(Hypertension. 1995;26:1011-1017.)
© 1995 American Heart Association, Inc.
Articles |
From the Institut für Physiologie I, Universität Regensburg (Germany).
Correspondence to Konrad Wolf, PhD, Institut für Physiologie I, Universität Regensburg, D-93040 Regensburg, FRG. E-mail konrad.wolf@alf1.ngate.uni-regensburg.de.
| Abstract |
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Key Words: hypertrophy renin-angiotensin system furosemide calcium antagonists
| Introduction |
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We found that stimulation of the renal RAS by unilateral renal artery clipping stimulates cardiac ANP gene expression preferentially in the left ventricle. This stimulation requires Ang II and is best correlated with changes of BP rather than with circulating Ang II. Our findings show that induction of ANP mRNA in the 2K1C rat model is paralleled by induction of myocardial hypertrophy.
| Methods |
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Amlodipine and Ramipril Treatments
Amlodipinebesilate (100 mg/kg, Norvasec, Pfizer GmbH) was
administered by gavage each morning for 4 days. Ramipril (7.5 mg/kg)
was administered by gavage each morning for 2 days.
Furosemide Treatment
Rats were kept in metabolic cages and fed standard
chow. Two bottles of drinking solution were equally accessible, one
containing tap water and the other a salt solution of 0.8% NaCl and
0.1% KCl. For the first 4 days of the experiment all rats were kept
under the same conditions. Osmotic pumps (2 ML1, Alzet) were then
implanted subcutaneously under the skin of the neck (day 0). In control
rats the pumps were filled with 0.9% NaCl and in
furosemide-treated rats with 2 mL Dimazon (Hoechst AG), equivalent
to 50 mg/mL furosemide. The pumps delivered 10 µL/h, yielding a daily
furosemide dose of 12 mg per rat. Furosemide treatment lasted 6 days.
To guarantee a constant drug effect during the experiment, the pumps
were primed in vitro for at least 4 hours before implantation.
Clipping Experiments
For clipping, rats were anesthetized with methohexital
(50 mg/kg), and the left kidney was exposed by an abdominal incision.
Sterile silver clips (Degussa) with an inner diameter of 0.2 mm were
placed on the left renal arteries. In sham-clipped rats the left
artery was only touched with a forceps. The combination of renal artery
clipping with amlodipine or ramipril treatment was performed by either
starting both treatment regimens simultaneously (ramipril)
or by pretreatment with the drugs for 2 days (amlodipine).
BP Measurement
During the time of the experiment systolic BP was
measured with a BP recorder (Rhema) twice daily, in the morning and
afternoon.
Organ Sampling
After 48 hours (clipped, ramipril-treated, and
sham-clipped rats), 96 hours (amlodipine-treated rats and
corresponding control rats), or 144 hours (furosemide-treated rats)
rats were killed by decapitation. Blood was collected from the carotid
arteries for determination of PRA. Total hearts were rapidly removed
and immediately frozen in liquid nitrogen until RNA extraction. For
selected experiments, hearts were removed, and right and left atria as
well as right and left ventricles were separated. The four different
parts of the separated hearts were weighed and frozen in liquid
nitrogen. In all other experiments, total hearts were used for mRNA
analysis.
RNA Extraction
Total RNA was extracted from frozen hearts stored at
-70°C according to the protocol of Chomczynski and
Sacchi.9 After homogenization in 10 mL
solution D (guanidine thiocyanate [4 mol/L] containing 0.5%
N-lauryl-sarcosinate, 10 mmol/L EDTA, 25 mmol/L sodium
citrate, and 700 mmol/L ß-mercaptoethanol), 1 mL of 2 mol/L
sodium acetate (pH 4), 10 mL phenol (water saturated), and 2 mL
chloroform were added sequentially to the homogenate. After
cooling on ice for 15 minutes samples were centrifuged at
10 000g for 15 minutes at 4°C. RNA in the supernatant was
precipitated with an equal volume of isopropanol at -20°C for
at least 1 hour. The resulting RNA pellets were resuspended in 0.5 mL
solution D and again precipitated with an equal volume of isopropanol
at -20°C. Pellets were finally dissolved in
diethylpyrocarbonate-treated water and stored at -80°C
until further processing.
RNase Protection Assay for ANP and Actin
ANP mRNA and cytoplasmic ß-actin mRNA were measured by an
RNase protection assay as described for erythropoietin.10
A partial cDNA clone of ANP was subcloned in the transcription vector
pAM18 (Amersham International). The ANP clone was a generous gift from
W.-G. Forssmann (Hannover, Germany). It contains a 145-bp-long,
PCR-derived sequence (bp 322 to 466) of rat preproANP
mRNA.11 After linearization with HindIII and in
vitro transcription with SP6 RNA polymerase, the resulting 190-bp cRNA
fragment was used for detection of ANP mRNA in the protection assay.
Performing an RNase protection assay with this cRNA produces a
145-bp-long protected fragment of the ANP gene transcript.
For the ß-actin protection assay the resulting PCR fragment
described below was cloned in the vector pSP64 (Promega-Serva).
Linearization with EcoRI and following in vitro
transcription with SP6 RNA polymerase produces a 306-bp-long RNA
transcript complementary to rat cytoplasmic ß-actin.
Hybridization conditions and autoradiography were
as described previously.10 Transcripts were continuously
labeled with [
-32P]GTP (400 Ci/mmol, Amersham) and
purified on a Sephadex G50 spin column. For hybridization, heart total
RNA was dissolved in a buffer containing 80% formamide, 40 mmol/L
piperazine-N,N'-bis(2-ethanesulfonic acid),
400 mmol/L NaCl, and 1 mmol/L EDTA (pH 8). RNA (5 µg for ANP, 1 µg
for ß-actin) was hybridized in a total volume of 50 µL at
60°C overnight with 8.3x103 Bq radiolabeled probe. RNase
digestion with RNase A and T1 was carried out at room
temperature for 30 minutes and terminated with proteinase K digestion
for 30 minutes at 37°C (0.1 mg/mL containing 0.4% sodium
dodecyl sulfate).
Protected mRNA fragments were purified by phenol/chloroform extraction, ethanol precipitation, and subsequent electrophoresis on a 10% denaturing polyacrylamide gel. After autoradiography of the dried gel at -80°C overnight, bands representing protected mRNA fragments were excised from the gel, and radioactivity was counted with a liquid scintillation counter (1500 Tri-carb, Packard Instruments). The number of counts per minute obtained from each sample was expressed relative to an external ANP mRNA standard included in each hybridization procedure. The external standard consisted of 5 µg pooled RNA extracted from six hearts of normal Sprague-Dawley rats. Fig 1 shows the results of an RNase protection assay for ANP mRNA with the use of equal amounts of total RNA of the six control rats used for generating a pool of RNA.
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RT-PCR for
-Myosin, ß-Myosin, and ß-Actin
The abundance of rat cytoplasmic ß-actin,
-myosin heavy
chain, and ß-myosin heavy chain in total mRNA from isolated
hearts was determined by PCR. Primers for actin were act1
(5'-GGAATTCCCAACTGGGACGACATGG-3'), binding at bp 227 to 245, and act2
(5'-CGGGATCCTGGCGTGAGGGAGAGCAT-3'), binding at bp 514 to 532 of the
ß-actin mRNA.12 The resulting fragment was 306 bp
long. To avoid coamplification of genomic DNA, the sequence amplified
by the primers contained an intron.
Primer myo1 (5'-CGGGATCCACACCAACCTGTCCAAGT-3'), the
binding site of which is located in the coding region near the stop
codon, is identical for
-myosin (binding at bp 5697 to
5714)13 and ß-myosin (binding at bp 5667 to
5684).14 The downstream primers myo2 for ß-myosin
(5'-GGAATTCACAGGCATCCTTAGGGTT-3', binding at bp 5821 to
5843)14 and myo4 for
-myosin
(5'-GGAATTCACAGGTTATTCCTCATCG-3', binding at bp 5830 to
5847)13 are located immediately behind the stop codon and
are specific for the corresponding isoform. The combination of myo1 and
myo4 thus produces a 150-bp fragment of
-myosin, whereas myo1
combined with myo2 yields a 176-bp fragment of ß-myosin. To
facilitate cloning, all primers were constructed with EcoRI
sites at their 3' ends and with BamHI sites at their 5'
ends. For PCR reaction 1 µg total RNA of control or clipped rats was
reverse-transcribed with 200 U of M-MLV reverse transcriptase
(Gibco/BRL) with the use of standard protocols. To allow the
quantification of actin and the two myosin isoforms from one cDNA
sample, oligo(dT) (12-18) was used for priming the reverse
transcriptase reaction (500 ng per reaction). From a total reaction
volume of 20 µL, a 1:200 dilution was made, and 3 µL of 20 µL was
used for PCR. Measurement of one cDNA for actin and the two isoforms of
myosin PCR was as follows. To three cups with 3 µL of diluted reverse
transcriptase reaction were added 1 µL of each primer (10 pmol/µL),
2 µL dNTP (2.5 mmol/L), 2 µL 10x concentrated buffer (supplied
with enzyme), 1 U Taq polymerase (Boehringer), and 1
µCi [3H]dCTP (64 Ci/mmol). The reaction was performed
in a final volume of 20 µL. PCR conditions were 26 cycles consisting
of denaturation at 94°C (30 seconds), annealing at 55°C (1 minute),
and extension at 72°C (30 seconds). PCR was completed by a final
extension step of 10 minutes at 72°C.
After PCR the amplification products originating from actin or
myosin mRNA were separated by polyacrylamide gel
electrophoresis.
N,N'-Methylene-bis-acrylamide was
replaced by dihydroxyethylene-bis-acrylamide to
allow dissolution of the bands. The bands were excised, solubilized in
0.025 mol/L periodic acid at 80°C for 2 hours, and counted in a
ß-counter. The radioactivity incorporated in the bands of
-
and ß-myosin was expressed as the relation of counts per minute
ß-myosin to counts per minute
-myosin measured in the same
cDNA sample.
Determination of PRA, Immunoreactive ANP, and Plasma
Aldosterone
PRA was determined with a commercially available
radioimmunoassay kit for Ang I (Sorin Biomedica). Immunoreactive ANP
was determined with a radioimmunoassay kit directed against rat
-ANF
(Paesel and Lorei). Plasma aldosterone was measured with a
radioimmunoassay (ALDOCTK-2, Sorin Biomedica).
Statistics
ANOVA followed by Student's unpaired t test was used
for interindividual comparisons. A value of P<.05 was
considered significant.
| Results |
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The endogenous RAS was stimulated with three different maneuvers: unilateral renal artery stenosis, treatment with the loop diuretic furosemide, and treatment with the calcium antagonist amlodipine. Clipping of left renal arteries with 0.2-mm clips for 2 days increased PRA from 8 to 32 ng Ang I/h per milliliter; systolic BP increased by 29 mm Hg; and ANP mRNA increased fivefold in the ventricles compared with control rats (Fig 2). Both clipped and furosemide-treated rats showed a significant increase in PRA compared with control rats. Two days after clipping, ANP mRNA was obviously more abundant in atria and ventricles, the most prominent increase occurring in the left ventricle (Fig 3). For semiquantitation of the absolute amount of ANP mRNA present in the different regions of the hearts, the hybridization signal obtained with 1 µg total RNA, expressed as a percentage of the external standard, was multiplied by the yield of total RNA from the different heart regions. This calculation revealed 1.6- to 1.8-fold increases of ANP mRNA in the atria and right ventricle, respectively, and a 19-fold increase in the left ventricles 2 days after renal artery clipping (Fig 4).
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Rats infused with furosemide to stimulate the RAS had free access to food, salt, and water to compensate for the enormous salt and water loss induced by the loop diuretic. This maneuver prevented volume contraction, as indicated by the unchanged body weights (control: 197±4.9 g; furosemide: 190±22 g), hematocrit (control: 38.5±0.4%; furosemide: 39.2±1.5%), and plasma sodium concentration (control: 143±3 mmol/L; furosemide: 148±5 mmol/L). In these rats PRA was increased to 45 ng Ang I/h per milliliter, but neither BP nor cardiac ANP mRNA levels were changed (Fig 2).
A third means of stimulating the endogenous RAS was to treat rats with a calcium antagonist. Administration of the dihydropyridine derivative amlodipine (100 mg/kg per day) for 4 days increased PRA values to 42 ng Ang I/h per milliliter and decreased basal BP by 9 mm Hg. Amlodipine treatment lowered cardiac ANP mRNA levels significantly to 40% of control values. Because PRA was equally high in the 2K1C and amlodipine groups, this experiment shows a strong divergence between circulating Ang II and cardiac ANP mRNA levels (Fig 5.
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We performed further experiments to characterize the mechanism by which renal artery clipping led to the early enhancement of ANP gene expression. In particular, the roles of Ang II and BP were considered in this context. To investigate the possible involvement of Ang II in the enhancement of ANP gene expression after renal artery clipping, we examined the influence of the Ang Iconverting enzyme inhibitor ramipril (Fig 6). Effective inhibition of angiotensin-converting enzyme by ramipril was indicated by the strong compensatory increase of PRA from 8 to 70 ng Ang I/h per milliliter. In sham-clipped rats ramipril significantly decreased BP without changing cardiac ANP mRNA levels. In rats with renal artery clips ramipril attenuated the increase of BP and almost completely blocked the increase of ANP mRNA levels (Fig 6).
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To investigate the role of BP changes in the stimulation of ANP mRNA levels by renal artery clipping, we further examined the influence of the calcium antagonist amlodipine in rats with renal artery clips (Fig 5). In these rats amlodipine prevented an increase of BP upon renal artery clipping, whereas PRA values were unchanged compared with sham-clipped, amlodipine-treated rats (Fig 5). Clipping increased cardiac ANP mRNA levels approximately threefold in amlodipine-treated rats compared with rats from the same treatment group (Fig 5). These data indicate that a combined influence of BP and Ang II is necessary for stimulation of ANP mRNA expression.
Since expression of the ANP gene in the ventricles is a marker for
ventricular hypertrophy,15 16 we
considered the possibility that induction of left
ventricular hypertrophy by unilateral renal
artery clipping leads to the enhancement of ANP gene expression. We
therefore compared heart weights of sham-clipped and unilaterally
clipped rats and found they did not differ (sham: 0.79±0.02 g;
clipped: 0.78±0.05 g). An early marker for ventricular
hypertrophy is changes in
- and ß-myosin gene
expression, such that ß-myosin gene expression is upregulated and
that for
-myosin is downregulated already in the early phase of
ventricular hypertrophy.17 18 We
therefore determined the ratio of ß-myosin mRNA to
-myosin
mRNA by RT-PCR in the hearts of clipped and sham-clipped rats (Fig 7). As shown in Fig 8, there was a
fourfold increase of the ratio in rats with left renal artery clips.
Ramipril treatment prevented the changes of
- and ß-myosin
gene expression. As shown in Fig 5 for ANP mRNA expression, amlodipine
treatment similarly attenuated but did not totally block the shift in
the expression of the myosin isoforms in the clipped rats (Fig 8).
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For comparison we also analyzed the abundance of ß-actin mRNA, which is considered to be a "housekeeping gene." As shown in Figs 9 and 10 the abundance of ß-actin mRNA in the hearts did not differ between treatment groups.
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To establish whether changes in ANP mRNA correlate with circulating
peptide we performed a radioimmunoassay directed against the
biologically active, 28amino acid
-ANF of rat. The
Table shows that the mRNA values do indeed reflect
plasma ANP level. Clipped rats showed a 3.5-fold increase, and clipped
and amlodipine-treated rats showed a 2.1-fold increase of
immunoreactive ANP. As shown in Fig 5 the level of ANP mRNA was reduced
in 2K1C and amlodipine plus 2K1C rats. In contrast, circulating ANP was
increased in amlodipine plus 2K1C rats.
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To elucidate the role of aldosterone in this study we determined plasma aldosterone concentrations with a radioimmunoassay. In rat atrial myocytes aldosterone modestly increases ANP mRNA.19 The Table indicates that plasma aldosterone correlated with the mRNA of ANP and circulating ANP except in the amlodipine plus 2K1C rats. Amlodipine plus 2K1C treatment attenuated ANP mRNA expression compared with 2K1C rats, but plasma aldosterone was increased approximately twofold in amlodipine plus 2K1C rats. Under furosemide treatment aldosterone levels were low, probably because of hypokalemia, despite an increased PRA.20 Plasma aldosterone and plasma ANP showed good agreement between ANP mRNA on the one hand and plasma ANP and aldosterone on the other. An exception was the amlodipine plus 2K1C group, in which ANP mRNA was reduced but circulating ANP and aldosterone levels were increased.
| Discussion |
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The question thus arises by which pathway unilateral renal artery
clipping causes an early and potent stimulation of
ventricular ANP gene expression. Since the stimulation of
ANP gene expression during renal artery clipping was blunted by the
converting enzyme inhibitor ramipril (Fig 6), it appears
likely that Ang II plays an essential role in the stimulation of ANP
gene expression. Prolonged unilateral renal artery stenosis is
known to cause severe hypertension and cardiac
hypertrophy.23 Therefore, it appears likely
that the induction of hypertension is a major reason for the
enhancement of ANP gene expression. Our findings suggest that the
enhancement of ANP gene expression is associated with early induction
of ventricular hypertrophy, because we found
characteristic signs for ventricular
hypertrophy, such as relative changes in the expression of
the
- and ß-myosin genes, at a time when heart weights were
not different (Figs 7 and 8). The relative changes of
- and
ß-myosin gene expression seen in our experiments were smaller than
those reported for manifest ventricular
hypertrophy, indicating a very early stage of
ventricular hypertrophy 2 days after unilateral
renal artery clipping.
The transcellular pathways inducing ventricular hypertrophy are not well understood. There is both in vivo and in vitro evidence that Ang II plays an essential role in this process, leading to transcription of a special subset of genes in the myocardium.24 25 Our findings show that converting enzyme inhibition in fact prevents a change of myosin gene expression during renal artery stenosis and also prevents the enhancement of ANP gene expression (Fig 8). Since an increase of systemic renin activity by furosemide or amlodipine did not stimulate ANP gene expression, it would appear that both Ang II and BP are necessary for the stimulation of ANP gene expression during renal artery stenosis. Moreover, our findings suggest the existence of a local heart RAS that appears to act independently of the systemic RAS. Plasma ANP determinations showed that changes in ANP mRNA are paralleled by changes in circulating ANP. An activated RAS results in high aldosterone levels. However, in our study plasma aldosterone was not strongly correlated with ANP expression. ANP levels were reduced in amlodipine plus 2K1C rats, which in fact showed elevated plasma aldosterone levels. In furosemide-treated rats aldosterone values were low because of hypokalemia.20 It has been found in in vitro experiments that cardiomyocytes are capable of elaborating Ang II in response to mechanical stress. Ang II in the myocyte has been shown to induce the hypertrophic changes.5 Our results now show that circulating Ang II is not directly involved in the development of left ventricular hypertrophy. The trigger for an enhanced intracardial formation of Ang II may include the increase of BP and additional factors that need to be identified.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received June 6, 1995; first decision July 11, 1995; accepted August 18, 1995.
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