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Am J Physiol Renal Physiol 290: F854-F863, 2006. First published November 1, 2005; doi:10.1152/ajprenal.00353.2005
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Effects of ACE inhibition on proximal tubule sodium transport

Patrick K. K. Leong,1 Angela Devillez,2 Monica B. Sandberg,1 Li E. Yang,1 Daniel K. P. Yip,3 Jon B. Klein,2 and Alicia A. McDonough1

1Department of Physiology and Biophysics, University of Southern California Keck School of Medicine, Los Angeles, California; 2Core Proteomics Laboratory, Kidney Disease Program, Department of Medicine, University of Louisville, Louisville, Kentucky; and 3Department of Physiology and Biophysics, University of South Florida, Tampa, Florida

Submitted 29 August 2005 ; accepted in final form 26 October 2005

Angiotensin-converting enzyme (ACE) inhibitors such as captopril, which block ANG II formation, are commonly used for treatment of hypertension. There is substantial evidence that the proximal tubule (PT) is a primary target site for captopril but the molecular mechanisms for its action in PT are not well defined. The aim of this study was to determine the physiological and molecular changes in PT provoked by acute captopril treatment in the absence of changes in blood pressure or glomerular filtration rate (GFR). Captopril (infused at 12 µg/min for 20 min) did not change blood pressure or GFR but induced an immediate (<10 min) increase in PT flow measured with a nonobstructive optical method (to 117 ± 14% of baseline) along with a rapid diuresis from 2.1 ± 0.6 mg/min (baseline) to 3.7 ± 0.9 mg/min (captopril). Captopril also provoked a significant retraction of PT Na+/H+ exchanger isoform 3 (NHE3), NHE regulatory factor (NHERF)-1, myosin-VI, and Na+-Pi cotransporter type 2 (NaPi2), but not ACE, out of apical microvillus-enriched membranes. Proteomic analysis with MALDI-TOF MS revealed an additional eight abundant membrane-associated proteins that redistributed out of the microvillus-enriched membrane during captopril treatment: megalin, myosin II-A, clathrin, aminopeptidase N, DPPIV, ezrin, moesin, and vacuolar H+-ATPase subunit beta2. In summary, captopril can rapidly depress PT reabsorption in the absence of a change in GFR or BP and provokes the redistribution of a set of transporters and transporter-associated proteins that likely participate in the decrease in PT reabsorption and may also contribute to the blood pressure-lowering effect of ACE inhibitors.

sodium/hydrogen exchanger isoform 3; proximal tubular flow; proteomics; angiotensin II; hypertension



Address for reprint requests and other correspondence: A. A. McDonough, Dept. of Physiology and Biophysics, Univ. of Southern California Keck School of Medicine, 1333 San Pablo St., Los Angeles, CA 90089-9142




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