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Am J Physiol Renal Physiol 291: F368-F374, 2006. First published April 4, 2006; doi:10.1152/ajprenal.00500.2005
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Role of renal cortical cyclooxygenase-2 expression in hyperfiltration in rats with high-protein intake

Bing Yao, Jie Xu, Zhonghua Qi, Raymond C. Harris, and Ming-Zhi Zhang

Division of Nephrology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee

Submitted 13 December 2005 ; accepted in final form 15 March 2006

Renal cortical cyclooxygenase-2 (COX-2) is restricted to the macula densa and adjacent cortical thick ascending limbs (MD/cTALH). Renal cortical COX-2 increases in response to diabetes and renal ablation, both of which are characterized by hyperfiltration and reduced NaCl delivery to the MD due to increased proximal NaCl reabsorption. High-protein intake also induces hyperfiltration and decreases NaCl delivery to the MD due to increased NaCl reabsorption proximally. We investigated whether high protein induces cortical COX-2 and whether cortical COX-2 contributes to high protein-induced hyperfiltration and increased intrarenal renin biosynthesis. Cortical COX-2 increased after protein loading but decreased after protein restriction. COX-2 inhibition attenuated high protein-induced hyperfiltration but had no effect on high protein-induced intrarenal renin elevation. Therefore, induction of cortical COX-2 contributed to high protein-induced hyperfiltration but not intrarenal renin elevation. In the kidney cortex, neuronal nitric oxide synthase (nNOS) is also localized to the MD, and interactions between intrarenal nNOS and COX-2 systems have been proposed. Cortical COX-2 elevation seen in salt restriction was blocked by nNOS inhibiton. Cortical nNOS expression also increased after protein loading, and inhibition of nNOS activity completely reversed high protein-induced cortical COX-2 elevation and hyperfiltration. These results indicate that NO is a mediator of high protein-induced cortical COX-2 elevation and suggest that both intrarenal nNOS and COX-2 systems appear to regulate afferent arteriolar tone and subsequent hyperfiltration seen in high-protein intake.

prostaglandin synthase G2/H2; glomerular filtration rate; protein diet



Address for reprint requests and other correspondence: R. C. Harris, Division of Nephrology, S 3322 MCN, Vanderbilt Univ. School of Medicine, Nashville, TN 37232-2372 (e-mail: ray.harris{at}vanderbilt.edu)




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