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National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland
Submitted 11 August 2006 ; accepted in final form 1 September 2006
| ABSTRACT |
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PRC in ng ANG I·ml1·h1 caused by furosemide, isoproterenol, hydralazine, quinaprilate, or candesartan 4,699 ± 544, 3,534 ± 957, 2,522 ± 369, 9,453 ± 1,705, 66,455 ± 21,938 in 129J WT, and 201 ± 78, 869 ± 275, 140 ± 71, 902 ± 304, 2,660 ± 954 in 129J COX-2/). A low-NaCl diet and enalapril for 1 wk caused a 14-fold elevation of PRC in COX-2/ mice and was associated with a greatly increased PRC response to acute furosemide (
PRC 201 ± 78 before and 15,984 ± 2,397 after low Na/enalapril). As measured by radiotelemetry, blood pressure and heart rate responses to furosemide, hydralazine, isoproterenol, candesartan, or quinaprilate were not different between COX-2 genotypes. In conclusion, chronic absence of COX-2 reduces renin expression, release, and PRC and is associated with a reduced ability to alter PRC during acute stimulation regardless of the nature of the stimulus. COX-2 activity does not appear to be a mandatory and specific requirement for furosemide-stimulated renin secretion. furosemide; hydralazine; isoproterenol; quinaprilate; candesartan; genetic background; cyclooxygenase-2
The current experiments aimed at confirming the renin-suppressing effect of chronic COX-2 deficiency and exploring whether downregulation of renin expression and PRC may become a limiting factor for the secretory response to subsequent acute stimulation. Our results show that the previously described decrease of renin expression in COX-2-deficient mice is accompanied by a marked reduction in plasma renin and that an acute stimulation of renin release by furosemide, hydralazine, isoproterenol, an angiotensin-converting enzyme inhibitor, or an angiotensin receptor blocker all induce changes in PRC that are much smaller than those observed in wild-type (WT) animals. Thus these studies in COX-2-deficient mice cast some doubt on the notion that COX-2 inhibition interferes specifically with the macula densa pathway of renin secretion. Rather they seem to indicate that chronic COX-2 deficiency causes a reduction in the releasable renin pool and that this affects the acute release response in a nonspecific fashion.
| METHODS |
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RNA quantification.
PCR reactions (total volume of 10 µl) included cDNA, 900 nM primers, 250 nM probe, and 5 µl of TaqMan MasterMix (Applied Biosystems, Foster City, CA). Total RNA was extracted (RNeasy Mini kit, Qiagen) and treated with DNase I (Invitrogen) at room temperature for 15 min. Reverse transcription was performed using SuperScript II (SuperScript II first-strand synthesis system for RT-PCR, Invitrogen). Renin mRNA levels were assessed by real-time PCR using
-actin cDNA (primers and probe from Applied Biosystems) as an internal control. The following primers were used to amplify a 98-bp renin product: sense 5'-CACACTCAGCAGTACGGACTACGT (99529975), antisense 5'-CAGTGGGTGGTGGGATGTC (1061310595), probe CTACAGT ATCCCAACAGGA (997710559).
Blood collection and renin determination. Blood was taken from conscious mice by tail vein puncture and collected into a 75-µl hematocrit tube that contained 1 µl 125 mM EDTA in its tip. Red cells and plasma were separated by centrifugation and frozen until used for renin determination. With the use of a fivefold dilution of 2 µl of plasma, renin concentration was measured by radioimmunoassay (Gammacoat, DiaSorin, Stillwater, MN) as the generation of ANG I after addition of excess rat substrate with final plasma dilutions varying between 1:500 and 1:1,000. ANG I generation was determined for a 1-h incubation period at 37°C and expressed as an hourly average. In each assay, background ANG I formation was determined by incubating substrate without plasma for the same time and was subtracted from the plasma containing samples if necessary. In addition, background ANG I levels were determined in a plasma aliquot kept frozen without the addition of substrate until assaying. All plasma samples were stored at 20°C until assay.
Blood collections for PRC measurements were usually made between 10 and 12 AM. In 10 WT and 8 COX-2/ mice on 129 J background, we compared these morning values of PRC with measurements in blood taken at night between 11 PM and 1 AM. Mean PRC values (ng ANG I·ml1·h1) in WT were 2,182 ± 337 in the morning and 2,537 ± 410 at night (nonsignificant), and in COX-2/ 537 ± 132 in the morning and 499 ± 135 at night (nonsignificant). Thus it appears that there are no systematic differences in PRC between the inactive and active phases of the day.
JG cell cultures. The technique to isolate JG cells and to maintain them in primary culture has been described in detail recently (4). Medium was renewed 20 h after plating, and medium samples were taken 24 h later for determination of renin concentration as described above.
Blood pressure telemetry. Telemetric transmitters were magnetically activated >24 h before implantation. Mice were anesthetized with ketamine and xylazine (90 and 10 mg/kg, respectively), and the left carotid artery was isolated. The telemeter catheter was inserted into the left carotid artery and advanced to reach the aortic arch, and the telemeter body (model TA11PA-C20, Data Sciences International, St. Paul, MN) was placed in a subcutaneous pocket on the right flank (1, 2). One day after surgery, each animal was returned to its home cage with ad libitum food and water for the duration of the study. The telemeter signal was processed using a model RPC-1 receiver, a 20-channel data-exchange matrix, APR-1 ambient pressure monitor, and a Dataquest ART 2.3 acquisition system (Data Sciences International). The system was programmed to acquire data for 10 s every 2 min and to calculate 10-min averages of the mean, systolic, and diastolic blood pressure, pulse pressure, heart rate, and activity. The recording room was maintained at 2122°C with a 12:12-h light-dark cycle. The implanted telemeter was activated on the morning of day 10, and the mice were left undisturbed for at least 5 h while their blood pressure was recorded. Recordings continued while mice were treated with furosemide, isoproterenol, hydralazine, candesartan, or quinaprilate.
Study protocols.
All agents were given by intraperitoneal injection with blood collections made 60 min after the injection. Agents were given in the following doses: 40 mg/kg furosemide (Lasix, Hoechst); 1 mg/kg hydralazine (Sigma); 10 mg/kg isoproterenol; 50 µg/mouse quinaprilate; 50 µg candesartan/mouse. The low-salt diet was a commercial diet containing 0.03% NaCl, and it was given together with enalapril in the drinking water (150 mg/l) providing
10 mg·kg1·day1 of the drug.
Statistics. Data are expressed as means ± SE. Statistical comparisons were done by paired t-test for comparisons of PRC before and after an intervention in the same animals, and by unpaired t-test for comparisons between two groups of animals, for example of different genotypes. ANOVA with repeated measures was used for comparisons of more than two data sets. P values smaller than 0.05 were considered to indicate a significant difference.
| RESULTS |
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Renin mRNA levels in COX-2/ relative to WT averaged 12.9 ± 1.7% in mice with C57BL/6 background (n = 12 and 11 for WT and /, respectively) and 10.2 ± 3.5% in mice with 129J background (n = 4 and 5 for WT and /).
Effect of furosemide. Changes in PRC caused by the acute intraperitoneal administration of furosemide (40 mg/kg) are shown in Fig. 3A. As can be seen, furosemide caused significant increases of PRC in both WT mice and in COX-2/ mice on all genetic backgrounds examined in this study, but the absolute increase of PRC was much greater in WT than COX-2-deficient animals. Thus the mean increase of PRC shows a linear relation to mean basal PRC (Fig. 3B; r2 of individual data 0.37, slope P < 0.0001). As shown previously in other strains of mice, furosemide caused transient increases in arterial blood pressure in 129J mice that were similar in WT and COX-2-deficient animals (Fig. 4A) (16).
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20 mmHg and 50 beats/min (Fig. 4B).
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-adrenergic agonist isoproterenol (10 mg/kg) increased PRC significantly in WT mice as well as in COX-2-deficient mice on all genetic backgrounds (Fig. 6A). As with furosemide and hydralazine, the magnitude of the response to acute
-adrenergic stimulation was markedly smaller in COX-2-deficient than WT mice, and the isoproterenol-induced change in PRC correlated closely with basal PRC values (Fig. 6B; r2 of individual data 0.16, slope P = 0.004). The hemodynamic response to acute isoproterenol injections consisted of transient decreases of blood pressure and increases of heart rate, and these changes were comparable between COX-2/ and WT animals (Fig. 4C).
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2530 mmHg in both WT and COX-2/ mice (129J background) and a reflex acceleration of heart rates (Fig. 8B). Effect of low-salt diet and enalapril. To study the effect of prior upregulation of renin on the acute response to furosemide, mice were treated for 1 wk with a low-salt diet in combination with enalapril (10 mg·kg1·day1). As shown in Fig. 9, renal renin mRNA following treatment increased to 303.3 ± 62% of control in WT (P < 0.001; n = 7) and to 56.6 ± 10% in COX-2/ mice (P < 0.01; n = 6). Concomitantly (Fig. 10) PRC (ng ANG I·ml1·h1) increased from 1,585 ± 223 to 31,323 ± 5,570 in WT (n = 13; P < 0.001) and from 229 ± 85 to 3,314 ± 949 in COX-2/ mice (n = 11; P < 0.001; 129J background). The acute administration of furosemide (40 mg/kg ip) increased PRC to 72,741 ± 8,474 in WT (P = 0.002) and to 19,298 ± 2,920 in COX-2/ mice (P < 0.001). Thus, after low Na/enalapril treatment of COX-2-null mice, the increase of PRC caused by furosemide was greater than that found in intact control animals (Fig. 10). COX-2 appears to be an important determinant of basal renin expression, renin release, and PRC. However, when renin expression and PRC are normalized in the absence of COX-2, full responsiveness of PRC to acute furosemide administration is reestablished.
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| DISCUSSION |
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In the present experiments, we used genetically COX-2-deficient mice to ensure chronic, complete, and selective absence of COX-2 enzyme activity. The advantages of this approach must be weighed against the known renal abnormalities, most notably in the postnatal development of superficial glomeruli, that are a characteristic feature of genetic COX-2 deficiency (8, 18). To minimize the impact of these changes, we used mice between 8 and 12 wk where overall renal function is largely unaltered. Furthermore, we used three mouse strains that differ in their genetic background and have been shown to vary in their susceptibility to developing renal failure (24). Since the regulation of the renin-angiotensin system was qualitatively the same between these strains, we assume that effects secondary to glomerular damage had no major impact on the outcome of our study. Thus the marked reduction of renin expression and PRC in COX-2-deficient mice with different genetic backgrounds indicates that COX-2 plays a critical role in maintaining normal renin levels. These observations are in agreement with earlier measurements from our laboratory demonstrating markedly reduced levels of renal renin mRNA and of glomerular renin protein and enzyme activity (23). Furthermore, we demonstrated reduced PRC values in COX-2/ mice on two different genetic backgrounds, C57BL/6 and BALB/c (19). These previous and our present observations are somewhat at variance with another study in COX-2/ mice in which neither renal renin mRNA, renal renin activity, nor plasma renin activity were significantly reduced compared with WT animals (7). It is noteworthy that these studies were done in COX-2/ mice on a mixed genetic background since the present studies show that the reduction in PRC for unknown reasons is less pronounced in mixed background animals compared with COX-2/ mice on a C57BL/6 or 129J background. The COX-2 inhibitor SC-58125 has been found to reduce plasma renin activity and renal renin mRNA levels in low salt-fed and renal hypertensive mice (9). On the other hand, an up to 3-wk treatment with the COX-2 inhibitor rofecoxib did not alter renin mRNA or plasma renin activity in rats (14, 15). A striking difference between these and the present studies is the marked upregulation of COX-2 expression in the rofecoxib-treated rats (14). It is possible that the pharmacological approach may not abolish local PG production, either because of accessibility problems or because the upregulated COX-2 expression enhances enzyme capacity that, in part, compensates for reduced enzyme activity. From our observations in genetically COX-2-deficient mice and in JG cells isolated from these mice, we conclude that tonic COX-2 activity is required to maintain renin expression in juxtaglomerular cells at levels high enough to sustain normal rates of renin release and normal PRCs.
Acute administration of furosemide caused a significant increase of PRC in WT mice as shown previously (3, 16). Furosemide is thought to elicit its renin stimulatory action by elimination of a renin inhibitory pathway that is dependent on activation of NKCC2 in macula densa cells. Previous results have suggested that the generation of a prostaglandin is a downstream event that follows inhibition of NKCC2 by low NaCl or loop diuretics and that an acute increase of PG formation is required for macula densa-dependent stimulation of renin secretion (10, 21). In fact, a low luminal NaCl concentration has recently been shown to cause release of PGE2 from macula densa cells isolated from the kidneys of rabbits maintained on a low-NaCl intake (20). Our observation that the absolute magnitude of the increase in PRC following furosemide administration was markedly reduced in COX-2/ mice would appear to be in general agreement with the notion that COX-2-dependent PG formation is required for macula densa-mediated renin release. However, previous results from our laboratory have shown that COX-2 deficiency is also associated with a reduction of renin expression (23). Conceivably therefore, the reduced renin release following acute stimulation by furosemide in COX-2/ mice may be a reflection of a chronic reduction in the releasable pool of renin rather than an indication of a change in the signaling pathway activated by acute furosemide administration.
To further investigate this issue, we compared the effect of other acute stimuli of renin release on PRC in WT and COX-2/ animals. Hydralazine is a vasodilating agent that elicits renin secretion mostly by blood pressure reduction and subsequent unloading of the renal baroreceptor. Previous evidence indicated that the baroreceptor mechanism of renin release is not obligatorily dependent on an intact prostaglandin formation (22). Nevertheless, our current data show that the increase in PRC following acute hydralazine administration was significantly reduced in COX-2/ compared with WT mice. Application of isoproterenol was used as another means to acutely stimulate renin release. Renin stimulation by
-adrenergic activation has been shown to be independent of prostaglandin synthesis (13, 17). As with furosemide and hydralazine, however, the rise of PRC following isoproterenol was markedly diminished in COX-2-deficient mice. The stereotypic reduction of renin secretion in COX-2-deficient mice to stimuli which are unlikely to share a specific mechanistic PG dependency is most easily explainable by the commonality of a reduction in the amount of renin available for acute release. If this notion is in fact correct, one may expect other conditions of low renin expression to likewise lead to a reduced secretory response to acute stimulation. In fact, previous results from our laboratory showed that
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2-adrenergic receptor-deficient mice also have markedly reduced PRC values and that the PRC response to both furosemide and hydralazine was clearly reduced in these animals compared with WT controls (16).
Further emphasizing the importance of basal levels of renin for the magnitude of the acute secretory response are our observations with angiotensin receptor blockade and ACE inhibition. Acute administration of either the AT1 or the ACE inhibitor causes a drastic elevation of PRC in WT mice that most likely reflects stimulation of renin secretion. We cannot fully exclude the possibility that these agents may affect renin gene expression within the time span of these studies, but in general upregulation of renal renin content is relatively slow, taking place over periods of hours rather than minutes (5). Candesartan and quinaprilate also elevated PRC in COX-2/ mice, but as with the other acute stimuli the magnitude of the PRC change was substantially reduced. COX-2 deficiency may interfere in some specific way with the mechanism of action of AT1 or ACE inhibitors, but on the background of all of our data it seems more likely that this reduction is another documentation of the effect of a chronically downregulated renal renin content on the acute renin secretory responsiveness.
This notion is supported by the effect of an upregulation of PRC achieved by treating COX-2-deficient mice with enalapril and low-NaCl intake for 1 wk. As expected, this treatment augmented PRC of WT mice to supranormal levels, while it increased PRC values in COX-2/ mice to values that exceed basal WT levels while remaining well below those of enalapril-treated WT mice. These results are in agreement with previous studies showing a reduced effectiveness of chronic ACEI administration in upregulating renal renin expression in COX-2/ mice or in the chronic presence of a COX-2-specific inhibitor (6, 7). Upregulation of PRC in COX-2/ mice by low Na/enalapril treatment was associated with normalization of the PRC elevating effect of acute furosemide administration indicating that under these conditions activation of the macula densa pathway can stimulate renin release without COX-2. Thus we conclude that COX-2 deficiency reduces the magnitude of the PRC change following furosemide only when basal PRC levels are suppressed but not when they are upregulated before drug application. This finding suggests that COX-2 is not absolutely necessary for furosemide-stimulated renin secretion.
Previous studies in COX-2/ mice with a mixed genetic background have failed to show significant increases of renal renin mRNA expression, renal renin content, or plasma renin activity in response to chronic ACE inhibition with captopril (7). Other studies showed that the stimulation of renin by chronic captopril was blunted by the COX-2 inhibitor SC58236 (6). Taken together, these studies seemed to indicate that COX-2 is an important regulator of renin and that termination of ANG II-dependent suppression of COX-2 mediates the increased renin production in response to inhibition of ANG II production or action. However, in contrast to these studies the current results demonstrate that chronic ACEI in combination with low-Na intake markedly elevates PRC (from 229 to 3,314 ng ANG I·ml1·h1), an effect that in this genetic model of COX-2 deficiency cannot be mediated by interruption of ANG II feedback suppression of COX-2. We suspect rather that the chronic stimulatory effects of COX-2 and the inhibitory effects of ANG II are independent and additive determinants of renin synthesis and release. Thus, even in the complete absence of COX-2, removal of ANG II inhibition by ACEI is still capable of increasing renin, although not to the extent achievable with an intact COX-2 influence.
In summary, the markedly reduced levels of plasma renin and the reduction in renin gene expression in COX-2-deficient mice indicate that a functional COX-2 is critical for maintaining a normal size of the releasable renin pool. Decreased expression of renin in COX-2-deficient mice is associated with a marked reduction of the response of PRC to acute administration of furosemide, isoproterenol, hydralazine, quinaprilate, or candesartan suggesting that the level of renin expression is a nonspecific determinant of the magnitude of the acute release response. Upregulation of renin expression and normalization of PRC in COX-2-deficient mice by chronic low NaCl/enalapril pretreatment restored PRC responses to furosemide. Thus, under these experimental conditions, COX-2 does not appear to be required for furosemide to elicit an increase of renin release of normal magnitude.
| GRANTS |
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| 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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