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Am J Physiol Renal Physiol 292: F1322-F1333, 2007. First published January 16, 2007; doi:10.1152/ajprenal.00394.2006
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COX-2 activity transiently contributes to increased water and NaCl excretion in the polyuric phase after release of ureteral obstruction

Rikke Nørregaard,1,2 Boye L. Jensen,4 Sukru Oguzkan Topcu,1,2 Maria Diget,1,2 Horst Schweer,7 Mark A. Knepper,5 Søren Nielsen,1,3 and Jørgen Frøkiær1,2,6

1The Water and Salt Research Center, 2Institute of Clinical Medicine, 3Institute of Anatomy, University of Aarhus, 6Department of Clinical Physiology and Nuclear Medicine, Aarhus University Hospital-Skejby, Aarhus; and 4Department of Physiology and Pharmacology, University of Southern Denmark, Odense, Denmark; 5Laboratory of Kidney and Electrolyte Metabolism, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland; and 7Department of Pediatrics, Philipps University, Marburg, Germany

Submitted 5 October 2006 ; accepted in final form 12 January 2007

Release of bilateral ureteral obstruction (BUO) is associated with reduced expression of renal aquaporins (AQPs), polyuria, and impairment of urine-concentrating capacity. Recently, we demonstrated that 24 h of BUO is associated with increased cyclooxygenase (COX)-2 expression in the inner medulla (IM) and that selective COX-2 inhibition prevents downregulation of AQP2. In the present study, we tested the hypothesis that COX-2 activity increases in the postobstructive phase and that this increase in COX-2 activity contributes to polyuria and impaired urine-concentrating capacity. We examined the effect of the selective COX-2 inhibitor parecoxib (5 mg·kg–1·day–1 via osmotic minipumps) on renal functions and protein abundance of AQP2, AQP3, Na-K-2Cl cotransporter type 2 (NKCC2), and Na-K-ATPase 3 days after release of BUO. At 3 days after release of BUO, rats exhibited polyuria, dehydration and urine and IM tissue osmolality were decreased. There were inverse changes of COX-1 and COX-2 in the IM: COX-2 mRNA, protein, and activity increased, while COX-1 mRNA and protein decreased. Parecoxib reduced urine output 1 day after release of BUO, but sodium excretion and glomerular filtration rate were unchanged. Parecoxib normalized urinary PGE2 and PGI2 excretion and attenuated downregulation of AQP2 and AQP3, while phosphorylated AQP2 and NKCC2 remained suppressed. Parecoxib did not improve urine-concentrating capacity in response to 24 h of water deprivation. We conclude that decreased NKCC2 and collapse of the IM osmotic gradient, together with suppressed phosphorylated AQP2, are likely causes for the impaired urine-concentrating capacity and that COX-2 activity is not likely to mediate these changes in the chronic postobstructive phase after ureteral obstruction.

cyclooxygenase; ureteral obstruction; PGE2; parecoxib; AQP2; NKCC2; urine-concentrating capacity



Address for reprint requests and other correspondence: J. Frøkiær, The Water and Salt Research Center, Institute of Clinical Medicine, Univ. of Aarhus, Dept. of Clinical Physiology and Nuclear Medicine, Aarhus Univ. Hospital-Skejby, Brendstrupgaardsvej, DK-8200 Aarhus N, Denmark (e-mail: JF{at}ki.au.dk)




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