Craven P A, Briggs R, DeRubertis F R
J Clin Invest. 1980 Feb;65(2):529-42. doi: 10.1172/JCI109697.
When urea and NaCl are employed as the major solutes of high osmolality buffers, the cyclic AMP (cAMP) content of oxygenated slices of rat renal inner medulla increases three- to fivefold as osmolality is decreased from 1,650 to 305 mosM. Incubation of slices in Ca2+-free media containing 2 mM EGTA largely abolished this action of osmolality on cAMP, whereas exclusion of Mg2+ or 5+ from the incubation media was without effect. Addition of Ca2+ to Ca2+-deprived inner medulla incubated at 750 mosM (175 mM Na+, 380 mM urea) significantly increased tissue cAMP and media prostaglandin (PG)E accumulation. Ca2+ also stimulated the release of 14C-fatty acid from Ca2+-deprived slices prelabeled with [14C]arachidonate, but not from those labeled with [14C]palmitate. The divalent cation ionophore A23187 enhanced the actions of Ca2+ to increase tissue cAMP, media PGE accumulation, and the release of [14C]-arachidonate from prelabeled inner medulla. By contrast, when slices were incubated at 1,650 mosM (365 mM Na+, 900 mM urea) in the presence or absence of A23187, all of these actions of Ca2+ were markedly suppressed or abolished. Addition of exogenous arachidonate increased tissue cAMP and media PGE at both 750 and 1,650 mosM, whereas palmitate and stearate had no effect on cAMP at either osmolality. The actions of Ca2+ and arachidonate to increase cAMP and PGE accumulation were abolished by the cyclo-oxygenase inhibitors, indomethacin and meclofenamate. They were also abolished by exclusion of molecular O2, which serves as cosubstrate with arachidonate in prostaglandin synthesis. At maximally effective concentrations, exogenous PGE2 and arachidonate produced similar increases in inner medullary cAMP. The maximal effects of the two agents on cAMP were not additive, but were expressed in the absence of Ca2+ at both 750 and 1,650 mosM. However, in marked contrast to the O2-dependent action of arachidonate, PGE2 increased cAMP in the presence or absence of O2. Comparison of the separate actions of urea and NaCl indicated that suppression of Ca2+-responsive [14C]arachidonate release, PGE, and cAMP accumulation at 1,650 mosM reflected primarily an effect of urea, whereas hypertonic NaCl, mannitol, and sucrose alone stimulated inner medullary cAMP and PGE accumulation by a pathway which did not require extracellular Ca2+. Analogous to the actions of hypertonic urea, tetracaine and mepacrine inhibited the actions of Ca2+ plus A23187 to stimulate [14C]-arachidonate release, PGE, and cAMP accumulation. Inhibition of PGE and cAMP accumulation by tetracaine and mepacrine was also overcome by arachidonate. The results suggest that high osmolaity media with urea as a major solute reduces inner medullary cAMP content, at least in part, through effects on Ca2+-dependent prostaglandin synthesis. Inhibition of PGE synthesis, in turn, may be the result of osmotic suppression of Ca2+-dependent release of arachidonate, the availability of which is often rate limiting to prostaglandin generation.
当尿素和氯化钠用作高渗缓冲液的主要溶质时,随着渗透压从1650毫渗摩尔降低到305毫渗摩尔,大鼠肾内髓质氧合切片中的环磷酸腺苷(cAMP)含量增加三到五倍。将切片在含有2 mM乙二醇双四乙酸(EGTA)的无钙培养基中孵育,很大程度上消除了渗透压对cAMP的这种作用,而在孵育培养基中排除镁离子或5+则没有影响。向在750毫渗摩尔(175 mM钠离子,380 mM尿素)下孵育的缺钙内髓质中添加钙离子,显著增加了组织cAMP和培养基中前列腺素(PG)E的积累。钙离子还刺激了预先用[14C]花生四烯酸标记的缺钙切片中14C脂肪酸的释放,但对用[14C]棕榈酸标记的切片没有影响。二价阳离子载体A23187增强了钙离子增加组织cAMP、培养基中PGE积累以及从预先标记的内髓质中释放[14C]花生四烯酸的作用。相比之下,当切片在1650毫渗摩尔(365 mM钠离子,900 mM尿素)下孵育时,无论有无A23187,钙离子的所有这些作用都被显著抑制或消除。添加外源性花生四烯酸在750和1650毫渗摩尔时均增加了组织cAMP和培养基中PGE,而棕榈酸和硬脂酸在这两种渗透压下对cAMP均无影响。钙离子和花生四烯酸增加cAMP和PGE积累的作用被环氧化酶抑制剂吲哚美辛和甲氯芬那酸消除。排除分子氧也消除了这些作用,分子氧在前列腺素合成中与花生四烯酸作为共底物。在最大有效浓度下,外源性前列腺素E2和花生四烯酸使内髓质cAMP产生类似的增加。这两种药物对cAMP的最大作用不是相加的,而是在750和1650毫渗摩尔时在无钙离子的情况下表现出来。然而,与花生四烯酸的氧依赖性作用形成鲜明对比的是,无论有无氧气,前列腺素E2都能增加cAMP。尿素和氯化钠单独作用的比较表明,在1650毫渗摩尔时对钙离子反应性[14C]花生四烯酸释放、PGE和cAMP积累的抑制主要反映了尿素的作用,而高渗氯化钠、甘露醇和蔗糖单独通过一条不需要细胞外钙离子的途径刺激内髓质cAMP和PGE积累。与高渗尿素的作用类似,丁卡因和米帕林抑制了钙离子加A23187刺激[14C]花生四烯酸释放、PGE和cAMP积累的作用。花生四烯酸也克服了丁卡因和米帕林对PGE和cAMP积累的抑制作用。结果表明,以尿素为主要溶质的高渗培养基至少部分通过对钙离子依赖性前列腺素合成的影响降低了内髓质cAMP含量。反过来,PGE合成的抑制可能是钙离子依赖性花生四烯酸释放的渗透压抑制的结果,花生四烯酸的可用性通常是前列腺素生成的限速因素。