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Am J Physiol Renal Physiol 296: F127-F134, 2009. First published October 29, 2008; doi:10.1152/ajprenal.90479.2008
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Angiotensin II regulates V2 receptor and pAQP2 during ureteral obstruction

Anja M. Jensen,1,2 Eun Hui Bae,4 Robert A. Fenton,1,3 Rikke Nørregaard,1,2 Søren Nielsen,1,3 Soo Wan Kim,4 and Jørgen Frøkiær1,2

1The Water and Salt Research Center, 2Institute of Clinical Medicine, and 3Institute of Anatomy, University of Aarhus, Aarhus, Denmark; and 4Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea

Submitted 5 August 2008 ; accepted in final form 24 October 2008

Release of bilateral ureteral obstruction (BUO) is associated with nephrogenic diabetes insipidus (NDI) and a reduced abundance of the vasopressin-regulated aquaporins. To evaluate the role of the vasopressin type 2 receptor (V2R), we determined V2R abundance in kidneys from rats subjected to 24-h BUO or 24-h unilateral ureteral obstruction (UUO) followed by 48-h release. Because angiotensin II type 1 (AT1) receptor blockade attenuates postobstructive polyuria and aquaporin-2 (AQP2) downregulation, we examined the effect of AT1 receptor blockade on AQP2 phosphorylated at serine 256 (pS256-AQP2) and V2 receptor complex abundance in kidney inner medulla (IM). Furthermore, cAMP generation in sodium fluoride- and forskolin-stimulated inner medullary membrane fractions was studied after release of BUO. V2R was significantly reduced to 12% of sham levels in IM and to 52% of sham levels in cortex and outer stripe of outer medulla (OSOM) from BUO rats. In UUO rats, V2R abundance in the obstructed kidney IM decreased to 35% of sham levels, whereas it was comparable to sham levels in the nonobstructed kidney IM. No significant change was observed in cortex and OSOM. AT1 receptor blockade attenuated V2R, pS256-AQP2, and Gs{alpha} protein downregulation in IM and partially reversed the obstruction-induced inhibition of sodium fluoride- and forskolin-stimulated cAMP generation in inner medullary membrane fractions from BUO rats. In conclusion, V2R downregulation plays a pivotal role in development of NDI after release of BUO. In addition, we have shown that angiotensin II regulates the V2 receptor complex and pS256-AQP2 in postobstructive kidney IM, probably by stimulating cAMP generation.

angiotensin II type 1 receptor blockade; nephrogenic diabetes insipidus; vasopressin receptor type 2; phosphorylated aquaporin-2



Address for reprint requests and other correspondence: J. Frøkiær, The Water and Salt Research Center, Institute of Clinical Medicine, Univ. of Aarhus, Dept. of Clinical Physiology and Nuclear Medicine, Aarhus Univ. Hospital-Skejby, Brendstrupgaardsvej, DK-8200 Aarhus N, Denmark (e-mail: jf{at}ki.au.dk)







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