Division of Nanomedicine and Molecular Intervention, Department of Medicine, Michigan State University, East Lansing, MI 48824, USA.
Neuroscience Program, Michigan State University, East Lansing, MI 48824, USA.
Int J Mol Sci. 2023 Mar 25;24(7):6207. doi: 10.3390/ijms24076207.
Enhanced renal sympathetic nerve activity (RSNA) contributes to obesity-induced renal disease, while the role of afferent renal nerve activity (ARNA) is not fully understood. The present study tested the hypothesis that activating the transient receptor potential vanilloid 1 (TRPV1) channel in afferent renal nerves suppresses RSNA and prevents renal dysfunction and hypertension in obese rats. N-oleoyldopamine (OLDA, 1 ng/kg, daily) was administrated intrathecally (T8-L3) via an indwelled catheter to chronically activate, TRPV1-positive afferent renal nerves in rats fed a chow diet or high-fat diet (HFD) for 8 weeks. HFD intake significantly increased the body weight, impaired glucose and insulin tolerance, decreased creatinine clearance, and elevated systolic blood pressure in rats compared with the levels of the chow-fed rats (all < 0.05). An intrathecal OLDA treatment for 8 weeks did not affect the fasting glucose level, glucose tolerance, and insulin tolerance in rats fed either chow or HFD. As expected, the chronic OLDA treatment significantly increased the levels of plasma calcitonin gene-related peptide and substance P and ARNA in the HFD-fed rats (all < 0.05). Interestingly, the OLDA treatment decreased the urinary norepinephrine level and RSNA in rats fed HFD (both < 0.05). Importantly, the OLDA treatment attenuated HFD-induced decreases in creatinine clearance and urinary Na excretion and increases in the plasma urea level, urinary albumin level, and systolic blood pressure at the end of an 8-week treatment (all < 0.05). Taken together, the intrathecal administration of OLDA ameliorates the enhancement of RSNA, renal dysfunction, and hypertension in obese rats. These findings shed light on the roles of TRPV1-positive renal afferent nerves in obesity-related renal dysfunction and hypertension.
增强的肾交感神经活动(RSNA)有助于肥胖引起的肾脏疾病,而传入肾神经活动(ARNA)的作用尚未完全阐明。本研究检验了如下假设:在传入肾神经中激活瞬时受体电位香草酸 1(TRPV1)通道可抑制 RSNA,并防止肥胖大鼠的肾功能障碍和高血压。通过留置导管(T8-L3)每日鞘内给予 N-油酰多巴胺(OLDA,1ng/kg),可激活慢性给予普通饮食或高脂肪饮食(HFD)8 周的大鼠 TRPV1 阳性传入肾神经。与给予普通饮食的大鼠相比,HFD 摄入显著增加了大鼠的体重,损害了葡萄糖和胰岛素耐量,降低了肌酐清除率,并升高了收缩压(均 <0.05)。8 周的鞘内 OLDA 处理对给予普通饮食或 HFD 的大鼠的空腹血糖水平、葡萄糖耐量和胰岛素耐量没有影响。正如预期的那样,慢性 OLDA 处理显著增加了 HFD 喂养大鼠的血浆降钙素基因相关肽和 P 物质水平和 ARNA(均 <0.05)。有趣的是,OLDA 处理降低了 HFD 喂养大鼠的尿去甲肾上腺素水平和 RSNA(均 <0.05)。重要的是,OLDA 处理减轻了 HFD 诱导的肌酐清除率降低、尿钠排泄增加以及血浆尿素水平、尿白蛋白水平和 8 周治疗结束时的收缩压升高(均 <0.05)。综上所述,鞘内给予 OLDA 可改善肥胖大鼠 RSNA 增强、肾功能障碍和高血压。这些发现揭示了 TRPV1 阳性传入肾神经在肥胖相关肾功能障碍和高血压中的作用。