Reid G M, Appel R G, Dunn M J
Department of Medicine, Case Western Reserve University, Cleveland, Ohio.
Hypertension. 1988 Feb;11(2):179-84. doi: 10.1161/01.hyp.11.2.179.
Isolated kidneys of Dahl salt-sensitive rats (DS) excrete sodium less readily than those of Dahl salt-resistant rats (DR). The collecting tubule is an important source of papillary prostaglandin E2 and is a site of significant sodium reabsorption. We cultured renal papillary collecting tubule cells from 5-week-old, prehypertensive DS and DR on a low salt diet and also after 14 weeks of high salt feeding, and we measured prostaglandin E2 synthetic capacity. Unstimulated renal papillary collecting tubule cells from 5-week-old DS produced 62 +/- 5% less prostaglandin E2 than did comparable cells from DR (p less than 0.001). The cells from DS also synthesized less prostaglandin E2 after stimulation with the calcium ionophore A23187 (67 +/- 6% of control; p less than 0.001) or the addition of exogenous arachidonate (74 +/- 7% of control; p less than 0.01). Urinary prostaglandin E2 excretion was also diminished in the 5-week-old DS compared with their salt-resistant counterparts (18.1 +/- 1.3 vs 23.9 +/- 1.7 ng/24 hr; p less than 0.025). After high salt feeding, the DS became hypertensive but the DR remained normotensive. Renal papillary collecting tubule cells cultured from these DS continued to produce less prostaglandin E2 than those from control rats, both in the basal state (60 +/- 12% of control; p less than 0.09) and after stimulation with ionophore (62 +/- 2% of control; p less than 0.002). In these older animals, the DS continued to underexcrete prostaglandin E2 compared with the DR (29.7 +/- 3.2 vs 42.2 +/- 6.1 ng/24 hr; p less than 0.08). The underproduction of prostaglandin E2 in the papillary collecting tubule of DS may play a role in their inadequate renal natriuretic capacity and contribute to the onset and maintenance of salt-induced hypertension in this strain.
与 Dahl 盐抵抗大鼠(DR)相比,Dahl 盐敏感大鼠(DS)的离体肾脏排钠能力较弱。集合管是肾乳头前列腺素 E2 的重要来源,也是钠重吸收的主要部位。我们在低盐饮食条件下,以及高盐喂养 14 周后,培养了 5 周龄、处于高血压前期的 DS 和 DR 的肾乳头集合管细胞,并测定了前列腺素 E2 的合成能力。5 周龄 DS 的未受刺激的肾乳头集合管细胞产生的前列腺素 E2 比 DR 的同类细胞少 62±5%(p<0.001)。在用钙离子载体 A23187 刺激后(为对照的 67±6%;p<0.001)或添加外源性花生四烯酸后(为对照的 74±7%;p<0.01),DS 的细胞合成的前列腺素 E2 也较少。与盐抵抗的同窝大鼠相比,5 周龄 DS 的尿前列腺素 E2 排泄量也减少(18.1±1.3 对 23.9±1.7 ng/24 小时;p<0.025)。高盐喂养后,DS 出现高血压,但 DR 仍保持血压正常。从这些 DS 培养的肾乳头集合管细胞在基础状态下(为对照的 60±12%;p<0.09)和用离子载体刺激后(为对照的 62±2%;p<0.002),产生的前列腺素 E2 仍比对照大鼠的细胞少。在这些年龄较大的动物中,与 DR 相比,DS 的前列腺素 E2 排泄仍不足(29.7±3.2 对 42.2±6.1 ng/24 小时;p<0.08)。DS 肾乳头集合管中前列腺素 E2 产生不足可能在其肾排钠能力不足中起作用,并导致该品系盐诱导高血压的发生和维持。