Ito S, Arima S, Ren Y L, Juncos L A, Carretero O A
Department of Medicine, Henry Ford Hospital, Detroit, Michigan 48202.
J Clin Invest. 1993 May;91(5):2012-9. doi: 10.1172/JCI116423.
It has been reported that sensitivity to angiotensin II (Ang II) is higher in efferent (Ef) than afferent (Af) arterioles (Arts). We tested the hypothesis that this is due to arteriolar differences in the interaction between Ang II and endothelium-derived relaxing factor/nitric oxide (EDNO). Rabbit Af-Arts with glomerulus intact were microperfused in vitro at a constant pressure. Ef-Arts were perfused from the distal end of either the Af-Art (orthograde perfusion) or the Ef-Art (retrograde perfusion) to eliminate influences of the Af-Art or glomerulus, respectively. Ang II did not alter Af-Art luminal diameter until the concentration reached 10(-9) M, which decreased the diameter by 11 +/- 2.6% (n = 11; P < 0.002). In contrast, Ef-Arts became significantly constricted at concentrations as low as 10(-11) M with either perfusion. Surprisingly, the decrease in Ef-Art diameter at 10(-10), 10(-9), and 10(-8) M was significantly greater with retrograde perfusion (44 +/- 6.9%, 70 +/- 5.6%, and 74 +/- 4.1%, respectively; n = 5) than with orthograde perfusion (16 +/- 4.2%, 25 +/- 2.9%, and 35 +/- 3.5%; n = 9). ENDO synthesis inhibition with 10(-4) M nitro-L-arginine methyl ester (L-NAME) decreased the diameter to a greater extent in Af-Arts (22 +/- 3.0%; n = 11) compared to Ef-Arts with either orthograde (9.5 +/- 2.3%; n = 8) or retrograde perfusion (1.2 +/- 2.1%; n = 6). With L-NAME pretreatment, Af-Art constriction induced by 10(-10) M (14 +/- 4.0%, n = 9) and 10(-9) M Ang II (38 +/- 3.9%) was significantly greater compared to nontreated Af-Arts. In contrast, L-NAME pretreatment had no effect on Ang II-induced constriction in Ef-Arts with either perfusion. In conclusion, this study demonstrates higher sensitivity of Ef-Arts to Ang II, particularly with retrograde perfusion. Our results suggest that EDNO significantly modulates the vasoconstrictor action of Ang II in Af-Arts II but not Ef-Arts, contributing to the differential sensitivity to Ang II.
据报道,出球小动脉(Ef)对血管紧张素II(Ang II)的敏感性高于入球小动脉(Af)。我们验证了这样一个假说,即这是由于Ang II与内皮衍生舒张因子/一氧化氮(EDNO)之间相互作用的小动脉差异所致。将肾小球完整的兔入球小动脉在体外以恒定压力进行微灌注。从入球小动脉的远端(顺行灌注)或出球小动脉的远端(逆行灌注)分别灌注出球小动脉,以消除入球小动脉或肾小球的影响。直到浓度达到10⁻⁹ M时,Ang II才会改变入球小动脉的管腔直径,此时直径减小了11±2.6%(n = 11;P < 0.002)。相比之下,在两种灌注方式下,出球小动脉在低至10⁻¹¹ M的浓度时就会显著收缩。令人惊讶的是,在10⁻¹⁰ M、10⁻⁹ M和10⁻⁸ M时,逆行灌注(分别为44±6.9%、70±5.6%和74±4.1%;n = 5)时出球小动脉直径的减小幅度明显大于顺行灌注(分别为16±4.2%、25±2.9%和35±3.5%;n = 9)。用10⁻⁴ M硝基-L-精氨酸甲酯(L-NAME)抑制内皮细胞合成,与顺行灌注(9.5±2.3%;n = 8)或逆行灌注(1.2±2.1%;n = 6)的出球小动脉相比,入球小动脉直径减小的程度更大(22±3.0%;n = 11)。经L-NAME预处理后,与未处理的入球小动脉相比,10⁻¹⁰ M(14±4.0%,n = 9)和10⁻⁹ M Ang II诱导的入球小动脉收缩(38±3.9%)明显增强。相比之下,L-NAME预处理对两种灌注方式下出球小动脉中Ang II诱导的收缩均无影响。总之,本研究表明出球小动脉对Ang II的敏感性更高,尤其是在逆行灌注时。我们的结果表明,EDNO在入球小动脉中显著调节Ang II的血管收缩作用,但在出球小动脉中则不然,这导致了对Ang II的敏感性差异。