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Articles in PresS, published online ahead of print July 16, 2002
Am J Physiol Renal Physiol, 10.1152/ajprenal.00178.2002
Submitted on May 7, 2002
Accepted on July 10, 2002
1 Department of Physiology and Biophysics, University of Southern California Keck School of Medicine, Los Angeles, CA, USA
2 Department of Medical Physiology, Division of Renal and Cardiovascular Research, The Panum Institute, University of Copenhagen, Copenhagen, Denmark
* To whom correspondence should be addressed. E-mail: mcdonoug{at}hsc.usc.edu.
Acute hypertension inhibits proximal tubule (PT) sodium reabsorption. The resultant increase in NaCl delivery to the macula densa suppresses renin release. We tested whether the sustained pressure-induced inhibition of PT sodium reabsorption requires renin-mediated decrease in angiotensin II (Ang II) levels. Plasma [Ang II] of anesthesized Sprague-Dawley rats was clamped by simultaneous infusion of the angiotensin-converting enzyme inhibitor captopril (12 µg/min) and Ang II (20 ng/kg.min). Blood pressure (BP) was increased 50 mmHg for 20 min by arterial constriction ± Ang II clamp, or sham operation. This acute hypertension increased urine output and endogenous Li+ clearance and these responses were blunted 40-50% in Ang II clamped rats. Acute hypertension provoked a rapid redistribution of NHE3 out of apical brush border membranes (21 ± 4% decrease of total NHE3 abundance) to endosomal/lysosomal membranes (16 ± 6% increase of total). In Ang II clamped rats, acute hypertension also provoked disappearance of NHE3 from the apical membranes (27 ± 2% decrease of total), but NHE3 was shifted to membranes enriched in intermicrovillar cleft and dense apical tubules (step 1) rather than endosomal/lysosomal membranes (step 2). This difference was independently confirmed by confocal analysis. In contrast, the pressure-induced redistribution of NaPi2 was not altered by Ang II clamp. We conclude that the responses to acute hypertension, including diuresis and redistribution of proximal tubule NHE3 into intracellular membranes, require a responsive renin-angiotensin system and that the responses may be induced by the sustained increase in NaCl delivery to the macula densa during acute hypertension.
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