Bisordi J E, Schlondorff D, Hays R M
J Clin Invest. 1980 Dec;66(6):1200-10. doi: 10.1172/JCI109971.
Prostaglandins are important modulators of the action of vasopressin. Others researchers have proposed that vasopressin stimulates prostaglandin synthesis, completing a negative feedback loop and thereby limiting vasopressin's antidiuretic effect. We have re-examined this question, using specific radioimmunoassay and thin-layer radiochromatography to determine prostaglandin synthesis by the toad bladder. Under control conditions, the bladder synthesizes prostaglandin (PG)E2 and thromboxane (TX)B2. There was no evidence for synthesis of PGE1 or PGF2 alpha by radioimmunoassay, or of other prostaglandins by radiochromatography. Furthermore, there was no evidence for metabolism of PGE2 by the bladder. Using a variety of protocols, in isolated epithelial cells as well as intact bladders, we were unable to detect any significant increase in PGE2 or TXB2 synthesis after stimulation with arginine vasopressin (AVP) or deamino-8-D-arginine vasopressin (DDAVP). Arachidonic acid, the specific precursor of prostaglandin synthesis, increased PGE2 synthesis twofold, and significantly inhibited AVP- and DDAVP-stimulated water flow by 60 and 75%, respectively. Naproxen and acetaminophen inhibited prostaglandin synthesis and enhanced water flow in response to AVP and DDAVP (44-54%). Our findings indicate that the toad bladder produces tow prostaglandins, PGE2 and TXB2, and that vasopressin does not alter their rate of synthesis. Because agents such as acetaminophen and naproxen inhibit prostaglandin synthesis and enhance vasopressin- and DDAVP-stimulated water flow, we suggest that it is the inhibitory effect of these agents on the hormone-independent rate of prostaglandin synthesis that is responsible for their enhancement of water flow. Furthermore, because AVP appears to increase prostaglandin synthesis by the intact kidney, we suggest that cells other than those of the collecting tubule are responsible for the increased prostaglandin production.
前列腺素是血管加压素作用的重要调节因子。其他研究人员提出,血管加压素刺激前列腺素合成,形成一个负反馈回路,从而限制血管加压素的抗利尿作用。我们重新审视了这个问题,使用特异性放射免疫测定法和薄层层析放射色谱法来测定蟾蜍膀胱的前列腺素合成。在对照条件下,膀胱合成前列腺素(PG)E2和血栓素(TX)B2。放射免疫测定法没有证据表明合成了PGE1或PGF2α,放射色谱法也没有证据表明合成了其他前列腺素。此外,没有证据表明膀胱对PGE2进行了代谢。使用多种实验方案,在分离的上皮细胞以及完整的膀胱中,我们在精氨酸血管加压素(AVP)或去氨基-8-D-精氨酸血管加压素(DDAVP)刺激后未能检测到PGE2或TXB2合成有任何显著增加。花生四烯酸是前列腺素合成的特定前体,使PGE2合成增加了两倍,并分别显著抑制AVP和DDAVP刺激的水流量60%和75%。萘普生和对乙酰氨基酚抑制前列腺素合成,并增强对AVP和DDAVP的水流量反应(44%-54%)。我们的研究结果表明,蟾蜍膀胱产生两种前列腺素,PGE2和TXB2,并且血管加压素不会改变它们的合成速率。因为对乙酰氨基酚和萘普生等药物抑制前列腺素合成并增强血管加压素和DDAVP刺激的水流量,我们认为是这些药物对激素非依赖性前列腺素合成速率的抑制作用导致了它们对水流量的增强。此外,因为AVP似乎能增加完整肾脏的前列腺素合成,我们认为除集合管细胞外的其他细胞是前列腺素产生增加的原因。