Lederer E D, Sohi S S, McLeish K R
Department of Medicine, University of Louisville School of Medicine, KY 40202-1718, USA.
J Am Soc Nephrol. 1998 Jun;9(6):975-85. doi: 10.1681/ASN.V96975.
The purpose of this study was to determine the mechanisms of dopamine regulation of phosphate uptake in opossum kidney (OK) cells, a model of proximal renal tubules. Dopamine stimulated cAMP generation and inhibited radiolabeled phosphate uptake into OK cell monolayers by 14.4 +/- 1.8%. The effect of dopamine was transient, as phosphate uptake returned toward control level by 3 h despite the continued presence of dopamine. Pretreatment with pertussis toxin increased dopamine inhibition of phosphate uptake to 25 +/- 3%, increased the duration of the dopamine effect to at least 3 h, and enhanced cAMP generation. In an OK cell clone that overexpressed cAMP phosphodiesterase, dopamine did not inhibit phosphate uptake, but pharmacologic inhibition of protein kinase A activation did not prevent dopamine inhibition of phosphate uptake. A DA1 receptor agonist inhibited phosphate uptake more potently than dopamine (29.5 +/- 1.1%) or a DA2 receptor agonist (7.9 +/- 2%). However, both DA1 and DA2 receptor antagonists completely blocked dopamine inhibition of phosphate uptake. DA1, but not the DA2, antagonists blocked dopamine-stimulated cAMP generation. Treatment with alpha-adrenergic receptor antagonists potentiated dopamine inhibition of phosphate uptake to the same extent as pertussis toxin and was not additive with pertussis toxin. It is concluded that dopamine inhibits phosphate uptake through DA1 and DA2 receptor stimulation by cAMP-dependent and -independent pathways and activates a pertussis toxin-sensitive counter-regulatory pathway that attenuates this response through alpha-adrenergic receptor stimulation.
本研究的目的是确定多巴胺调节负鼠肾(OK)细胞(近端肾小管模型)中磷酸盐摄取的机制。多巴胺刺激环磷酸腺苷(cAMP)生成,并使放射性标记的磷酸盐摄取到OK细胞单层中的量减少14.4±1.8%。多巴胺的作用是短暂的,因为尽管多巴胺持续存在,但3小时后磷酸盐摄取量恢复到对照水平。用百日咳毒素预处理可使多巴胺对磷酸盐摄取的抑制作用增加到25±3%,使多巴胺作用的持续时间延长至至少3小时,并增强cAMP生成。在一个过表达cAMP磷酸二酯酶的OK细胞克隆中,多巴胺并不抑制磷酸盐摄取,但对蛋白激酶A激活的药理学抑制并不能阻止多巴胺对磷酸盐摄取的抑制。一种DA1受体激动剂比多巴胺(29.5±1.1%)或DA2受体激动剂(7.9±2%)更有效地抑制磷酸盐摄取。然而,DA1和DA2受体拮抗剂均完全阻断多巴胺对磷酸盐摄取的抑制作用。DA1拮抗剂而非DA2拮抗剂阻断多巴胺刺激的cAMP生成。用α-肾上腺素能受体拮抗剂处理可使多巴胺对磷酸盐摄取的抑制作用增强至与百日咳毒素相同的程度,且与百日咳毒素无相加作用。结论是,多巴胺通过cAMP依赖性和非依赖性途径刺激DA1和DA2受体来抑制磷酸盐摄取,并激活一条对百日咳毒素敏感的反调节途径,该途径通过刺激α-肾上腺素能受体来减弱这种反应。