exacerbated cardiac remodeling in Ren-b mice compared with wild type. Ren-b mice also exhibited a modest increase in renal glomerular matrix deposition, elevated plasma aldosterone, and a modestly enhanced dipsogenic response to Ang II. Interestingly, ablation of renin-b strongly suppressed plasma renin, but renal cortical renin mRNA was preserved. Altogether, these data indicate that renin-b might play a protective role in the heart, and thus renin-b could be a potential target to treat hypertensive heart disease.

摘要

几种心脏和肾脏疾病都归因于肾素-血管紧张素系统的失调。肾素是肾素-血管紧张素系统的限速酶,有 2 种同工型。经典的肾素同工型(肾素-a)编码前肾素主要局限于肾小球旁细胞,在受到刺激时释放到循环中。另一方面,预测肾素-b 仍然存在于细胞内,并在大脑、心脏和肾上腺中表达。在大脑中,肾素-b 的缺失(Ren-b 小鼠)导致大脑肾素-血管紧张素系统活性增加。然而,肾素-b 缺失在大脑以外的组织中的后果仍不清楚。因此,我们假设肾素-b 可以保护小鼠免受高血压心脏和肾脏终末器官损伤。Ren-b 小鼠在基线时血压正常。因此,我们使用 Ang II(血管紧张素 II)的缓慢升压剂量诱导高血压。Ang II 使野生型和 Ren-b 小鼠的血压都升高到相同程度。尽管 Ren-b 和野生型小鼠之间的血压升高程度相同,但 Ang II 输注 4 周后,Ren-b 小鼠的心脏重构明显加重。Ren-b 小鼠还表现出肾小球基质沉积增加、血浆醛固酮升高和对 Ang II 的适度增强的口渴反应。有趣的是,肾素-b 的缺失强烈抑制了血浆肾素,但保留了肾皮质肾素 mRNA。总的来说,这些数据表明肾素-b 可能在心脏中发挥保护作用,因此肾素-b 可能是治疗高血压性心脏病的潜在靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67b3/7347438/9071b4fd372d/nihms-1592452-f0002.jpg

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