(Hypertension. 1999;33:1436-1440.)
© 1999 American Heart Association, Inc.
Scientific Contribution |
From the Hypertension and Vascular Research Division, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, Mich 48202.
Correspondence to Oscar A. Carretero, MD, Hypertension and Vascular Research Division, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202. E-mail ocarret1{at}hfhs.org
AbstractUnder water
restriction, arginine vasopressin (AVP) is released and promotes water
reabsorption in the distal nephron, mainly through AVP
V2-receptors. It has been proposed that renal kinins
counteract the hydro-osmotic effect of AVP. We hypothesized that kinins
acting through B2 receptors antagonize the urinary
concentrating effect of AVP. To test this, bradykinin B2
receptor knockout mice (B2-KO) and 129/SvEv mice (controls)
were placed in metabolic cages and urine collected for 24
hours (water ad libitum). After that, urine was again collected from
the same mice during 24 hours of water restriction. Urinary volume
(UV), urinary osmolarity (UOsm), and urinary Na+
(UNaV) and K+ (UKV) excretion were
determined. On water restriction, UV in controls decreased by
25%,
whereas in B2-KO mice there was almost a 60% drop in
urinary output (P=0.001 versus controls). In the
controls, water restriction increased UOsm by 347 mOsm/kg
H2O,
14% above baseline (NS), whereas in knockout mice
the increase was 3 times that seen in the controls: >1000 mOsm/kg
H2O (P=0.001 versus controls). Compared with
normohydration, UNaV and UKV in the
water-restricted state increased more in controls than in
B2-KO mice. This difference in electrolyte excretion could
be explained by greater dehydration in the controls (dehydration
natriuresis). In a second protocol, we tried to mimic the effect of
endogenous AVP by exogenous administration of an AVP
V2-receptor agonist, desmopressin (DDAVP). To suppress
endogenous AVP levels before DDAVP administration, mice
were volume-overloaded with dextrose and alcohol. UOsm was 685±125 and
561±58 mOsm/kg H2O in water-loaded controls and
B2-KO mice, respectively. After DDAVP was injected
subcutaneously at a dose of 1 µg/kg, UOsm increased to 1175±86
mOsm/kg H2O (
+490 mOsm) in the controls
and 2347±518 mOsm/kg H2O (
+1786 mOsm) in
B2-KO mice (P<0.05 versus controls). We
concluded that water restriction or exogenous administration of an AVP
V2-receptor agonist has a greater urinary concentrating
effect in B2-KO mice than in controls, suggesting that
endogenous kinins acting through B2 receptors
oppose the antidiuretic effect of AVP in vivo.
Key Words: mice, knockout bradykinin argipressin desmopressin urine
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