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Division of Nephrology and Hypertension, Georgetown University Medical Center, Washington, District of Columbia 20007; and Second Department of Internal Medicine,Tohoku University School of Medicine, Sendai 980, Japan
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ABSTRACT |
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The
tubuloglomerular feedback (TGF) response is potentiated by thromboxane
A2
(TxA2) and/or
prostaglandin endoperoxide
(PGH2) acting on specific
receptors. Infusion of the
TxA2/PGH2
mimetic, U-46,619, into conscious rats leads to hypertension that is
potentiated by a high-salt intake. Therefore, we tested the hypothesis
that a high-salt intake enhances the expression of transcripts for TxA2/PGH2
receptors in the kidney and glomeruli and enhances the response of TGF
to
TxA2/PGH2
receptor stimulation. Groups of rats were accommodated to a low-salt
(LS), normal salt (NS), or high-salt (HS) diet for 8-10 days.
TxA2/PGH2
receptor mRNA was detected by reverse transcription-polymerase chain
reaction in kidney cortex, isolated glomeruli, and abdominal aorta.
TxA2/PGH2
mRNA abundance was significantly (P < 0.001) increased during intake of high-salt compared with low-salt
diets in the kidney cortex (1.34 ± 0.10 vs. 0.84 ± 0.04 arbitrary units) and isolated outer cortical glomeruli (0.68 ± 0.04 vs. 0.32 ± 0.03 arbitrary units), but there was no effect of salt
on
TxA2/PGH2
receptor mRNA expression in the aorta. Maximal TGF responses were
assessed from the increase in proximal stop flow pressure (an index of
glomerular capillary pressure) during increases in loop of Henle
perfusion with artificial tubular fluid from 0 to 40 nl/min. Compared
with vehicle, the enhancement of maximal TGF with U-46,619
(10
6 M) added to the
perfusate was greater in rats adapted to high-salt than normal salt
(HS: +9.6 ± 1.1 vs. NS: +5.1 ± 0.4 mmHg;
P < 0.001) or low-salt (LS: +3.8 ± 1.3 mmHg; P < 0.001) intakes.
Responses to U-46,619 at each level of salt intake were blocked by
>70% by the
TxA2/PGH2
receptor antagonist ifetroban. In contrast, enhancement of TGF by
peritubular capillary perfusion of arginine vasopressin (AVP;
10
7 M) was similar in
high-salt and low-salt rats (HS: +1.5 ± 0.6 vs. LS: +1.6 ± 0.5 mmHg; not significant). We conclude that salt loading increases
selectively the abundance of
TxA2/PGH2
receptor transcripts in the kidney cortex and glomerulus, relative to
the aorta, and enhances selectively TGF responses to
TxA2/PGH2
receptor activation but not to AVP.
thromboxane mimetic; thromboxane A2/prostaglandin endoperoxide receptors; arginine vasopressin; glomerulus
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INTRODUCTION |
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THROMBOXANE A2 (TxA2), prostaglandin endoperoxide (PGH2), and isoprostanes act on the same or similar receptors that have a widespread expression in the kidney (6), vascular smooth muscle cells (5), blood vessels (7), endothelium (20), and platelets (6). Recent studies have reported the cloning of a gene encoding TxA2/PGH2 receptors in the rat (11) and the expression of transcripts for this gene in kidney (1) and vascular endothelium (17). These receptors have been implicated in several models of hypertension, in which they mediate responses to an endothelium-derived vasoconstrictor factor (13) and to vasoconstrictor prostaglandins produced in the kidneys and blood vessels of rats with several forms of hypertension (10, 12, 16, 23, 29, 32).
The tubuloglomerular feedback (TGF) response is a graded vasoconstriction of the afferent arteriole that leads to a reduction in the glomerular capillary pressure (PGC) and single-nephron glomerular filtration rate during NaCl reabsorption at the macula densa segment (3). The mediator of this vasoconstriction is currently unclear, but previous studies have implicated vasoconstrictor prostaglandins. Thus TGF responses are blunted by systemic administration of a TxA2/PGH2 receptor antagonist or a TxA2 synthase inhibitor (26, 27), whereas TGF responses are enhanced during systemic administration or local microperfusion of a TxA2/PGH2 mimetic, U-46,619, into the lumen of the macula densa or the surrounding interstitium (28). However, little is known about the potential functional significance of the effects of TxA2/PGH2 on TGF. We have found that infusion of U-46,619 into conscious rats increases their blood pressure (BP) and that this increase is potentiated by a high-salt intake (25). This suggests that salt loading might enhance TxA2/PGH2 receptor expression or action. The present experiments were designed to test the hypothesis that a high-salt intake enhances the abundance of transcripts for TxA2/PGH2 receptors in the kidney and glomerulus and enhances the action of a TxA2/PGH2 receptor agonist on TGF responses.
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METHODS |
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Male Sprague-Dawley rats (240-320 g) were maintained on a high-salt (HS; Na content 2.4 g/100 g), a normal salt (NS; Na content 0.3 g/100 g), or a low-salt (LS; Na content 0.03 g/100 g) diet for 8-10 days before testing. The high- and low-salt diets were identical, apart from salt content (Teklad, Madison, WI), but the normal salt diet was regular rat chow (Purina Rat Chow; St. Louis, MO). The low-salt diet was sufficient for normal growth over this time.
Series 1.
The aim of these molecular biology studies was to assess the effects of
high-salt compared with low-salt intakes on the abundance of
transcripts for
TxA2/PGH2
receptors in the kidney cortex, glomerulus, and abdominal aorta. For
preparation of the kidneys and aortae, groups of rats were accommodated
to a high-salt (n = 6) or
low-salt (n = 6) intake for 8-10
days. Under thiobarbital anesthesia, the abdomen was opened, and the
aorta was cannulated to allow flushing of the kidneys and aorta with
ice-cold 0.154 M NaCl. One kidney and a 0.5-cm length of abdominal
aorta distal to the renal arteries were removed, cleared of connective
tissue, and placed in ice-cold saline solution. The kidney was cut
longitudinally and a segment of cortex removed. Total RNA was
extracted, using RNA ATAT-60 (Tel-test B, Friendswood, TX). The mRNA
was reverse transcribed with
oligo(dT)16 as primer and murine
leukemia virus reverse transcriptase, using an RNA polymerase chain
reaction (PCR) kit (Perkin-Elmer, Branchburg, NJ). The primers used for
PCR for the
TxA2/PGH2
receptor gene product were selected from the published cDNA sequences
of the rat renal
TxA2/PGH2
receptor (1). They were nucleotides 5' TGGACTGGCGTGCCACTGAT
3' (sense primer, position bp 275-294) and 5'
AGCAAGGGCATCCAACACACCGTG 3' (antisense primer, position bp
753-776). The PCR product had a predicted length of 502 bp.
-Actin was selected as a "housekeeper gene" for comparison,
since
-actin mRNA abundance in the rat kidney is reported to be
independent of salt intake (19). The primers used for
-actin mRNA
were as follows: sense primer 5' GATCAAGATCATTGCTCCTC 3'
(position bp 2860-3003 with exon 2867-2990 deleted) and
antisense primer 5' TGTACAATCAAAGTCCTCAG 3' (position bp
3390-3407). The PCR product had a predicted length of 426 bp. The
amounts of
TxA2/PGH2
receptor cDNAs were normalized by the amounts of
-actin cDNA. The
reaction mixture contained 50 pmol of each primer, 1.25 mM
deoxynucleotide mixture, 2.5 µl Taq
DNA polymerase, 10 mM tris(hydroxymethyl)aminomethane hydrochloride (pH
10), 50 mM KCl, 1.5 mM MgCl2, and
0.001% (wt/vol) gelatine in a final volume of 50 µl.
The PCR was carried out by the following protocol: after an initial
melting temperature of 94°C for 4 min, there were 30 s of
denaturation at 94°C, 45 s of annealing at 60°C, and 45 s of
extension at 72°C for repeated cycles of amplification, followed by
a final extension at 72°C for 7 min. The PCR product was analyzed
on a 1.5% agarose gel stained with ethidium bromide and visualized
under ultraviolet light. The size of the products was compared with a
rat kidney cDNA probe for
TxA2/PGH2
receptors, kindly provided by Dr. Kazu Takeuchi (Tokohu University). To
verify the authenticity of the PCR products, the amplified
TxA2/PGH2
receptor cDNAs from rat kidney cortex and abdominal aorta were purified
with MICROCON (Amicon, Beverly, MA) and sequenced with
AmpliTaq cycle sequencing kit
(Perkin-Elmer).
Series 2.
The aim of this series of physiological studies was to determine the
effects of dietary salt intake on the
PGC response to orthograde
microperfusion of a
TxA2/PGH2
mimetic into the macula densa segment during full activation of TGF.
These studies utilized U-46,619, which is a
TxA2/PGH2
mimetic that has a similar action on renal hemodynamics as native
TxA2 (4). We found previously that
orthograde microperfusion of U-46,619
(10
6 M) in artificial
tubular fluid (ATF) into the loop of Henle of rats receiving a normal
salt intake potentiates TGF consistently by ~5 mmHg; therefore, this
concentration was selected for these studies. Nephrons were perfused
with ATF + vehicle or ATF + U-46,619 (10
6 M) in random order. In
each rat, paired measurements were made of stop flow pressure
(PSF) during zero loop perfusion
and during perfusion at 40 nl/min. Perfusion of nephrons with ATF at 40 nl/min elicits a maximal reduction in TGF. The maximal TGF response was therefore taken as the difference between
PSF at zero loop perfusion and
during perfusion at 40 nl/min with ATF + vehicle or ATF + U-46,619.
Salt intake did not affect the PSF
at zero loop perfusion.
1 · h
1,
respectively). TGF responses were again assessed during loop of Henle
perfusion of ATF + vehicle and ATF + U-46,619
(10
6 M).
Series 3.
Further studies were undertaken in rats adapted to low-salt, normal
salt, or high-salt intakes to test the hypothesis that the effects of
salt intake on the response to U-46,619 are specific for this method of
enhancing TGF. Arginine vasopressin (AVP)
(10
7 M) was added to
artificial plasma (AP) (28) and microperfused at 15 nl/min via the
peritubular capillaries (PTC) into the interstitium surrounding the
test nephron. The TGF response to orthograde luminal perfusion of ATF
at zero and 40 nl/min was assessed before and during microperfusion of
AVP into the PTC. We have shown previously that microperfusion of AP
into the PTC at 20 nl/min does not perturb TGF responses (28).
Statistics. Results are presented as means ± SE. An analysis of variance (ANOVA) was used to assess the effects of interventions and of salt intake. Post hoc testing, when appropriate, was made by Dunnett's test. Statistical significance was considered at P < 0.05.
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RESULTS |
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Series 1.
Consistent RT-PCR products corresponding in size to mRNA for
TxA2/PGH2
receptor and
-actin were obtained from kidney cortex and aorta of
rats adapted to high-salt and low-salt intakes. Sequencing of one of
these products for
TxA2/PGH2
receptors showed it to be identical to that reported previously from
rat kidney (1). As shown in Fig.
1, strong PCR bands
corresponding in size to TxA2/PGH2
receptor cDNA were obtained after RT of rat kidney cortex; the
abundance of the RT-PCR product corresponding to
TxA2/PGH2 receptor mRNA increased with salt intake, whereas the product corresponding to
-actin mRNA was unchanged. Because the density of
the product from the rats adapted to a normal salt intake appeared intermediate between that from high- and low-salt intakes, further studies were confined to the high-salt and low-salt groups. As shown in
Fig. 2, the intensity of staining of PCR
products for TxA2/PGH2
receptor mRNA from the renal cortex was greater in rats fed a high-salt
than a low-salt diet, but there appeared to be no effects of salt
intake on the intensity of
-actin products. Strong bands
corresponding to
TxA2/PGH2
receptor mRNA were also obtained after RT of rat abdominal aorta.
However, unlike the kidney cortex, the density of the bands from the
aorta did not appear to be affected by salt intake (Fig.
3). Densitometric analysis showed no effect
of dietary salt intake on
-actin RT-PCR products from kidney cortex
(HS: 0.62 ± 0.05 vs. LS: 0.68 ± 0.04 arbitrary units; not
significant) or aorta (HS: 0.77 ± 0.06 vs. LS: 0.81 ± 0.02 arbitrary units; not significant). Likewise, there was no significant
effect of dietary salt intake on the RT-PCR products for
TxA2/PGH2
receptors from the aorta (HS: 0.69 ± 0.04 vs. LS: 0.68 ± 0.04 arbitrary units; not significant), but there was a consistent increase
in the kidney cortex of high-salt compared with low-salt rats (HS: 0.82 ± 0.04 vs. LS: 0.58 ± 0.04 arbitrary units;
P < 0.001). The ratio of
densitometry for PCR products for
TxA2/PGH2
receptors compared with
-actin is shown in Fig. 4. It is apparent that there is a
significant (P < 0.001) increase in
this ratio with high-salt (1.34 ± 0.01) compared with low-salt (0.84 ± 0.04) intake in the kidney (Fig.
4A). However, there was no
significant effect in the aorta (Fig.
4B; HS: 0.91 ± 0.03 vs. LS: 0.85 ± 0.06; not significant).
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Series 2. As shown in Table 1, there were no differences among the groups of rats used for physiological studies, whether maintained on a high-salt, normal salt, or low-salt diet, for body weight, experimental kidney weight, mean arterial pressure, or heart rate. As shown in Tables 1 and 2, there were no significant differences among these groups for values of PSF during zero loop of Henle perfusion. However, the maximal TGF response, as shown from the reduction in PSF during loop perfusion with ATF + vehicle at 40 nl/min, compared with zero perfusion, was significantly blunted in high-salt compared with normal or low-salt rats. Compared with zero loop perfusion, perfusion with ATF + U-46,619 at 40 nl/min decreased PSF to a greater extent than with ATF alone in each group. The U-46,619-induced increase in maximal TGF responses was 5.6 ± 0.7 mmHg in rats on a normal salt intake. This U-46,619-induced change was significantly (P < 0.01) less in low-salt rats (3.8 ± 0.5 mmHg) and significantly (P < 0.01) more in high-salt rats (9.6 ± 0.9 mmHg).
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Series 3.
To test the specificity of the effects of salt on the TGF response to
U-46,619, AVP (10
7 M) was
infused into the PTC surrounding the test nephrons. As shown in Table 2
(Series
3), before AVP, the maximal TGF
responses were greater in nephrons of low-salt and normal salt than
high-salt rats. During PTC perfusion of AVP, the TGF responses were
increased significantly (P < 0.05)
in nephrons of rats, independently of the level of salt intake (LS:
+1.8 ± 0.6 vs. NS: +1.5 ± 0.5 vs. HS: +2.2 ± 0.6 mmHg; not
significant).
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DISCUSSION |
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The main new finding of this study is that there is a greater expression of the PCR product for the TxA2/PGH2 receptor in the kidney and outer cortical glomeruli from high-salt than from low-salt rats but no effect of salt on the expression of the product from the aorta. Orthograde microperfusion of a TxA2/PGH2 mimetic into the macula densa segment enhances TGF responses to a greater extent in rats adapted to high-salt than normal or low-salt intakes. These effects were blunted >70% by intravenous infusion of a TxA2/PGH2 receptor antagonist. In contrast, interstitial microperfusion of AVP enhances TGF responses independently of salt intake. It is clear that a factor other than the expression and ability of the TxA2/PGH2 receptor to respond is responsible for the blunted TGF response of salt-loaded rats.
Drugs that inhibit TxA2/PGH2 receptors blunt the TGF response by 40-60% when administered systemically before testing (26, 27). These data indicate a quantitatively important role for TxA2 and/or PGH2 or other ligands at this receptor in regulation of TGF and hence nephron hemodynamics. Because we found a similar degree of blunting of TGF after systemic administration of a TxA2 synthase inhibitor and no further effect on TGF of a TxA2/PGH2 receptor antagonist in rats pretreated with a TxA2 synthase inhibitor, we concluded that TxA2 was of particular importance (26). However, Franco et al. (8) found that local perfusion of the loop of Henle with a TxA2/PGH2 receptor antagonist did not alter TGF responses. In their studies, the nephron was blocked at the proximal tubule, and this may have isolated the macula densa cells from the major source of TxA2 and PGH2 production in the glomerulus (22).
The strong potentiation of maximal TGF responses by microperfusion of a
thromboxane mimetic into the macula densa segment and blockade by a
TxA2/PGH2
receptor antagonist confirm a previous study (28). Because the response
to perfusion of U-46,619
(10
6 M) into the loop of
Henle was largely prevented by coperfusion with furosemide, which
inhibits macula densa reabsorption, and because microperfusion of
U-46,619 stimulated net chloride transport from the loop of Henle, we
concluded that, at this dose, it was acting predominantly on the macula
densa to stimulate NaCl reabsorption, thereby increasing the signal for
activation of TGF. However, U-46,619 is lipid soluble and
can diffuse out of the tubule lumen (28). Thus it may vasoconstrict the
afferent arteriole directly. Indeed, the reduction in
PGC produced by microperfusion of
higher doses of U-46,619 was not fully prevented by coperfusion with furosemide.
The present study is the first to examine factors that affect the response of TGF to TxA2/PGH2 receptor activation. The absolute enhancement of TGF by addition of the TxA2/PGH2 mimetic to ATF perfusate was more than twice as great in nephrons of rats adapted to high-salt than to normal salt intake. When assessed as percent changes, the effects of salt intake were even greater (Fig. 7). This has some specificity, since the enhancement of TGF by U-46,619 was blunted by ifetroban at each level of salt intake, and there were no such effects of salt intake on the TGF response to AVP microperfused into the interstitium surrounding the test nephron. A previous study showed that intravenous pressor doses of AVP enhance TGF, but during maintenance of renal perfusion pressure, systemic AVP infusion does not significantly alter TGF responsiveness, although sensitivity is enhanced by ~25% (18). AVP was selected for our study because it causes direct vasoconstriction of the afferent arteriole of the rabbit when applied from the interstitial side (24), and its effects on the glomerulus are independent of angiotensin II (9). Therefore, we anticipated that AVP responsiveness should not be greatly changed by salt intake, as indeed was the case.
High-affinity binding sites for
TxA2/PGH2
receptor ligands have been identified in the kidney and isolated
glomeruli (6). Immunocytochemical studies demonstrate
TxA2/PGH2
receptor immunoreactive sites in the afferent arteriole, glomerulus,
and tubules, including the luminal aspect of the thick ascending limb
(2, 22). In situ hybridization has shown expression of
TxA2/PGH2
receptor mRNA in glomeruli, afferent and efferent arterioles, the
luminal aspects of the thick ascending limb and macula densa cells, and other tubular sites (22). Expressions of
TxA2/PGH2
receptors on the luminal membrane of macula densa cells and the
afferent arteriole are the probable sites at which TGF responses are
enhanced during luminal perfusion of U-46,619. Our data demonstrate
that there is increased
TxA2/PGH2
receptor transcript expression within the outer cortical glomeruli and
renal cortex during high-salt intake. As in a previous study (19), salt
intake had no effects on the abundance of
-actin mRNA. Of interest
was the finding that the abundance of
TxA2/PGH2
receptor mRNA was not increased by salt loading in the aorta. The renal
circulation is especially sensitive to
TxA2/PGH2
receptor stimulation, as shown by a greater increase in renal than
femoral vascular resistance with infused U-46,619 (30) and, in
dose-response studies, a 10- to 100-fold lower dose of infused U-46,619
required to raise renal vascular resistance compared with femoral
vascular resistance or BP and a 100- to 1,000-fold lower dose to
increase TGF (28). These data suggest that
TxA2/PGH2
receptors in the kidney and juxtaglomerular apparatus could be quite
important in regulation of renal hemodynamics in the rat and that this
renal circulatory regulation may be dependent on salt intake. The
mechanism of induction of
TxA2/PGH2
receptor mRNA by salt intake is unknown. The 5' flanking
transcriptional regulatory region of the gene contains a putative AP1
binding element, a glucocorticoid responsive element, and a shear
stress response element (21), but the relationship of these potential regulatory sites to NaCl-dependent gene expression is currently unknown.
Previously, we found that infusions of U-46,619 caused progressive increases in systolic BP of conscious rats (25). The rise in systolic BP at 8-12 days was greater in rats adapted to a high-salt than to a low-salt intake. This may relate to the present finding of enhanced receptor transcript expression in the kidney and enhanced TGF responsiveness to the mimetic during salt loading. An alteration in kidney function is required for a sustained increase in BP to prevent the pressure natriuresis from reducing the extracellular fluid volume and restoring a normal BP. The TGF response is an integral part of the kidney's adaptation to change in salt intake, and a blunted response during a high-salt intake may be important in contributing to pressure natriuresis and preventing extracellular fluid volume expansion (3). Failure to blunt this response has been shown in a model of salt-dependent hypertension (31).
TxA2/PGH2 receptors mediate renal vasoconstriction, enhanced TGF responses, and NaCl reabsorption in the loop of Henle (26-28). The finding that the expression of these receptors and their responsiveness in the kidney are enhanced by a high-salt diet appears to counter homeostatic requirements. However, it may be that there is normally little TxA2 or PGH2 generated in the kidney during a high-salt intake, since angiotensin II, which is suppressed by salt loading, is a physiological stimulus to their production (12, 32). Indeed, the increased renal and glomerular TxA2/PGH2 receptor mRNA expression during high-salt intake could be a response to reduced TxA2/PGH2 receptor activation. On the other hand, in some models of hypertension, including the Lyon hypertensive (10) and the spontaneously hypertensive rat (16), the two-kidney, one-clip Goldblatt hypertensive rat (29), the angiotensin-infused rat (12), and the Dahl salt-sensitive rat (23), there can be overproduction of vasoconstrictor prostaglandins. In these settings, any enhancement of TxA2/PGH2 receptors during high-salt intakes could contribute to salt-sensitive hypertension.
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ACKNOWLEDGEMENTS |
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We are grateful to Dr. Juan C. Pelayo for teaching us his technique for microvascular preparation and mRNA analysis in the rat.
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FOOTNOTES |
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This study was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grants DK-36079 and DK-49870 and funds from the George F. Schreiner Chair of Nephrology.
Address for reprint requests: C. S. Wilcox, Div. of Nephrology and Hypertension, Georgetown Univ. Medical Center, 3800 Reservoir Rd., NW, PHC F6003, Washington, DC 20007.
Received 11 July 1997; accepted in final form 28 August 1997.
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