Siragy H M, Jaffa A A, Margolius H S, Carey R M
Department of Medicine, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Am J Physiol. 1996 Oct;271(4 Pt 2):R1090-5. doi: 10.1152/ajpregu.1996.271.4.R1090.
Previous studies have shown that sodium depletion is associated with an increase in renal kallikrein-kinin system activity. This system may play an important role in counterbalancing the renal effects of the renin-angiotensin system. In this study, we examined whether the renal renin-angiotensin system participates in the regulation of renal bradykinin (BK) levels during sodium depletion. We measured changes in renal excretory and hemodynamic function, renal interstitial fluid (RIF) BK, and RIF and urinary guanosine 3',5'-cyclic monophosphate (cGMP) and prostaglandin E2 (PGE2) in conscious uninephrectomized dogs (n = 5) in sodium metabolic balance (10 meq/day) in response to intrarenal arterial administration of the renin inhibitor ACRIP (0.2 microgram.kg-1.min-1) or angiotensin II AT1-receptor blocker losartan (100 ng.kg-1.min-1). ACRIP and losartan increased urine flow rate from 0.75 +/- 0.06 to 1.6 +/- 0.03 and 1.5 +/- 0.05 ml/min, respectively (each P < 0.001), and urine sodium excretion from 5.4 +/- 0.7 to 18.3 +/- 1.3 and 15.9 +/- 1.2 meq/min, respectively (each P < 0.001). Glomerular filtration rate and renal plasma flow increased only during losartan administration (P < 0.05). ACRIP decreased RIF BK by 48%, from 33.1 +/- 3.8 to 17.4 +/- 4.1 pg/min (P < 0.01). ACRIP decreased RIF cGMP by 38%, from 0.69 +/- 0.08 to 0.43 +/- 0.1 pmol/min (P < 0.01); urinary cGMP by 16%, from 0.63 +/- 0.05 to 0.53 +/- 0.02 pmol/min (P < 0.05); and RIF PGE2 by 46%, from 10.5 +/- 1.1 to 5.7 +/- 1.1 pg/min (P < 0.01). Urinary PGE2 was unchanged by ACRIP. Losartan decreased RIF PGE2 by 71%, from 10.8 +/- 0.6 to 3.1 +/- 0.6 pg/min (P < 0.01) but failed to change RIF BK, RIF cGMP, urinary cGMP, or urinary PGE2. These data suggest that the renin-angiotensin system tonically stimulates renal BK production and cGMP formation via a non-AT1 angiotensin receptor and renal PGE2 production via the AT1 receptor.
以往研究表明,钠缺失与肾激肽释放酶 - 激肽系统活性增加有关。该系统可能在抗衡肾素 - 血管紧张素系统的肾脏效应中发挥重要作用。在本研究中,我们检测了肾素 - 血管紧张素系统是否参与钠缺失期间肾缓激肽(BK)水平的调节。我们测量了清醒的单侧肾切除犬(n = 5)在钠代谢平衡(10 毫当量/天)状态下,肾内动脉给予肾素抑制剂 ACRIP(0.2 微克·千克⁻¹·分钟⁻¹)或血管紧张素 II AT1 受体阻滞剂氯沙坦(100 纳克·千克⁻¹·分钟⁻¹)后,肾脏排泄和血流动力学功能、肾间质液(RIF)BK、RIF 以及尿鸟苷 3',5'-环磷酸(cGMP)和前列腺素 E2(PGE2)的变化。ACRIP 和氯沙坦分别使尿流率从 0.75 ± 0.06 增加至 1.6 ± 0.03 和 1.5 ± 0.05 毫升/分钟(均 P < 0.001),尿钠排泄分别从 5.4 ± 0.7 增加至 18.3 ± 1.3 和 15.9 ± 1.2 毫当量/分钟(均 P < 0.001)。仅在给予氯沙坦期间肾小球滤过率和肾血浆流量增加(P < 0.05)。ACRIP 使 RIF BK 降低 48%,从 33.1 ± 3.8 降至 17.4 ± 4.1 皮克/分钟(P < 0.01)。ACRIP 使 RIF cGMP 降低 38%,从 0.69 ± 0.08 降至 0.43 ± 0.1 皮摩尔/分钟(P < 0.01);使尿 cGMP 降低 16%,从 0.63 ± 0.05 降至 0.53 ± 0.02 皮摩尔/分钟(P < 0.05);使 RIF PGE2 降低 46%,从 10.5 ± 1.1 降至 5.7 ± 1.1 皮克/分钟(P < 0.01)。ACRIP 对尿 PGE2 无影响。氯沙坦使 RIF PGE2 降低 71%,从 10.8 ± 0.6 降至 3.1 ± 0.6 皮克/分钟(P < 0.01),但未能改变 RIF BK、RIF cGMP、尿 cGMP 或尿 PGE2。这些数据表明,肾素 - 血管紧张素系统通过非 AT1 血管紧张素受体持续刺激肾脏 BK 生成和 cGMP 的形成,并通过 AT1 受体刺激肾脏 PGE2 的生成。