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醛固酮对核黄素掺入大鼠肾脏黄素辅酶的刺激作用以及核黄素类似物抑制对钠重吸收的影响。

Aldosterone stimulation of riboflavin incorporation into rat renal flavin coenzymes and the effect of inhibition by riboflavin analogues on sodium reabsorption.

作者信息

Trachewsky D

出版信息

J Clin Invest. 1978 Dec;62(6):1325-33. doi: 10.1172/JCI109253.

Abstract

This study was designed to investigate a possible relationship between the effect of aldosterone upon urinary electrolytes and the incorporation of [(14)C]riboflavin into renal [(14)C]flavin mononucleotide (FMN) and [(14)C]flavin adenine dinucleotide (FAD). Adrenalectomized Sprague-Dawley rats that weighed between 185 and 210 g were pretreated with 15 mug/100 g body wt dexamethasone intraperitoneally. 16 h later they were administered aldosterone (1.5 mug/100 g body wt) and [(14)C]riboflavin (5.0 muCi/200 g body wt). The urethra of each rat was ligated, and the rats were sacrificed by decapitation 3 h later. The urine was aspirated from the bladders of each rat and analyzed for total Na(+) and K(+) excretion while the kidneys were removed and the formation of [(14)C]FMN and [(14)C]FAD was determined for each kidney. There was a significant increase in the formation of renal [(14)C]FMN and [(14)C]FAD (27.3 and 14.4%, respectively) after aldosterone treatment. Aldosterone significantly decreased the excretion of Na(+) by 50%, and increased that of K(+) by 55%. To determine if the increased incorporation of [(14)C]riboflavin into renal [(14)C]FMN and [(14)C]FAD was an important intermediary step in the aldosterone-induced alterations in urinary Na(+) and K(+), the riboflavin analogues 7,8-dimethyl-10-formylmethyl isoalloxazine or 7,8-dimethyl-10-(2'-hydroxyethyl) isoalloxazine were given to the animals i.p. to diminish the conversion of riboflavin to FMN by competitively inhibiting the enzyme flavokinase (EC 2.7.1.26). These analogues were found to significantly counteract the decreased urinary excretion of Na(+) as a result of aldosterone from 26+/-9% to 124+/-58% (SEM) with a dose-related response when administered from 10 to 25 mug/100 g body wt. The same doses of the analogues that significantly increased the urinary output of Na(+) when administered simultaneously with aldosterone also significantly decreased the formation of renal [(14)C]FMN from 15+/-4 to 38+/-3% when compared with the effects of aldosterone alone. The analogues exerted no significant effect on the increased urinary excretion of K(+) by aldosterone. The analogues alone had no influence on urinary Na(+) and K(+) output or the formation of renal [(14)C]FMN and [(14)C]FAD at the dose levels that we investigated. These data strongly suggest that the enhanced synthesis of renal FMN and FAD may be a causative factor in the increased reabsorption of Na(+) as a result of aldosterone; and, consequently, riboflavin analogues may function as a novel class of antimineralocorticoids.

摘要

本研究旨在探讨醛固酮对尿电解质的影响与[(14)C]核黄素掺入肾[(14)C]黄素单核苷酸(FMN)和[(14)C]黄素腺嘌呤二核苷酸(FAD)之间的可能关系。体重在185至210克之间的肾上腺切除的Sprague-Dawley大鼠经腹腔注射15微克/100克体重的地塞米松进行预处理。16小时后,给它们注射醛固酮(1.5微克/100克体重)和[(14)C]核黄素(5.0微居里/200克体重)。结扎每只大鼠的尿道,3小时后断头处死大鼠。从每只大鼠的膀胱中吸出尿液,分析总Na(+)和K(+)排泄量,同时取出肾脏,测定每个肾脏中[(14)C]FMN和[(14)C]FAD的形成。醛固酮治疗后,肾[(14)C]FMN和[(14)C]FAD的形成显著增加(分别为27.3%和14.4%)。醛固酮使Na(+)排泄量显著降低50%,使K(+)排泄量增加55%。为了确定[(14)C]核黄素掺入肾[(14)C]FMN和[(14)C]FAD的增加是否是醛固酮诱导的尿Na(+)和K(+)变化的重要中间步骤,给动物腹腔注射核黄素类似物7,8-二甲基-10-甲酰甲基异咯嗪或7,8-二甲基-10-(2'-羟乙基)异咯嗪,通过竞争性抑制黄素激酶(EC 2.7.1.26)来减少核黄素向FMN的转化。发现这些类似物能显著对抗醛固酮导致的尿Na(+)排泄减少,从26±9%增加到124±58%(SEM),当以10至25微克/100克体重给药时呈剂量相关反应。与单独使用醛固酮的效果相比,相同剂量的类似物在与醛固酮同时给药时显著增加尿Na(+)输出量的同时,也显著降低肾[(14)C]FMN的形成,从15±4%降至38±3%。这些类似物对醛固酮引起的尿K(+)排泄增加没有显著影响。在我们研究的剂量水平下,这些类似物单独对尿Na(+)和K(+)输出量或肾[(14)C]FMN和[(14)C]FAD的形成没有影响。这些数据强烈表明,肾FMN和FAD合成的增强可能是醛固酮导致Na(+)重吸收增加的一个致病因素;因此,核黄素类似物可能作为一类新型的抗盐皮质激素发挥作用。

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