Vol. 273, Issue 4, F545-F553, October 1997
Peptide YY receptor distribution and subtype in the
kidney: effect on renal hemodynamics and function in rats
C. A.
Blaze,
P. J.
Mannon,
S. R.
Vigna,
A. R.
Kherani, and
B. A.
Benjamin
Department of Cell Biology, Duke University Medical Center, and
Division of Gastroenterology, Department of Veterans Affairs Medical
Center, Durham, North Carolina 27710
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ABSTRACT |
This study characterizes the location and
subtype of peptide YY (PYY) receptors in rat and rabbit kidney and the
effect of PYY on renal function and renal hemodynamics in rats.
Receptor autoradiography performed on kidney sections revealed a dense concentration of specific high-affinity binding sites [dissociation constant ( Kd) = 0.7 ± 0.1 nM] in the papilla of
the rat, as well as cortical and papillary binding in the rabbit
(papilla, Kd = 1.6 ± 0.6 nM) and some
medullary binding in both species. In the rat papilla, neuropeptide Y
(NPY) and the Y1 agonist [Leu31,
Pro34]NPY competed with PYY for binding
(Kd = 1.1 ± 0.4 nM and 1.6 ± 0.5 nM,
respectively), but NPY-(13
36) (Y2 agonist) and pancreatic polypeptide (PP, Y4 agonist) were without effect,
demonstrating that the PYY receptor in the rat papilla is of the
Y1 subtype. In the rabbit papilla, NPY and NPY-(13
36)
competed with PYY (Kd = 0.5 ± 0.1 and
3.1 ± 0.6 nM, respectively), but [Leu31,
Pro34]NPY and PP were without effect, evidence
that the PYY receptor in the rabbit papilla is of the Y2
subtype. Infusion of PYY into rats (47 pmol · kg
1 · min
1)
increased mean arterial pressure (103 ± 6 to 123 ± 8 mmHg) and decreased renal plasma flow (13 ± 1.8 to 8.4 ± 2.1 ml/min) but produced no significant change in glomerular filtration rate or sodium
excretion. Injection of PYY or angiotensin II directly into the renal
artery caused a dose-related vasoconstriction, which was less intense
but of longer duration for PYY than for angiotensin II. These results
show that receptors for PYY are widely distributed in the kidney and
that exogenously administered PYY causes renal vasoconstriction and may
influence renal sodium excretion.
receptor binding; autoradiography; Y1 receptor; Y2 receptor; sodium excretion; renal blood flow; vasoconstriction
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INTRODUCTION |
PEPTIDE YY (PYY) is a member of the pancreatic
polypeptide family (32, 50). It is found in endocrine cells of the
lower gut and is released into the circulation in response to food (21, 32, 50). PYY binds with high affinity to receptors, which have been
demonstrated in the brain (16, 43), heart (47), gut (25), kidney (15,
26, 45, 46, 52), and blood vessels (54) of several species. Several
subtypes of receptor (Y1-Y5) have been
characterized pharmacologically and molecularly, and, of these, the
Y1 and Y2 subtypes also bind equally well to
neuropeptide Y (NPY) (55), a neurotransmitter released from
sympathetic nerve fibers. PYY has a lower affinity than NPY for the
Y3 receptor (11), whereas the Y4 receptor binds
with high affinity only to pancreatic polypeptide (PP) (25), another
member of this peptide family. Recently, a Y5 receptor cDNA
has been cloned (14). It does not discriminate among PYY, NPY, and PP.
However, its distribution appears to be limited to the brain, where it
is thought to be involved with the central regulation of feeding
behavior (14).
Because PYY is produced by gut epithelial endocrine cells, and
receptors are also located in certain areas of the gut, most of the
research focus has been on its gastrointestinal effects. The
predominant physiological effects of PYY are decreases in gut motility
(20, 29), stomach acid secretion (1, 17, 18, 40) and pancreatic
exocrine secretion (1, 22, 23, 27, 40, 49), as well as an increase in
water and electrolyte absorption in the intestine (4, 7, 13). PYY also
decreases blood flow in the intestine and pancreas (23, 28, 29). PYY is
known by the rubric "the ileal brake," because its postprandial release and actions appear to be postabsorptive (50).
Despite evolving connections between the gut and kidney, little has
been documented with respect to the actions of PYY on the kidney.
Previous studies have shown the existence of receptors in the kidney,
but most studies have focused on cortical tissue, and so the
description of renal receptor distribution was incomplete (15, 26, 45).
Functional studies have been done with NPY and PYY, but the results are
conflicting, with either a natriuresis (2, 41, 42) or antinatriuresis
(12) being reported. A knowledge of receptor distribution would help to
establish possible vascular and tubular actions of PYY and the relative
roles of NPY and PYY as physiological ligands. This study was
undertaken to describe more completely PYY receptor distribution in the
kidney of the rat and rabbit and to characterize the receptor subtype. In vivo studies were also done in rats to determine the effect of PYY
on renal hemodynamics and renal function.
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METHODS |
Materials.
125I-labeled PYY was prepared according to Mannon et al.
(33). After purification, 125I-PYY was stored at
20°C
in a solution containing 1% bovine serum albumin (BSA). This
radioligand stock solution was diluted to a working concentration of
100 pM shortly before incubation with the tissue sections. Fresh
radioligand was prepared every 4-6 wk. PYY, NPY, NPY-(13
36), and
[Leu31, Pro34]-NPY were from Peninsula
(Belmont, CA). Dulbecco's modified Eagle's medium-Ham's F12
(DME-F12), BSA, DNase, percoll, glucose, CaCl2, phenylmethylsulfonyl fluoride, bacitracin, chymostatin, leupeptin, inulin, and P-aminohippurate (PAH) came from Sigma (St. Louis, MO). Collagenase came from Worthington (Freehold, NJ).
KH2PO4 came from Fisher (Pittsburgh, PA). NaCl,
MgSO4, and KCl were from Mallinckrodt (Paris, KY).
125I-PYY receptor autoradiography.
Male Sprague-Dawley rats (350-400 g) (Charles River, Wilmington,
MA) and female New Zealand White rabbits (1.5 kg) were anesthetized with pentobarbital sodium (rats, 60 mg/kg ip; rabbits, 30 mg/kg iv).
The kidneys were removed, decapsulated, and placed in ice-cold Ringer
solution. The kidneys were cut sagittally, so that the cortex, medulla,
and papilla were on one section. Tissue sections were embedded in
Tissue-Tek OCT compound (Miles, Elkhart, IN) and placed on dry ice to
freeze slowly before being stored in a freezer at
70°C. Within
1-2 wk, the tissue blocks were sectioned serially at 20 µm
thickness at
15°C, thaw mounted on Fisher Plus slides, and stored
desiccated at
70°C for up to 3 mo.
The slide-mounted tissues were brought to room temperature and
preincubated in a Krebs-Ringer buffer (118 mM NaCl, 1.2 mM MgSO4, 1.2 mM KH2PO4, 5.6 mM
glucose, 4.7 mM KCl, 2.5 mM CaCl2), pH 7.4, for 1 h prior
to incubation with the radioligand. The sections were then incubated at
room temperature in a solution of 100 pM 125I-PYY in
Krebs-Ringer buffer, pH 7.4, containing 0.1% BSA and 0.05%
bacitracin. Competitive inhibition experiments were used to determine
binding characteristics, with various concentrations of either
nonradioactive PYY, NPY, [Leu31, Pro34]NPY
(Y1 agonist), NPY-(13
36) (Y2 agonist), or pp.
Nonspecific binding was determined in the presence of 100 nM
nonradioactive PYY. After a 2-h incubation, the slides were washed four
times in incubation buffer, pH 7.4 (4°C, 4 min each), rinsed twice in distilled water (4°C, 5 s), and then dried in the cold room under a
stream of cold air. Slides were stored with desiccant overnight at room
temperature before autoradiography.
The slide-mounted tissue sections were placed in apposition to
-max
Hyperfilm (Amersham, Arlington Heights, IL) alongside iodinated
standards (Amersham). After 6 days, the film was developed in D-19
developer (Kodak, Rochester, NY), fixed, and washed. To identify the
tissue location of the saturable binding sites, the sections were
stained with hematoxylin and eosin and coverslipped with Permount
(Fisher, Fair Lawn, NJ) (24).
Image analysis of autoradiograms.
To estimate quantitatively the density of radiolabeled neuropeptide
binding sites and to generate inhibition curves from the displacement experiments, microdensitometry was performed with a
MacIntosh-based system using the NIH Image program, Version 1.37. Because of the nonlinear sensitivity of the film, 125I
microscale standards were also analyzed for correction of the sample
densities.
Renal function studies.
Male Sprague-Dawley rats weighing 225-250 g were anesthetized with
pentobarbital sodium (60 mg/kg ip) and placed on a thermostatically controlled heating pad. Body temperature was monitored continuously via
a rectal probe connected to a YSI telethermometer (Yellow Springs, OH).
After cannulation of the trachea, the right jugular vein was cannulated
for infusion of normal saline (0.9%, at 160 µl · kg
1 · min
1)
and for sampling of blood. The left carotid artery was cannulated for
direct measurement of arterial blood pressure. The urinary bladder was
catheterized for collection of urine samples. Infusions were begun of
inulin (6 mg · kg
1 · min
1)
and PAH (1 mg · kg
1 · min
1).
After a 2-h equilibration period, consecutive 20-min urine collections were made. At the midpoint of alternate
collection periods, blood samples were obtained, and mean arterial
blood pressure was recorded. PYY in 0.1% BSA in saline was then
infused at 47 pmol · kg
1 · min
1
for 1 h. This dose was chosen because it yields plasma levels of PYY
that are achieved physiologically (4). Arterial pressure was recorded
continuously, and samplings of blood and urine were repeated every 20 min. At the end of the PYY infusion, the rat was euthanized.
Renal function data analysis.
Urine volume was measured, and plasma and urine concentrations of
inulin and PAH were determined by the methods described by Davidson and
Sackner (8) and Smith et al. (48), respectively. Glomerular filtration
rate (GFR) was calculated from the clearance of inulin according to the
formula CIn =
× (U/P)In, where
is the urine flow rate and UIn and
PIn are the concentrations of inulin in urine and plasma,
respectively. Renal plasma flow (RPF) was calculated as PAH clearance
CPAH =
× (U/P)PAH, where
is urine flow rate, and UPAH and
PPAH are the concentrations of PAH in urine and plasma,
respectively. The urine and plasma sodium concentrations were measured
by an IL-943 Flame Photometer (Instrumentation Laboratory, Lexington,
MA). Sodium excretion was calculated as UNa ×
, where UNa is the concentration of sodium in the urine, and
is the urine flow rate.
Renal blood flow studies.
Male Sprague-Dawley rats weighing 325-350 g were anesthetized with
pentobarbital sodium and instrumented as above. The urinary bladder was
catheterized to avoid interference with further surgical procedures by
distension of the bladder. Part of the left renal artery was separated
from the accompanying renal vein by gentle dissection, with sufficient
length being exposed to fill the cavity of an electromagnetic blood
flow probe (Carolina Medical Electronics, King, NC). The left external
iliac artery was cannulated with PE-10 polyethylene tubing with a
60-degree bend at its tip, according to the method of Chatziantoniou et
al. (6). The cannula was advanced up the aorta until the tip reached
the origin of the left renal artery. The cannula was then advanced a
few millimeters into the renal artery and secured. This did not
interfere with renal blood flow. During placement of the cannula,
normal saline was infused at a slow continuous rate (5 µl/min) to
prevent clotting within the tip. This cannula was used for 10-µl
bolus injections of peptides directly into the renal artery. A
Cheminert sample injection valve (Valco Instruments, Houston, TX) was
used to introduce the bolus into the infusion line. To ensure rapid
delivery of the entire bolus to the kidney within 5 s, the infusion
rate was increased to 120 µl/min 1 min before injection. This rate
was returned to 5 µl/min at the end of each recording period. After completion of the surgical preparation, a stabilization period of 45 min was allowed before proceeding. Baseline recordings were made for
~2 min, and then the renal artery distal to the flow probe was
occluded by externally applied forceps for ~10 s to obtain a
recording of zero flow. The kidney was allowed to recover for at least
10 min before proceeding with peptide injections. For each injection,
recording continued until the renal blood flow had returned to
baseline, usually within 4 min. At least 15 min were allowed between
successive peptide injections. During this time, the Cheminert valve
was flushed with saline, then air, and was not primed with the next
dose until just before injection.
The peptides used were angiotensin II and PYY (Peninsula), both
dissolved in normal saline with 0.1% BSA. In the 10-µl bolus, angiotensin doses were given in the range of 4-0.25 pmol, and PYY
doses were given in the range of 10-0.5 pmol. All peptides were
injected in random order.
Blood pressure and blood flow measurement.
Arterial blood pressure was measured via a Colbe pressure transducer
connected directly to a MacLab analog-to-digital instrument. Renal
blood flow was measured with an electromagnetic flowmeter interfaced
with the same instrument.
Statistical analysis.
Binding data were first analyzed by the computer program Equilibrium
Binding Data Analysis to obtain initial estimates of binding constants
(34). These estimates were then used for Scatchard analysis by the
weighted nonlinear least squares curve-fitting program LIGAND
to obtain the final receptor binding constants (37).
For renal function and blood flow studies, results are expressed as
means ± SE. A two-way analysis of variance with repeated measures
design for one factor (time) was used to test for differences across
time and between groups. If this showed that significant differences
(P < 0.05) were present, Dunnett's test was used for comparing the control mean with each of the peptide means across time
(within groups comparison). Group differences were tested by using an
unpaired t-test. P < 0.05 was considered significant.
 |
RESULTS |
Receptor binding.
Renal proximal tubules from female New Zealand White rabbits were used
for an initial receptor binding time course experiment, which
determined that equilibrium was achieved within 2 h (data not shown).
All subsequent binding experiments were terminated at 2 h. Rabbits were
used for this procedure because rabbit proximal tubules are known to
contain PYY receptors (26, 38, 45), and the procedure for preparation
of tubules was familiar and well described (9).
Figure 1 shows the distribution of
125I-PYY binding sites in the rat kidney. Figure 1A
shows a kidney section stained with hematoxylin and eosin to delineate
the morphological areas of the kidney. Total binding is shown in Fig.
1B, where there is a high density of saturable binding in the
papilla, with some binding also apparent at the corticomedullary
junction. Figure 1C shows the pattern of nonsaturable binding
in a section adjacent to that in Fig. 1B.

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Fig. 1.
Distribution of 125I-labeled peptide YY (PYY) binding sites
in the rat kidney. A: bright-field photomicrograph of a tissue
section stained with hematoxylin and eosin (H & E). B:
dark-field photomicrograph of the Hyperfilm that overlaid A. White grains represent total binding of 125I-PYY.
C: dark-field photomicrograph of a section adjacent to and
treated identically to B, except that nonradioactive PYY was
added to incubation solution to identify nonspecific binding (NSB).
Saturable binding is the difference in binding present in B
vs. C.
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125I-PYY binding sites in the rabbit kidney are shown in
Fig. 2. A section stained with hematoxylin
and eosin is shown in Fig. 2A, whereas Fig. 2B shows
total binding, with binding sites for 125I-PYY being
present in the cortex, medulla, and papilla. Binding is much less dense
in the papilla in comparison with that in the rat. Figure 2C
shows the complete lack of nonsaturable binding in an adjacent rabbit
kidney section.

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Fig. 2.
Distribution of 125I-PYY binding sites in rabbit kidney.
A: bright-field photomicrograph of a tissue section stained
with hematoxylin and eosin. B: dark-field photomicrograph of
the Hyperfilm that overlaid A. White grains represent total
binding of 125I-PYY. C: dark-field photomicrograph
of a section adjacent to and treated identically to B, except
that nonradioactive PYY was added to the incubation solution to
identify nonspecific binding (NSB). Saturable binding is the difference
in binding present in B vs. C.
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The affinity and specificity of the binding sites were determined in a
series of competitive inhibition experiments in each species. For these
experiments, sections were incubated with 100 pM 125I-PYY
and various concentrations of either nonradioactive PYY, NPY,
[Leu31, Pro34 ]NPY (Y1 agonist),
NPY-(13
36) (Y2 agonist), or pp. Nonsaturable binding was
determined in the presence of 100 nM nonradioactive PYY. Results for
the rat are shown in Figure 3 and Table
1. In the renal papilla, PYY inhibited
specific binding of 125I-PYY in a concentration-dependent
manner. Scatchard analysis showed an excellent fit to a one-site model
with a dissociation constant (Kd) of
0.7 ± 0.1 nM. Competitive inhibition was also apparent with NPY and
the Y1 agonist [Leu31,Pro34]NPY
(Fig. 3), with inhibitory constant (Ki) values of
1.1 ± 0.4 nM and 1.6 ± 0.5 nM, respectively (Table 1). The
Y2 and Y4 agonists, NPY-(13
36) and PP,
respectively, had no effect on 125I-PYY binding.

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Fig. 3.
Inhibition of saturable binding of 125I-PYY by PYY,
neuropeptide Y (NPY), [Leu31, Pro34]NPY,
NPY-(13 36), and pancreatic polypeptide (PP) in renal papilla of 5 rats. Tissue sections were incubated with 100 pM
125I-PYY for 2 h at 22°C, with various concentrations of
nonradioactive peptides. Nonspecific binding was subtracted from total
binding, and result was expressed as percentage of maximal saturable
binding. Values are means ± SE.
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Table 1.
Affinities of PYY, NPY, [Leu31,
Pro34]NPY, and NPY-(13 36) for
125I-labeled PYY binding sites in renal cortex or
papilla of rabbit and rat
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Results for similar experiments in the rabbit are shown in Figure
4 and Table 1. PYY inhibited specific
binding of 125I-PYY in a concentration-dependent manner.
Scatchard analysis showed an excellent fit to a one-site model with a
Kd of 1.6 ± 0.6 nM. NPY competed for
binding sites, with a Ki value of 0.5 ± 0.1 nM
(Table 1). In contrast to the rat,
[Leu31,Pro34]NPY did not compete for binding
sites, but NPY-(13
36) inhibited specific binding of
125I-PYY with a Ki value of 3.1 ± 0.6 nM. Similarly, in rabbit cortex, NPY inhibited 125I-PYY
binding (Ki = 1.0 ± 0.3 nM), as did
NPY-(13
36) (Ki = 4.5 ± 0.6 nM). The
Y4 agonist had no effect on 125I-PYY binding.

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Fig. 4.
Inhibition of saturable binding of 125I-PYY by PYY, NPY,
[Leu31, Pro34]NPY, NPY-(13 36), and
pancreatic polypeptide (PP) in papilla of rabbit kidney. Tissue
sections were incubated with 100 pM 125I-PYY for 2 h at
22°C, with various concentrations of nonradioactive peptides.
Nonspecific binding was subtracted from total binding, and result was
expressed as percentage of maximal saturable binding. Values are means ± SE.
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Renal function.
Results of renal function studies in rats are presented in Fig.
5. Intravenous administration of PYY (47 pmol · kg
1 · min
1)
to rats caused a significant increase in mean arterial blood pressure,
from 103 ± 6 to a peak of 123 ± 8 mmHg within 20 min and remained
elevated to the end of the infusion. RPF decreased (13 ± 1.7 to
8.4 ± 2.0 ml/min in 20 min), but GFR stayed constant at an average
value of 2.1 ± 0.8 ml/min. Sodium excretion averaged 0.98 ± 0.3 meq/min for control animals and 0.9 ± 0.4 meq/min for PYY-infused
animals and did not change throughout the infusion.

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Fig. 5.
Effects of intravenous administration of PYY (47 pmol · kg 1 · min 1)
on renal function in rats. A: increase in mean arterial blood
pressure produced by PYY infusion. B: decrease in renal plasma
flow concomitant with increased perfusion pressure. C:
glomerular filtration rate remains constant, as does sodium excretion
in D. * Significant differences from corresponding
control values (P < 0.05).
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Renal blood flow.
In Fig. 6, typical tracings of renal blood
flow are superimposed for angiotensin II (2 pmol) and PYY (5 pmol) in
the same rat. The baseline blood flow for angiotensin II in this case
was 8.62 ml/min and for PYY was 8.59 ml/min. The time of onset of vasoconstriction was similar for both peptides, but angiotensin had a
larger peak response. For all rats, the maximum effect of angiotensin
II at this dose was a decrease in flow by 26 ± 11% compared with a
maximum decrease of 15 ± 2% for 5 pmol of PYY. There was no effect
on mean arterial blood pressure with either peptide.

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Fig. 6.
Superimposed tracings of typical renal blood flow (RBF) responses to
renal artery injection of angiotensin II (A II, 2 pmol) and PYY (5 pmol) in same rat. Each tracing starts at baseline blood flow at time
of injection of peptide. Absolute values for baseline blood flow were
8.62 ml/min (angiotensin II) and 8.59 ml/min (PYY). BP, blood
pressure.
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Dose-response relationships for angiotensin II and PYY are shown in
Fig. 7. This shows the percentage of
decrease in renal blood flow from the baseline value for each peptide
and illustrates the less pronounced response with PYY than with
angiotensin II. There was a significant decrease from baseline at all
doses used for each peptide. The percentage of decrease with
angiotensin II was 26 ± 11 (4 pmol), 22.5 ± 7 (2 pmol), 14 ± 6 (1 pmol), 10.5 ± 3 (0.5 pmol), and 4 ± 2% (0.25 pmol). For PYY, the
changes were 17.7 ± 4 (10 pmol), 15 ± 2 (5 pmol), 10 ± 1.5 (2.5 pmol), 5.7 ± 1 (1.0 pmol), and 4.7 ± 1% (0.5 pmol).

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Fig. 7.
Peak renal blood flow responses to angiotensin II and PYY injected into
renal artery of 6 rats. Results are expressed as a percentage of
baseline flow. *Significant differences from baseline blood flow
(P < 0.05).
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Figure 8 shows the total change in blood
flow for each peptide dose administered. This was measured as the
average flow from the point of initial change to the point at which
flow had returned to baseline. This analysis shows that the two
peptides are more comparable in the total responses evoked than for
their peak effects. The total percentage decrease with angiotensin II
was 11.4 ± 4 (4 pmol), 8 ± 2 (2 pmol), 6 ± 3 (1 pmol), 5 ± 1.5 (0.5 pmol), and 2.6 ± 1% (0.25 pmol). For PYY, the
changes were 9.3 ± 2 (10 pmol), 10.6 ± 3 (5 pmol), 5.5 ± 0.7 (2.5 pmol), 3.7 ± 0.7 (1 pmol), and 2.8 ± 0.6% (0.5 pmol).

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Fig. 8.
Total change in renal blood flow in response to angiotensin II and PYY
injected into renal artery of 6 rats. Blood flow was averaged from
point at which a decrease first occurred to point at which flow had
returned to baseline. Results are expressed as a percentage of
baseline flow. *Significant differences from baseline blood flow
(P < 0.05).
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DISCUSSION |
Our objectives in this study were to determine the distribution of
NPY/PYY receptors in the rat and rabbit kidney, characterizing their
subtype and defining the effect of PYY on renal function and
hemodynamics in the rat. The autoradiographic studies of the rat
demonstrate a strikingly high density of 125I-PYY binding
sites in the papilla. There was also a lesser degree of saturable
binding in the medulla, but specific cortical binding was not evident.
In the rabbit, receptors were present in the cortex, medulla, and
papilla. Binding studies of the papilla confirmed that the rabbit
receptor was of the Y2 subtype, consistent with other
reports, but, in contrast, the rat kidney receptor was of the
Y1 subtype. In functional studies in the rat, sodium
excretion remained constant in the face of an increase in perfusion
pressure. The normal response would be an increase in sodium excretion
with increased perfusion pressure (pressure natriuresis). Therefore, our studies suggest that PYY is antinatriuretic. PYY also decreases renal blood flow in a dose-dependent maner.
Our receptor autoradiographic data in the rat differ significantly from
those of Leys et al. (26), who were unable to demonstrate any specific
binding in the rat kidney. In our study, all parts of the kidney in
cross section were represented on each slide, and, in both rabbit and
rat, specific binding was most distinct in the papilla. It is unclear
whether the papilla was included in the blocks of kidney that were
sectioned in the study by Leys et al. (26). If their sections did not
include the papilla, that could explain their inability to demonstrate
any specific binding in the rat. Although we did not differentiate the
cell type or types exhibiting these receptors, other authors have
described their presence on tubular components in the cortex of the
rabbit (26, 38, 45). We also can show saturable binding to isolated tubules of the rabbit kidney (data not shown). It may be that, in the
papilla, the tubules rather than the vasculature are the major site for
these receptors.
Saturable cortical binding of 125I-PYY was present in our
rabbit samples (Fig. 2), and there was also some saturable medullary binding in both species. Our results in the rabbit cortex and medulla
agree with the findings of Leys et al. (26). We could not detect
125I-PYY binding sites in the cortex of the rat, despite
evidence for the existence of NPY/PYY receptors in this region.
Dillingham and Anderson (10) showed that NPY in rat cortical collecting tubules significantly decreased arginine
vasopressin-stimulated hydraulic conductivity. In another study by
Ohtomo et al. (39), NPY stimulated
Na+-K+-adenosine triphosphatase activity in rat
proximal convoluted tubules. This action on the sodium pump suggests
that NPY receptor activation, for example, by PYY, may affect
electrolyte transport in the nephron, especially since NPY decreases
secretion of water, sodium, and chloride in the rat intestine. Further
evidence for the existence of receptors in the cortex is the
PYY-induced increase in renal vascular resistance that we found in this
study (Fig. 5).
Our inability to detect cortical receptors in our autoradiographic
studies of the rat may be due to the high degree of nonsaturable binding in this species. The same protocol and peptides produced clear
results in the rabbit tissue, where nonsaturable binding was
negligible. Alternatively, a low level of receptor expression in the
cortex may have escaped detection by the present methods. Another
possibility is that the radioligand may have been degraded locally,
producing byproducts with different affinities. Degradation of
radiolabeled PYY has been shown to occur in human renal microvillar membranes after 2 h of incubation (35), but this has not been described
for rat kidney. Despite our use of antiprotease in the incubation
solution and extensive washing after incubation, our rat sections
consistently lacked significant binding of 125I-PYY in the
cortex.
Our binding data describe a single class of high-affinity binding sites
in each species (Table 1). The value of Kd for PYY in the rat papilla of 0.7 ± 0.1 nM is only 25 times the fasting concentration of PYY in rat plasma (28 ± 3.1 pM) (44) and is consistent with receptor activation by postprandial plasma
concentrations of PYY. This value for Kd also
agrees with that for the binding of PYY in rat small intestinal crypt
cells (51), as well as with other pharmacological descriptions of this
receptor. This supports a physiological role for PYY on renal
receptors.
Competitive binding experiments showed a difference in receptor subtype
between rabbit and rat kidneys. NPY competed effectively with
125I-PYY in both species, but, in the rat, the
Y2 and Y4 agonists were without effect (Fig.
3), indicating that these receptors are predominantly of the
Y1 subtype. The distribution of the Y5 subtype
is restricted to the brain (14). In contrast, the Y1 agonist was without effect in the rabbit (Fig. 4). This agrees with
Sheikh et al. (45), who first demonstrated in proximal tubule cell and
membrane preparations that rabbit kidney receptors are of the
Y2 subtype. There are no previous reports of the specific subtype of the NPY/PYY receptor in the rat papilla, although, in
proximal convoluted tubules, Ohtomo et al. (39), using Y1 and Y2 agonists, determined that the NPY receptor was of
the Y2 subtype. Wahlestedt et al. (54) initially proposed
that Y1 receptors require the intact NPY or PYY molecule
for binding, whereas the COOH-terminal fragment of either peptide is
sufficient for binding to the Y2 receptor.
Intravenous infusion of PYY into rats clearly produced the expected
systemic pressor response, with a corresponding decrease in renal
plasma flow (Fig. 5). Even with this reduction, glomerular filtration
rate remained constant. This could be explained by similar effects of
PYY on the resistance of both afferent and efferent vessels, so that
net filtration is unaltered. Similar results after NPY administration
in isolated perfused rat kidneys have been reported by several authors
(2, 19, 42).
Although it is less definitive, PYY had an apparent effect on renal
sodium excretion in our studies. The usual response to an increase in
perfusion pressure is an increase in sodium excretion. However, in our
study, perfusion pressure increased by 20 mmHg and sodium excretion
remained constant. These results suggest that PYY may have an
antinatriuretic action. Allen et al. (2) and Raine et al. (42) studied
the effect of NPY on sodium excretion in isolated kidney experiments.
They used very large doses of NPY and found that sodium excretion
increased if blood pressure increased by 40-60 mmHg.
Allen et al. (2) and Raine et al. (42) concluded that NPY was
natriuretic. When they used a lower dose of NPY, renal perfusion
pressure increased 20 mmHg, but sodium excretion remained constant, a
finding similar to our data using physiological doses of PYY. More
recently, Bischoff et al. (5) studied the effects of NPY in
anesthetized rats in which renal perfusion pressure was controlled.
They found that high doses of NPY are natriuretic and that low doses
are antinatriuretic. Taken together, these data support the possibility
that physiological doses of PYY may be antinatriuretic.
Infusion of PYY into human volunteers caused a modest increase in
sodium excretion despite a reduced glomerular filtration rate (41). The
reason for the difference between this study and ours is not clear.
However, the degree of fluid balance in the experimental subjects at
the beginning of the experiment may have differed, or the species
difference in receptor subtype could have produced the opposing
results. Preliminary studies in our laboratory show that PYY has
opposite effects on proximal tubules and the collecting duct, with
sodium transport increasing in the former and decreasing in the latter.
These results highlight the complexity of the renal system, and make it
difficult to interpret whole animal studies such as that using human
volunteers, although whole animal models are very important for this
type of research. Increasing our understanding of the role of PYY in
regulation of renal function must await the development of specific
antagonists.
For the blood flow studies, angiotensin II was used as well as PYY
because it is a classic vasoconstrictor that has been well studied, and
it allowed convenient comparison of blood flow responses. To make a
better assessment of the in vivo effect of these peptides on renal
blood flow, we felt it was important to avoid any disturbance to the
normal blood supply to the kidney. Therefore, we chose to use a Doppler
flowmeter to obtain a noninvasive continuous measurement of blood flow,
with minimal disturbance to the vessels themselves. To avoid reflex
effects caused by systemic injection and the resultant pressor effects,
we injected peptide boluses directly into the renal artery, so that the
immediate effects on only the kidney could be recorded. As shown in
Fig. 6, typical responses to renal artery injection of angiotensin II
and PYY were different, although both caused an increase in renal
vascular resistance. Decreased renal blood flow became apparent at the same time for both peptides, but with PYY, the peak effect was reached
more slowly with a sustained submaximal effect. In contrast, angiotensin II quickly produced a peak effect that was of greater magnitude but more rapidly returned toward baseline. These responses agree well with those obtained in other studies. For example, Chatziantoniou et al. (6) obtained a virtually identical trace for
renal blood flow in normal Wistar-Kyoto rats with the same dose of
angiotensin II as used in our Fig. 6. The more gradual vasoconstrictive
response to PYY found in our study has also been demonstrated in the
cat facial artery (28), and NPY produces a similar result on blood flow
in the colon (19) and submandibular gland (28, 30) of the cat. The
vasoconstriction produced by both peptides was dose dependent, as shown
in Fig. 7, with the changes being significant at all doses used. The
percentage of decrease in renal blood flow for angiotensin II was
similar to that found by Chatziantoniou et al. (6).
The greater peak renal blood flow response to PYY in comparison with
that of angiotensin II may be a reflection of the anatomical distribution of the respective receptors. Angiotensin II receptors are
very densely associated with glomeruli and are associated with
mesangial cells (36). Cultured rat mesangial cells also bind
angiotensin II with high affinity (3, 53). These cells are critical
determinants of afferent arteriolar resistance, and, therefore, one
could expect a peptide acting on these cells to have a much greater
immediate effect on renal blood flow. Our autoradiographic data (Fig.
1) showed a very dense pattern of PYY receptors in the rat papilla,
which is not considered to be a major site of vascular resistance in
the kidney. If infused PYY acts at these sites, it would not be
expected to have the same effect on renal blood flow as does infused
angiotensin II.
Because of the different temporal responses of renal blood flow to
angiotensin II and PYY, a better assessment of vasoconstrictive properties of these peptides might be made by comparing the total change in flow for each peptide injection, measured from the point at
which flow first decreased to the point at which flow had returned to
baseline. This was measured as the average flow during that time and
expressed as a percentage of the baseline flow in each case. The
results of these calculations are shown in Fig. 8. The total change in
flow is more comparable between the two peptides, although the peak
effect of angiotensin II at the higher doses was greater than that of
PYY (Fig. 7). This indicates that the vasoconstriction produced by PYY
is more prolonged, possibly because of different mechanisms of action.
The physiological significance of this is unclear but may be related to
the location of receptors. Angiotensin II is presumably more important
for its immediate effect on renal blood flow and filtration fraction,
since receptors are closely associated with the glomerular area. In
light of the marked density of papillary receptors for PYY in our
autoradiographs, PYY may have a greater role in the control of
medullary and papillary hemodynamics. Such an effect could have an
important impact on electrolyte transport by the tubules.
In conclusion, our results show high-affinity binding sites for PYY in
the kidney of the rat and rabbit, with the subtype depending on the
species. These receptors are especially dense in the rat papilla. PYY
increased mean arterial blood pressure and decreased renal plasma flow
but had no significant effect on glomerular filtration rate, indicating
an effect on both pre- and postglomerular resistance. Sodium excretion
did not change as would be expected from the pressor response, which
suggests that PYY may be antinatriuretic. PYY clearly caused a
dose-dependent vasoconstriction in the kidney. Further studies on the
cellular location of receptors and mechanism of action will elucidate
the role of PYY in the kidney.
 |
ACKNOWLEDGEMENTS |
This work was supported by a Career Development Award, Dept. of
Veterans Affairs (to P. J. Mannon), the Stanback Fund (to P. J. Mannon), and the American Heart Association, North Carolina Affiliate
Grant No. NC-95GS20 (to B. A. Benjamin).
 |
FOOTNOTES |
Address for reprint requests: B. A. Benjamin, Dept. of Cell Biology, PO
Box 3709, Duke Univ. Medical Center, Durham, NC 27710.
Received 8 July 1996; accepted in final form 12 June 1997.
 |
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