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Am J Physiol Renal Physiol 294: F161-F169, 2008. First published November 7, 2007; doi:10.1152/ajprenal.00281.2007
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Purinergic receptors contribute to early mesangial cell transformation and renal vessel hypertrophy during angiotensin II-induced hypertension

Miguel L. Graciano,1,2 Akira Nishiyama,3 Keith Jackson,1,4 Dale M. Seth,1 Rudy M. Ortiz,1,5 Minolfa C. Prieto-Carrasquero,1 Hiroyuki Kobori,1 and L. Gabriel Navar1

1Department of Physiology and Hypertension and Renal Center of Excellence, Tulane University Health Sciences Center, New Orleans; 2Department of Internal Medicine, Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brazil; 3Department of Pharmacology, Kagawa University Medical School, Kagawa, Japan; 4Department of Basic Pharmaceutical Sciences, University of Louisiana at Monroe, Monroe, Louisiana; and 5Division of Natural Sciences, University of California, Merced, California

Submitted 21 June 2007 ; accepted in final form 2 November 2007

Chronic ANG II infusions lead to increases in intrarenal ANG II levels, hypertension, and tissue injury. Increased blood pressure also elicits increases in renal interstitial fluid (RIF) ATP concentrations that stimulate cell proliferation. We evaluated the contribution of purinergic receptor activation to ANG II-induced renal injury in rats by treating with clopidogrel, a P2Y12 receptor blocker, or with PPADS, a nonselective P2 receptor blocker. {alpha}-Actin expression in mesangial cells, afferent arteriolar wall thickness (AAWT), cortical cell proliferation, and macrophage infiltration were used as early markers of renal injury. Clopidogrel and PPADS did not alter blood pressure, renin or kidney ANG II content. {alpha}-Actin expression increased from control of 0.6 ± 0.4% of mesangial area to 6.3 ± 1.9% in ANG II-infused rats and this response was prevented by clopidogrel (0.4 ± 0.2%) and PPADS. The increase in AAWT from 4.7 ± 0.1 to 6.0 ± 0.1 mm in ANG II rats was also prevented by clopidogrel (4.8 ± 0.1 mm) and PPADS. ANG II infusion led to interstitial macrophage infiltration (105 ± 16 vs. 62 ± 4 cell/mm2) and tubular proliferation (71 ± 15 vs. 20 ± 4 cell/mm2) and these effects were prevented by clopidogrel (52 ± 4 and 36 ± 3 cell/mm2) and PPADS. RIF ATP levels were higher in ANG II-infused rats than in control rats (11.8 ± 1.9 vs. 5.6 ± 0.6 nmol/l, P < 0.05). The results suggest that activation of vascular and glomerular purinergic P2 receptors may contribute to the mesangial cell transformation, renal inflammation, and vascular hypertrophy observed in ANG II-dependent hypertension.

extracellular ATP; renal inflammation; vascular hypertrophy



Address for reprint requests and other correspondence: M. L. Graciano, Hospital Universitário Antônio Pedro-Centro de Diálise e Transplante, Universidade Federal Fluminense, Rua Marquês do Paraná 303-2° andar, Niterói, Rio de Janeiro, Brazil CEP 24033-900 (e-mail: miglugra{at}terra.com.br)







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