Department of Medicine, Einstein Medical Center Philadelphia, Philadelphia, PA 19141, USA.
Division of Renal Diseases & Hypertension, Department of Medicine, The George Washington University School of Medicine & Health Sciences, Washington, DC 20052, USA.
Int J Mol Sci. 2020 Nov 24;21(23):8909. doi: 10.3390/ijms21238909.
The renal dopaminergic system has been identified as a modulator of sodium balance and blood pressure. According to the Centers for Disease Control and Prevention, in 2018 in the United States, almost half a million deaths included hypertension as a primary or contributing cause. Renal dopamine receptors, members of the G protein-coupled receptor family, are divided in two groups: D1-like receptors that act to keep the blood pressure in the normal range, and D2-like receptors with a variable effect on blood pressure, depending on volume status. The renal dopamine receptor function is regulated, in part, by its expression in microdomains in the plasma membrane. Lipid rafts form platforms within the plasma membrane for the organization and dynamic contact of molecules involved in numerous cellular processes such as ligand binding, membrane sorting, effector specificity, and signal transduction. Understanding all the components of lipid rafts, their interaction with renal dopamine receptors, and their signaling process offers an opportunity to unravel potential treatment targets that could halt the progression of hypertension, chronic kidney disease (CKD), and their complications.
肾脏多巴胺能系统已被确定为调节钠平衡和血压的调节剂。根据疾病控制和预防中心的数据,2018 年在美国,近 50 万人的死亡包括高血压作为主要或促成原因。肾脏多巴胺受体是 G 蛋白偶联受体家族的成员,分为两组:D1 样受体,作用是将血压保持在正常范围内,以及 D2 样受体对血压的影响是可变的,取决于容量状态。肾脏多巴胺受体的功能部分受到其在质膜微域中的表达的调节。脂筏在质膜内形成平台,用于组织和动态接触参与许多细胞过程的分子,如配体结合、膜分拣、效应物特异性和信号转导。了解脂筏的所有组成部分、它们与肾脏多巴胺受体的相互作用以及它们的信号转导过程,为寻找潜在的治疗靶点提供了机会,这些靶点可能阻止高血压、慢性肾脏病(CKD)及其并发症的进展。