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近端肾小管血管紧张素 II 信号对小鼠肾单位钠转运体的局部和下游作用。

Local and downstream actions of proximal tubule angiotensin II signaling on Na transporters in the mouse nephron.

机构信息

Division of Nephrology and Hypertension, Department of Medicine, Oregon Health and Science University, Portland, Oregon.

Department of Physiology and Neuroscience, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

Am J Physiol Renal Physiol. 2021 Jul 1;321(1):F69-F81. doi: 10.1152/ajprenal.00014.2021. Epub 2021 May 31.

Abstract

The renal nephron consists of a series of distinct cell types that function in concert to maintain fluid and electrolyte balance and blood pressure. The renin-angiotensin system (RAS) is central to Na and volume balance. We aimed to determine how loss of angiotensin II signaling in the proximal tubule (PT), which reabsorbs the bulk of filtered Na and volume, impacts solute transport throughout the nephron. We hypothesized that PT renin-angiotensin system disruption would not only depress PT Na transporters but also impact downstream Na transporters. Using a mouse model in which the angiotensin type 1a receptor (ATR) is deleted specifically within the PT (ATR PTKO), we profiled the abundance of Na transporters, channels, and claudins along the nephron. Absence of PT ATR signaling was associated with lower abundance of PT transporters (Na/H exchanger isoform 3, electrogenic Na-bicarbonate cotransporter 1, and claudin 2) as well as lower abundance of downstream transporters (total and phosphorylated Na-K-2Cl cotransporter, medullary Na-K-ATPase, phosphorylated NaCl cotransporter, and claudin 7) versus controls. However, transport activities of Na-K-2Cl cotransporter and NaCl cotransporter (assessed with diuretics) were similar between groups in order to maintain electrolyte balance. Together, these results demonstrate the primary impact of angiotensin II regulation on Na reabsorption in the PT at baseline and the associated influence on downstream Na transporters, highlighting the ability of the nephron to integrate Na transport along the nephron to maintain homeostasis. Our study defines a novel role for proximal tubule angiotensin receptors in regulating the abundance of Na transporters throughout the nephron, thereby contributing to the integrated control of fluid balance in vivo.

摘要

肾单位由一系列不同的细胞类型组成,这些细胞协同作用以维持液体和电解质平衡以及血压。肾素-血管紧张素系统(RAS)是钠和容量平衡的核心。我们旨在确定近端小管(PT)中血管紧张素 II 信号的丧失如何影响整个肾单位的溶质转运,近端小管吸收大部分过滤的钠和容量。我们假设 PT 肾素-血管紧张素系统的破坏不仅会抑制 PT Na 转运体,还会影响下游的 Na 转运体。我们使用一种在近端小管(ATR PTKO)中特异性缺失血管紧张素 1a 受体(ATR)的小鼠模型,对肾单位中的 Na 转运体、通道和闭合蛋白的丰度进行了分析。PT 中缺乏 ATR 信号与 PT 转运体(Na/H 交换体 3、电活性 Na-碳酸氢盐共转运体 1 和闭合蛋白 2)的丰度降低以及下游转运体(总和磷酸化的 Na-K-2Cl 共转运体、髓质 Na-K-ATP 酶、磷酸化的 NaCl 共转运体和闭合蛋白 7)的丰度降低有关。然而,为了维持电解质平衡,Na-K-2Cl 共转运体和 NaCl 共转运体(用利尿剂评估)的转运活性在两组之间相似。总之,这些结果表明血管紧张素 II 调节对基础 PT 中 Na 重吸收的主要影响以及对下游 Na 转运体的相关影响,突出了肾单位整合肾单位中 Na 转运以维持体内平衡的能力。我们的研究定义了近端小管血管紧张素受体在调节整个肾单位中 Na 转运体丰度方面的新作用,从而有助于体内液体平衡的综合控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62f/8321806/800992e4a30b/f-00014-2021r01.jpg

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