(Hypertension. 1996;27:781-785.)
© 1996 American Heart Association, Inc.
Articles |
From the Department of Clinical Biology and Hormonal Regulation (S.A.) and the Second Department of Internal Medicine, Tohoku University School of Medicine, Sendai, Japan.
Correspondence to Shuji Arima, MD, Department of Clinical Biology and Hormonal Regulation, Tohoku University School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, 980-77, Japan.
Abstract Renal production of 20-hydroxyeicosatetraenoic acid (20-HETE), a cytochrome P-450dependent arachidonate metabolite, increases during development of hypertension in spontaneously hypertensive rats, and inhibition of its production prevents hypertension. Since 20-HETE is a potent vasoconstrictor, these findings suggest that 20-HETE may contribute to the development of hypertension by elevating renal vascular resistance. In this study we examined the direct action of 20-HETE on the afferent arteriole, a vascular segment crucial to the control of renal vascular resistance. Rabbit afferent arterioles were microperfused at 60 mm Hg in vitro, and 20-HETE was added to the lumen. Although 20-HETE (10-10 to 10-6 mol/L) had no effect on the diameter of nontreated afferent arterioles (n=6), it caused dose-dependent constriction when vascular tone was increased with norepinephrine (0.3 µmol/L); 20-HETE at 10-6 mol/L decreased diameter by 43±4% (n=6, P<.001). This constriction was abolished by disrupting the endothelium (n=5). Moreover, pretreatment with the cyclooxygenase inhibitor indomethacin (50 µmol/L) or the thromboxane/endoperoxide receptor antagonist SQ29548 (1 µmol/L) significantly (P<.03) attenuated 20-HETEinduced constriction: 20-HETE at 10-6 mol/L constricted norepinephrine-treated afferent arterioles by 28±3% (n=6) and 25±4% (n=5), respectively. These results demonstrate that an increase in afferent arteriolar tone is required for the vasoconstrictor action of 20-HETE, which is partly mediated by the endothelial cyclooxygenase pathway. Thus, increased production of 20-HETE in the kidney and increase in afferent arteriolar tone, both of which often precede the development of hypertension, may synergistically contribute to the development of hypertension by elevating renal vascular resistance.
Key Words: microcirculation cytochrome P-450 prostaglandin-endoperoxide synthase arachidonic acid endothelium
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