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1 Department of Clinical
Physiology,
In the renal collecting duct, vasopressin acutely activates cAMP
production, resulting in trafficking of aquaporin-2 water channels
(AQP2) to the apical plasma membrane, thereby increasing water
permeability. This acute response is modulated by long-term changes in
AQP2 expression. Recently, a cAMP-responsive element has been
identified in the AQP2 gene, raising the possibility that changes in
cAMP levels may control AQP2 expression. To investigate this
possibility, we determined AQP2 protein levels in a strain of mice, DI
+/+ severe (DI), which have genetically high levels of
cAMP-phosphodiesterase activity, and hence low cellular cAMP levels,
and severe polyuria. Semiquantitative immunoblotting of membrane
fractions prepared from whole kidneys revealed that AQP2 levels in DI
mice were only 26 ± 7% (±SE) of those in control mice
(n = 10, P < 0.01). In addition,
semiquantitative Northern blotting revealed a significantly lower AQP2
mRNA expression in kidneys from DI mice compared with control mice (43 ± 6% vs. 100 ± 10%; n = 6 in
each group, P < 0.05). AQP3 levels
were also reduced. The mice were polyuric and urine osmolalities were
accordingly substantially lower in the DI mice than in controls (496 ± 53 vs. 1,696 ± 105 mosmol/kgH2O, respectively).
Moreover, there was a linear correlation between urine osmolalities and
AQP2 levels (P < 0.05).
Immunoelectron microscopy confirmed the markedly lower expression of
AQP2 in collecting duct principal cells in kidneys of DI mice and,
furthermore, demonstrated that AQP2 was almost completely absent from
the apical plasma membrane. Thus expression of AQP2 and AQP2
trafficking were severely impaired in DI mice. These
results are consistent with the view that in vivo regulation of AQP2
expression by vasopressin is mediated by cAMP.
collecting duct; nephrogenic diabetes insipidus; water balance; vasopressin
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