Kirschenbaum M A, Lowe A G, Trizna W, Fine L G
J Clin Invest. 1982 Dec;70(6):1193-204. doi: 10.1172/jci110718.
The present studies examined whether vasopressin increases prostaglandin biosynthesis in isolated rabbit cortical collecting tubules (CCT) and whether endogenous prostaglandin biosynthesis plays a role in modulating the response of this nephron segment to vasopressin. Three groups of studies were performed. In the first group, CCT and proximal straight tubules (PST) were incubated with [(3)H]arachidonic acid, and metabolites were separated and identified using silica gel thin-layer chromatography. CCT were capable of producing all of the major prostaglandins (PG) (PGE(2) > thromboxane B(2)[TxB(2)] > PGF(2alpha) > PGI(2)). PST produced significantly lesser quantities of these lipids. In the second group, radiolabeled arachidonic acid was incorporated into the phospholipid pool of both CCT and PST, vasopressin was added to the incubation medium, and metabolities were separated and identified as above. Vasopressin stimulated the release of all of the major prostaglandins in CCT but had no effect on PST. PGE release into the incubation medium, as assessed by a radioreceptor assay, increased 108%, and a vasopressin analogue, 1-desamino-8-d-arginine vasopressin, had a quantitatively similar effect. In the third group, a submaximal dose of vasopressin was administered to isolated, perfused CCT studied in the presence and absence of indomethacin to assess whether endogenous prostaglandins play a role in modulating the antidiuretic response to vasopressin. Studies were performed in rabbits on a normal diet and in desoxycorticosterone acetate (DOCA)- or KCl-loaded animals. In the state of mineralocorticoid excess, basal prostaglandin synthesis was 63% lower, and vasopressin-stimulated prostaglandin synthesis 76% lower, than the synthesis observed in rabbits on a normal diet. Cyclooxygenase inhibition exposed a significant hydroosmotic response to a submaximal dose of vasopressin in CCT from DOCA- or KCl-loaded animals. With arachidonic acid in the bath, the same dose of vasopressin failed to elicit a hydroosmotic response in CCT from rabbits on a normal diet even in the presence of a cyclooxygenase inhibitor. However, removal of exogenous arachidonic acid, with a consequently lower rate of prostaglandin synthesis, allowed the cyclooxygenase inhibitor to enhance the hydroosmotic response to vasopressin in these tubules.We conclude from these studies that the rabbit CCT has the capacity to synthesize all of the major prostaglandins and that the rate of synthesis of these lipids is enhanced by vasopessin. Prostaglandin synthesis by the CCT is postulated to modulate the antidiuretic action of vasopressin via a closed feedback loop. The effectiveness of this feedback regulation is dependent upon the mineralocorticoid status of the animal, which determines the level of basal and vasopressin-stimulated prostaglandin synthesis by the CCT.
本研究旨在探讨血管加压素是否能增加离体兔皮质集合管(CCT)中前列腺素的生物合成,以及内源性前列腺素生物合成是否在调节该肾单位节段对血管加压素的反应中发挥作用。进行了三组研究。在第一组研究中,将CCT和近端直小管(PST)与[³H]花生四烯酸一起孵育,然后使用硅胶薄层层析分离并鉴定代谢产物。CCT能够产生所有主要前列腺素(PG)(PGE₂>血栓素B₂[TxB₂]>PGF₂α>PGI₂)。PST产生的这些脂质数量明显较少。在第二组研究中,将放射性标记的花生四烯酸掺入CCT和PST的磷脂池中,向孵育培养基中加入血管加压素,然后如上述那样分离并鉴定代谢产物。血管加压素刺激了CCT中所有主要前列腺素的释放,但对PST没有影响。通过放射受体测定法评估,释放到孵育培养基中的PGE增加了108%,血管加压素类似物1-去氨基-8-D-精氨酸血管加压素具有定量相似的作用。在第三组研究中,对在有和没有吲哚美辛存在的情况下进行研究的离体灌注CCT给予亚最大剂量的血管加压素,以评估内源性前列腺素是否在调节对血管加压素的抗利尿反应中发挥作用。在正常饮食的兔子以及用醋酸脱氧皮质酮(DOCA)或氯化钾处理的动物中进行了研究。在盐皮质激素过多的状态下,基础前列腺素合成比正常饮食的兔子中观察到的合成低63%,血管加压素刺激的前列腺素合成低76%。环氧化酶抑制在DOCA或氯化钾处理的动物的CCT中暴露了对亚最大剂量血管加压素的显著水渗透性反应。在浴中加入花生四烯酸时,即使存在环氧化酶抑制剂,相同剂量的血管加压素也未能在正常饮食的兔子的CCT中引发水渗透性反应。然而,去除外源性花生四烯酸,从而降低前列腺素合成速率,使得环氧化酶抑制剂能够增强这些小管对血管加压素的水渗透性反应。我们从这些研究中得出结论,兔CCT有能力合成所有主要前列腺素,并且血管加压素可增强这些脂质的合成速率。推测CCT的前列腺素合成通过一个封闭的反馈回路调节血管加压素的抗利尿作用。这种反馈调节的有效性取决于动物的盐皮质激素状态,该状态决定了CCT基础和血管加压素刺激的前列腺素合成水平。