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Department of Physiology, Tulane University Health Sciences Center, New Orleans, Louisiana 70112
Submitted 9 August 2004 ; accepted in final form 4 October 2004
| ABSTRACT |
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renal hemodynamics; sodium excretion; tempol; nitro-L-arginine
Although a role for O2 has been suggested in ANG II-induced hypertension, it is not yet clear how much it can contribute to the acute vasoconstrictor or antinatriuretic effects of ANG II in the kidney. O2 has been implicated in various studies to be a potential mediator of ANG II-induced intracellular signaling pathways (7, 35). It has been shown that both O2 and nitric oxide (NO) can be formed endogenously by the action of ANG II (12, 27, 33). Recent studies have also implicated a potential interaction between O2 and NO in the regulation of renal vascular and tubular function (20, 39). We have reported earlier that enhancement of O2 activity by the administration of an SOD inhibitor in the kidney results in vasoconstriction and sodium retention (20). These renal effects of SOD inhibition were augmented during blockade of NO formation (20). These findings indicate that O2 can exert direct vasoconstriction and tubular effects independently of its interaction with NO in the kidney. In a recent study in rats, renal effects of acute administration of ANG II have shown to be partially attenuated with a SOD mimetic or an inhibitor of NADPH oxidase (18). Because O2 generation can also reduce NO bioavailability, it is possible that the acute actions of ANG II are modulated by O2 and NO interactions in the kidney. However, the possible impacts of this O2-NO interaction on the renal vascular and tubular actions of ANG II are yet to be determined.
We hypothesized that the renal vasoconstrictor and antinatriuretic responses to ANG II are influenced by O2 generation and that NO plays a renoprotective role in balancing the adverse effects of O2. To examine this hypothesis, the present investigation was designed to evaluate the role of O2 generation and its possible interaction with NO on ANG II-induced changes in renal hemodynamics and excretory function. Accordingly, renal responses to acute infusion of ANG II were evaluated before and during administration of a SOD mimetic, tempol, in anesthetized dogs pretreated with or without an NO synthase (NOS) inhibitor, nitro-L-arginine (NLA; see Refs. 1921). All of these experiments in dogs were carried out during continuous infusion of the angiotensin-converting enzyme (ACE) inhibitor enalaprilat (33 µg·kg1·min1; see Ref. 24) to minimize changes in endogenous levels of ANG II.
| METHODS |
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100°F) with an electric heating pad. Systemic arterial pressure was measured from a catheter placed in the abdominal aorta inserted through the right femoral artery. The catheter was connected to a pressure transducer, and systemic arterial pressure was recorded on a polygraph (model 7D; Grass Instruments). The left femoral artery was cannulated for collection of blood samples. The femoral and jugular veins were cannulated for administration of saline, inulin solution, and additional doses of pentobarbital sodium, as necessary. The left kidney was exposed through a flank incision, and the renal artery was isolated from surrounding tissue. All visible nerves projecting from the aorticoadrenal gland were cut to achieve denervation of the kidney. Renal blood flow (RBF) was measured with an electromagnetic flow probe placed on the renal artery near its origin from the aorta and connected to a square-wave flowmeter (Carolina Medical Electronics). A curved 23-gauge needle cannula was inserted in the renal artery distal to the flow probe and was connected to a pressure transducer for measurement of renal arterial pressure. Another catheter was also connected to this needle cannula for continuous infusion of heparinized saline or drug solutions at a rate of 0.4 ml/min.
The experiments were conducted in two groups of dogs that were given continuous infusion of enalaprilat (33 µg·kg1·min1; see Ref. 24). Enalaprilat is the active metabolite of the prodrug enalaprilat maleate. This is a rapidly acting drug when administered intravenously. It has been observed that intra-arterial administration of enalaprilat in anesthetized dogs shows its maximum effects on RBF within 10 min of administration (24). In the first group (n = 7), renal responses to infusion of ANG II (0.5 ng·kg1·min1) were evaluated before and during infusion of tempol (0.5 mg·kg1·min1). This dose of ANG II was chosen from preliminary experiments that showed an
25% decrease in basal RBF. To assess the changes during interventions with other drugs, this range of vasoconstrictor responses to ANG II was considered reasonable. The dose of tempol was used previously in our laboratory and was shown to completely reduce the enhanced 8-isoprostane levels (marker for oxidative stress) during NOS inhibition in dogs (21). Initially, we tested by infusing this dose of tempol intra-arterially in anesthetized dogs that showed a reduction of
60% in urinary excretion rate of 8-isoprostane (UISOV) during a 30-min infusion period (unpublished observation). Such reduction in 8-isoprostane excretion was similar to what was reported earlier in SHR with the use of a similar dose that was effective in normalizing the blood pressure in SHR (30, 31). In the second group of dogs (n = 6), renal responses to ANG II infusion were evaluated before and during NOS inhibition by NLA (50 µg·kg1·min1; see Refs. 1921) and then during combined infusion of NLA plus tempol.
Experimental protocols in group 1. After completion of surgery and a 45-min stabilization period, the experimental protocol began with two consecutive 10-min control urine collections with arterial blood samples (2 ml) collected at the midpoint of each collection period. Next, a continuous infusion of enalaprilat (24) was initiated intra-arterially for the whole duration of the experimental period. Thus, in the present protocol, the responses to enalaprilat were evaluated during two 10-min collection periods after a 10-min stabilization period. At the end of two 10-min collection periods, ANG II was added to the infusion line in which enalaprilat is continuously given throughout the whole protocol period. After 10 min of the initiation of ANG II infusion, two more 10-min urine samples were collected. Next, ANG II infusion was stopped, and 10 min were allowed for stabilization before collections of two more 10-min urine samples (control collections before tempol administration). Tempol was then added to the infusion line. After 10 min of tempol infusion, two 10-min urine collections were made. Then, ANG II infusion was added to the infusion line with tempol, and two more collections of urine were made after 10 min of the initiation of combined tempol plus NLA infusion. In three additional dogs, ANG II infusion was repeated with a gap period of 1 h without coadministration of tempol to examine the ANG II responsiveness resulting from its repeated administration (time control experiments).
Experimental protocols in group 2. The protocol began with two consecutive 10-min control collections, followed by a continuous intra-arterial infusion of enalaprilat (22) for the whole duration of the experimental period. After 10 min of the initiation of enalaprilat infusion, two additional 10-min urine samples were collected. Next, an intra-arterial infusion of ANG II was initiated, and renal clearances were evaluated as stated earlier in the group 1 protocol. After the cessation of ANG II infusion, an intra-arterial infusion of NLA was initiated and continued for the rest of the period. After 30 min of the initiation of NLA infusion, two 10-min urine collections were made (19, 20). In all previous studies in dogs with NLA in our laboratory, a 30-min stabilization period was considered, as this period was seen sufficient to achieve a maximal effect of NLA on RBF. After collection of two 10-min urine samples during NLA infusion period, ANG II was added to the infusion line, and renal clearances were evaluated during ANG II infusion, as stated above. ANG II infusion was then stopped, and 10 min were allowed for recovery of the renal parameters. Next, tempol was added to the NLA infusion line (21). After 10 min of the initiation of tempol infusion, two 10-min urine samples were collected. Thereafter, ANG II infusion was initiated in the presence of NLA plus tempol. After 10 min of stabilization, two 10-min urine collections were made during ANG II infusion.
Sodium, potassium, and inulin concentrations in plasma and urine were determined as previously described (1921). Urinary concentrations of 8-isoprostane and NO metabolites nitrate/nitrite were determined using an enzyme immunoassay kit (Assay Design; see Ref. 21). Urinary concentration of H2O2 was also measured with a H2O2 assay kit (Caymen Chemical). Because the measurement of urinary 8-isoprostane and H2O2 was not considered in the initial design of the protocol for group 1 dogs, urine was not collected methodically and, thus, was not considered for analysis in group 1. Values are reported as means ± SE. Statistical comparisons of differences in the responses were conducted with either ANOVA (in case of absolute changes) or Student's paired t-test (in case of percent changes). Differences in the mean values were deemed significant at P
0.05.
| RESULTS |
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UISOV was significantly (P < 0.05) decreased by enalaprilat treatment. ANG II infusion in enalaprilat-treated dogs significantly (P < 0.05) increased UISOV before NLA infusion. UISOV remained higher during enalaprilat plus NLA infusion than during NLA alone and was lower during enalaprilat plus NLA plus tempol infusion. These findings are similar to the results reported in our previous study (21). However, UISOV did not increase in response to ANG II infusion during enalaprilat plus NLA or enalaprilat plus NLA plus tempol infusion. As seen in group 1 dogs, UNOXV was increased (P < 0.05) during the enalaprilat infusion period and decreased (P < 0.05) during ANG II infusion before infusion of NLA. As expected, NLA infusion decreased (P < 0.05) UNOXV compared with the values during enalaprilat treatment or the control period and did not change significantly during the combination of NLA and tempol infusion, as reported previously (21). UNOXV did not change significantly in response to ANG II during NLA or NLA plus tempol infusion periods. The urinary excretion rate of H2O2 (n = 5) showed a wide variation among the dogs, and the changes in response to the administration of enalaprilat, ANG II, tempol, or NLA were not significantly different from each other. However, the values of urinary excretion of H2O2 observed in the present study were within the range that was reported earlier in human urine (17).
Time-dependent changes in the renal responses to ANG II during tempol/NLA administration. We compared the vasoconstrictor responses to ANG II infusions before and during tempol with or without NLA administration, and these responses were calculated by the changes observed due to ANG II infusion from the baseline values just before infusion. In time control experiments (n = 3), ANG II infusions were repeated with a gap period of 1 h without coadministration of tempol. This interval period of 1 h was somewhat similar to the usually lapsed time between two infusions of ANG II before and during tempol administration. It was observed that renal responses to ANG II during the first administration (RBF 15.0 ± 4.0%, RVR +23.1 ± 2.5%, and UNaV 43.4 ± 7.9%) were not different from the responses during the second administration (RBF 15.1 ± 3.2%, RVR +23.4 ± 3.4%, and UNaV 49.5 ± 2.6%). It is to be noted here that our previous studies in dogs (1921) demonstrated the maximal effects of NLA within 30 min of infusion that remained unchanged for at least 2 h. Two infusions of ANG II before tempol administration in NOS-inhibited dogs were also made within 2 h of NLA administration. During long-term infusion of tempol in salt-depleted anesthetized dogs, we have also observed that renal responses to tempol reached their maximum within 1015 min of infusion and then remain unaltered during >60 min of the infusion period (unpublished observation). Thus the attenuation of renal responses to ANG II observed in the tempol-treated dogs before and during NOS inhibition was unlikely to be contributed by the time-dependent changes in these experiments.
| DISCUSSION |
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The involvement of O2 in the renal vascular responses to ANG II demonstrated in the present study are in agreement with the results of another study conducted in our laboratory (11) in which the renal vasoconstrictor response to ANG II administration was shown to be comparatively less in mice lacking the gp91phox subunit of NADPH oxidase (an enzyme necessary for ANG II-induced O2 production) than in wild-type mice. Renal vasoconstrictor response to ANG II infusion in rats was also attenuated during tempol infusion and by the NADPH oxidase inhibitor apocynin (18). In humans, forearm blood flow responses to ANG II injection were attenuated during vitamin C administration (5). Collectively, these findings indicate that the vasoconstrictor action of ANG II is partly mediated by the generation of O2. It was shown in an in vitro study in isolated rat kidney (8) that ANG II administration facilitates the autoregulatory response through increased O2 formation mediated via ANG II type 1 receptors. Although previous studies in dogs provided no evidence for significant involvement of NO in the maintenance of normal autoregulatory behavior of RBF (19), the results from some recent in vivo studies, particularly in rats, showed that acute inhibition of NOS resulted in autoregulatory resetting of RBF (14) and also showed improvement of impaired autoregulation in some models of hypertensive rats (36, 38). Considering these facts, it is conceivable that such improvement of autoregulatory behavior during NOS inhibition could be the result of possible enhancement of O2 activity (8, 21) and thus suggest an important interactive role of O2 and NO in the control of renal function during an elevated condition of the renin-angiotensin system. It may also be argued that variations in prostaglandin synthesis may be involved in these responses to ANG II during NLA or tempol administration, since an interaction between cyclooxygenase and the renin-angiotensin-aldosterone system is also known to play a role in the regulation of kidney function (28). In the present study, we have not measured any possible changes in intrarenal prostaglandin synthesis in response to ANG II infusion. However, we have plans to examine these interactions further in our future studies using inhibitors of prostaglandin synthesis.
Similar to the findings in a study conducted earlier in conscious dogs (1), the present study showed that ANG II caused a marked decrease in GFR during NOS inhibition. However, we have further observed that this ANG II-induced marked reduction in GFR in NLA-treated dogs was significantly attenuated during tempol infusion (Fig. 6). The slight decrease in GFR resulting from ANG II in intact dogs was also abolished during tempol administration (Fig. 2). These results show that O2 production contributes to the GFR responses to ANG II. Previous studies (8, 11, 39) also supported an interaction between NO and O2 in the regulation of GFR. In isolated rat kidney preparations, scavenging of O2 by tempol completely prevented facilitation of the tubuloglomerular feedback (TGF) response by ANG II (8). Welch et al. (39) demonstrated that the reduction in TGF in response to microperfusion of a NO donor compound in the macula densa lumen was less in SHR than in normotensive Wister-Kyoto rats. The difference in the responses was abolished by coinfusion with tempol, suggesting an interaction between O2 and NO in regulating TGF-mediated changes in afferent arteriolar tone in SHR, a model known to have enhanced oxidative stress (30). We have also reported (11) that ANG II administration caused no change in GFR in wild-type mice but caused an increase in GFR in knock-out (KO) mice lacking the gp91phox subunit of NAD(P)H oxidase. This finding in our mice study (11) indicates that a lack of O2 production in response to ANG II in KO mice exerted proportionately less constrictor action on the afferent than on the efferent arterioles, resulting in an increase in glomerular pressure, thus leading to an increase in GFR. The results in the investigation also suggest that vasoconstrictor action of O2 in the afferent arteriole during ANG II infusion was mostly counteracted by NO in the intact state but unopposed in the state of NOS inhibition, thus causing a marked reduction in GFR. It is interesting to note that tempol treatment in both intact and NO-blocked dogs caused improvement in GFR, indicating that O2 may predominantly affect the preglomerular vascular resistance (8, 11, 39). However, our present in vivo experiments do not allow us to comment on the relative contribution of afferent and efferent arteriolar resistances affected by O2 formation. Moreover, a prediction of alterations in segmental vascular resistance based on the changes in filtration fraction was also seriously questioned in a previous study using a computer-simulated experimental model of combined afferent and efferent resistance changes (3).
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In these experiments in dogs, we have observed that ANG II infusion increased UISOV and decreased UNOXV (Tables 1 and 2), as reported in other studies in rats (18). These effects of ANG II on UISOV and UNOXV were abolished during tempol and NLA infusion (Tables 1 and 2). Although an increase in UISOV during ANG II is expected, the reason for a decrease in UNOXV in response to ANG II is not yet clear. However, although no direct evidence is currently available, one explanation could be that increases in O2 production during ANG II administration interacted with NO, and this chemical reaction between O2 and NO could reduce the formation of nitrite/nitrites. As expected, UNOXV was decreased significantly during NLA infusion in these enalaprilat-treated dogs compared with values observed during enalaprilat infusion alone. UISOV level was also higher during NLA infusion compared with values with enalaprilat alone, further supporting our earlier observation (21) that O2 levels in the kidney are enhanced during NOS inhibition. It has been observed that ACE inhibition decreases UISOV and increases UNOXV (Tables 1 and 2). These findings are expected, since ACE inhibition decreased endogenous formation of ANG II that could cause a decrease in endogenous formation of O2 radical that is reflected in UISOV. Reduced O2 formation thus leads to increases in endogenous NO bioavailability that have been reflected in increases in UNOXV.
Our study was not designed to define the source of O2 generation in the kidney during ANG II infusion. However, ANG II has been shown to stimulate O2 generation in the vascular smooth muscle (27) and mesangial cells (12). The key enzyme systems involved in the ANG II-induced production of O2 are considered to be NADH and NADPH oxidase enzymes (27). It has also been demonstrated that the thick ascending limbs of the loop of Henle are the major site for NADH oxidase enzyme, which could enhance production of O2 due to the action of ANG II (16). Thus it is possible that O2 generation via NAD(P)H oxidase enzyme activation is involved in mediating renal actions of acute ANG II infusion in the present study.
The findings in the present investigation indicate that ANG II caused an enhanced production of O2 that alters renal hemodynamics and enhances tubular retention of salt and water, which could be involved in the development of hypertension during chronic administration of a subpressor dose of ANG II (28). It was reported that chronic infusion of low doses of ANG II is accompanied by the stimulation of oxidative stress, as measured by a significant increase in plasma 8-isoprostane levels (9). Although oxidative stress has been proposed to play a role in the development of ANG II-dependent hypertension, the exact mechanism involved in this pathophysiology is not yet clearly defined. The findings in the present study emphasize that the elucidation of complete interactions between ANG II, O2, and NO is essential to further understand the renal mechanisms that are involved in the pathophysiology of ANG II-dependent hypertension.
In conclusion, the results of the present investigation demonstrate that the renal responses to ANG II are partly mediated by the generation of O2 and its interaction with NO. These findings further indicate that, in the condition of NO deficiency, O2 greatly influences ANG II-induced sodium reabsorptive function in the kidney.
| GRANTS |
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| ACKNOWLEDGMENTS |
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Present address for A. Nishiyama: Department of Pharmacology, Kagawa Medical University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan (E-mail: akira{at}kms.ac.jp).
| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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