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Hypertension. 1999;33:524-529

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*Compound via MeSH
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*High Blood Pressure
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*PHENYLEPHRINE
*PRAZOSIN HYDROCHLORIDE
*SODIUM
*TRITIUM

(Hypertension. 1999;33:524-529.)
© 1999 American Heart Association, Inc.


Scientific Contributions

{alpha}1- and {alpha}2-Adrenoceptor Control of Sodium Transport Reverses in Developing Hypertension

Frank A. Gesek

From the Pharmacology Department, Dartmouth Medical School, Hanover, NH.

Correspondence to Dr Frank A. Gesek, Pharmacology Department, Dartmouth Medical School, 7650 Remsen, Room 611, Hanover, NH 03755. E-mail fg{at}dartmouth.edu

Abstract{alpha}-Adrenergic receptor (AR) activation enhances sodium retention in certain forms of hypertension. The objective of the present study was to understand the role of {alpha}-ARs in regulating sodium transport by distal tubules (DT). DT cells were isolated from kidneys of spontaneously hypertensive rats (SHR) and Wistar-Kyoto (WKY) rats at 6 weeks, when hypertension is developing, or at 12 weeks, when hypertension is established. The {alpha}1-AR agonist phenylephrine increased 22Na uptake by 50% into DT cells of 6-week SHR; no effect was observed with WKY cells. The {alpha}2-AR agonist B-HT 933 increased uptake by only 10%. At 12 weeks, the pattern of {alpha}-AR regulation was reversed: {alpha}1-AR–induced sodium uptake was only 15%, whereas {alpha}2-AR activation increased sodium uptake by 35% in SHR and WKY cells. {alpha}1-AR–induced sodium uptake in 6-week SHR cells was abolished by prazosin; {alpha}2-AR–stimulated sodium uptake was blocked by yohimbine in 12-week SHR and WKY. Competitive binding studies were performed with [3H]prazosin and {alpha}1A-, {alpha}1B-, and {alpha}1D-selective antagonists with DT cell membranes from 6- and 12-week SHR and WKY. {alpha}2-AR subtypes were determined with [3H]rauwolscine and {alpha}2A- and {alpha}2B-selective antagonists. Expression of {alpha}1B-ARs was increased 4-fold in DT cells during the developing phase of hypertension in SHR. No change was detected in {alpha}2-AR expression. DT cells transiently increase [Ca2+]i in response to {alpha}1-AR agonists from 6-week but not 12-week SHR. Conversely, {alpha}2-AR agonists increase [Ca2+]i at 12 weeks. In summary, during developing hypertension, {alpha}1-ARs increase sodium uptake and [Ca2+]i in SHR cells. Expression of {alpha}1B-ARs is selectively upregulated during developing hypertension. In established hypertension (and normotension), {alpha}2-ARs regulate sodium transport and [Ca2+]i in DT cells. We conclude that a molecular switch of {alpha}1-AR and {alpha}2-AR signaling occurs in DT cells during the development of hypertension.


Key Words: receptors, adrenergic • blood pressure • catecholamines • epinephrine • hypertension • calcium • norepinephrine




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