(Hypertension. 1996;27:281-286.)
© 1996 American Heart Association, Inc.
Articles |
Presented in part at the Society for Pediatric Research meeting, May 5, 1994, and published in abstract form in Pediatr Res. 1994;35:363A.
From the Department of Pediatrics, Section of Pediatric Nephrology, Tulane University School of Medicine, New Orleans, La.
Correspondence to Samir S. El-Dahr, MD, Tulane University School of Medicine, Department of Pediatrics, SL-37, 1430 Tulane Ave, New Orleans, LA 70112.
| Abstract |
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Key Words: renin-angiotensin system enzymes kidney serine proteinases
| Introduction |
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We have recently demonstrated that renal ACE mRNA and enzymatic activity are low after birth and induced during the preweaning period in the rat.3 We also found a reciprocal relationship between Ang II and ACE levels in the maturing rat kidney.9 Since renin synthesis is elevated,2 the depressed ACE activity in the developing kidney raises the question of how the developing kidney can sustain the generation of high steady state levels of Ang II and suggests the presence of alternative pathways for angiotensin generation.
A number of studies have shown that several tissues, including heart, blood vessels, and adipocytes, can generate significant amounts of angiotensin peptides, independent of renin or ACE.10 11 12 13 In addition to renin, enzymes that release Ang I from angiotensinogen include reninlike aspartyl proteases such as cathepsin D and pepsin. Serine proteases of the kallikrein gene family (tissue kallikrein, tonin, SEV) can release Ang II directly from angiotensinogen, whereas chymotrypsin-like enzymes (chymase and cathepsin G) convert Ang I to Ang II independent of ACE.14 15 16 Accordingly, our aim was to determine whether enzymes in addition to renin and ACE are in part responsible for the formation of endogenous Ang II in the developing rat kidney.
| Methods |
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Measurement of Kidney Ang I and Ang II
Steady state kidney
Ang I and Ang II contents were measured by
an RIA with the use of rabbit antiAng I or II antiserum (Arnel) as
previously described.17 The kidneys of each individual
animal were homogenized in ice-cold 100% methanol
(10% wt/vol). The supernatant was dried overnight in a vacuum
centrifuge at 4°C, and the dried residue was redissolved in
ice-cold phosphate buffer (50 mmol/L, pH 7.4).
Angiotensin peptides were extracted by applying the
reconstituted supernatant to a phenyl-bonded solid phase extraction
(SPE) column (Bond-Elut, Analytichem); they were then washed
sequentially with water (3 mL), hexane (1.5 mL), and chloroform (1.5
mL), followed by elution of angiotensin peptides from the
SPE column with 1 mL 90% methanol in water (twice). The eluants were
collected and stored at -20°C. Before the RIA, the eluants were
evaporated to dryness under vacuum at 4°C and reconstituted in
phosphate buffer and processed for measurement of steady state Ang II
contents in day 1, 5, 15, 20, 40, and adult kidneys. Ang I contents
were also measured in day 1, 5, 20, and adult kidneys. The
reconstituted kidney extracts were incubated with antiserum and
125I-radiolabeled Ang I or Ang II for 48 hours at 4°C.
Bound and free angiotensin peptides were separated by
dextran-coated charcoal, and the supernatants were counted by a
computer-linked gamma counter for 5 minutes. Results are reported
in femtomoles per gram kidney weight. The sensitivity of the Ang I and
Ang II assays was <5 fmol/g. The percent specific binding for Ang I
and Ang II was 25.6% and 27.5%, with nonspecific binding of 0.5% and
0.6%, respectively.
In Vitro Generation of Ang II From Newborn and Adult
Kidneys
Kidneys from 5-day-old and adult rats were
homogenized in ice-cold phosphate buffer (50 mmol/L, pH
7.4) containing renin and ACE inhibitors (10 mmol/L EDTA,
20 µmol/L pepstatin, 2.5 mmol/L 1,10-phenanthroline, 40 µmol/L
enalaprilat). A portion of the homogenate was used to
measure baseline Ang I and Ang II contents, while the remaining
homogenates were used for the in vitro generation of
angiotensin peptides from exogenous
angiotensinogen. Homogenates were incubated
with human angiotensinogen (Calbiochem, 100 nmol/L) at
37°C for 30 minutes since rat renin possesses very weak activity on
human angiotensinogen.18
To further ensure that the Ang II formed from exogenous human angiotensinogen in this assay was not the result of endogenous rat renin or ACE, we performed the following experiments. (1) We measured the amount of Ang I generated in the presence and absence of renin and ACE inhibitors from newborn and adult kidney homogenates incubated with angiotensinogen for 30 minutes at 37°C. If rat renin contributes to the generation of Ang I in this assay, the amounts of Ang I generated at the end of incubation should be much higher in the samples that did not contain the inhibitor mixture. On the other hand, a lack of a significant difference in Ang I levels in the presence and absence of the inhibitors would indicate that the contribution of endogenous rat renin to Ang I generation from human angiotensinogen under the conditions of this assay is negligible. (2) We measured ACE activity in the presence of renin/ACE inhibitors after incubation with angiotensinogen. (3) We measured the amount of Ang II generated after incubation with human angiotensinogen in the presence and absence of renin and ACE inhibitor mixture. Again, a lack of a difference between the two values would suggest a nonsignificant role for endogenous ACE in the generation of Ang II. (4) To further document inhibition of ACE, we measured Ang II levels after adding exogenous Ang I (100 nmol/L) to the incubation in the presence of the renin/ACE inhibitor mixture. (5) Finally, to evaluate the purity of the human angiotensinogen substrate for a lack of contaminating angiotensin-generating enzymes, we measured the amount of Ang II generated after incubating 100 nmol/L of human angiotensinogen in phosphate buffer alone for 30 minutes at 37°C in the presence or absence of the renin/ACE inhibitors.
To assess the role of serine proteases in Ang II generation, kidney homogenates from 5-day-old and adult rats were incubated with human angiotensinogen (and renin/ACE inhibitors) in the presence of SBTI (10 µmol/L) or PMSF (3 mmol/L). All incubations were performed at pH 7.4 to inhibit the lysosomal cysteine proteases cathepsins B, H, and L, which are active only in an acid pH. After 30 minutes, the reaction was stopped by placing the tubes on ice, followed by solid-phase extraction in 90% methanol and Ang II measurement by RIA as described above.
The differences in the amounts of Ang II between the samples not incubated with angiotensinogen and those incubated with angiotensinogen were taken as an estimate of Ang IIreleasing activity of intrarenal enzymes.
RNA Hybridization Analysis of RAS Gene
Expression
Total kidney RNA was extracted according to Chomczynski and
Sacchi.19 RNA was measured spectrophotometrically at 260
nm. The A260/280 ratios were
1.9. RNA samples (30 µg)
were resolved by gel electrophoresis in 1% agarose containing 2.2
mol/L formaldehyde. After vacuum blotting into a positively charged
nylon membrane (GeneScreen Plus, NEN) and UV cross-linking, the
integrity of RNA was assessed by visualization of 28S and 18S ribosomal
RNA by UV shadowing of the membrane at 254 nm. Slot blots for renin
were prepared by dissolving 1.25 to 5 µg of total RNA in 0.5 mL of
sterile 25 mmol/L sodium phosphate buffer (pH 7.2). RNA was then
applied onto the nylon membrane with the use of a Minifold II
Slot-Blotter (Schleicher & Schuell). The blots were allowed to dry at
room temperature.
The membranes were hybridized to rat
renin,20
angiotensinogen,21 and ACE22
cDNAs labeled with [32P]dCTP by random priming. Specific
activities of the probes were
1x109 cpm/µg DNA.
Prehybridization, hybridization, and posthybridization washes were
performed as previously described.23 After
autoradiography, signal intensity was measured by
densitometry (Ultrascan LKB). To correct for differences in RNA
loading, the blots were stripped of the cDNAs and rehybridized to a
32P-labeled GAPDH cDNA. All densitometric readings were
factored for those of GAPDH.
Data Analysis
After autoradiography, the intensity of each
signal on the slot blots was measured by optical density recorded
on an XL Laser densitometer (LKB). For each individual kidney sample,
three measurements of signal intensity at different dilutions of RNA
(1.25, 2.5, and 5 µg) were obtained. The dilutions to be
analyzed were chosen to ensure that comparisons were performed
on the linear portion of the dose-response curve. Comparisons among
the groups were performed by one-way ANOVA and Newman-Keuls or
Scheffé's post hoc tests or by Student's t test. A
value of P<.05 was considered statistically significant.
All data are reported as mean±SEM.
| Results |
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Developmental Changes in RAS Gene Expression
The postnatal
expression of angiotensinogen, renin,
and ACE genes in the kidney is shown in Fig 2
(n=4 to 5
animals per group). Angiotensinogen mRNA was barely
detectable on day 1 of postnatal life and underwent biphasic changes
thereafter: a peak was observed on day 5, followed by a marked
reduction on days 15 and 20 and a second peak in the adult (day 80). By
Northern analysis, renin mRNA levels were elevated on days 1
and 5 and decreased thereafter. Renin mRNA levels were 10-fold higher
in the newborn than adult kidneys, whereas ACE mRNA levels were low
after birth and increased postnatally, peaking on days 15 to 20 (Fig
2
). By slot blot analysis, expression of ACE mRNA increased
threefold from day 5 to day 15 of postnatal life (10±1.5 versus
33±6
densitometric units; P<.05), confirming our previous
results.3 The latter study also showed that ACE activity
was low on days 1 and 5 (0.1 to 0.2 nmol/mg protein per minute) and
increased fivefold by day 15 (1.0 nmol/mg protein per
minute).3 As we previously reported,3 GAPDH
expression did not change significantly during postnatal kidney
development (Fig 2
).
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A positive correlation was found
between kidney renin mRNA and Ang II
contents during postnatal kidney development (r=.93,
P<.001) (Fig 3
). No significant correlations
were observed between kidney ACE mRNA and Ang II contents.
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In Vitro Generation of Ang I and Ang II
To estimate the
renin/ACE-independent Ang IIforming activity, we
compared baseline kidney Ang II contents with in vitro generated Ang II
values after incubation in homogenates obtained from the
same animals with exogenous human angiotensinogen. Human
angiotensinogen was used as the exogenous substrate because
endogenous rat renin has very low activity on human
angiotensinogen.18 Accordingly, most of the
generated Ang II can be presumed to have resulted from cleavage of
human angiotensinogen by enzymes other than rat renin. The
kidneys were homogenized in a phosphate buffer to maintain
the enzymatic activity of all potential
angiotensin-forming pathways. Baseline Ang I levels in
phosphate bufferhomogenized kidneys were
significantly higher in the newborn than adult rats (31.5±3.9 versus
5.0±0.3 pmol/g, P<.001, n=4). Similarly, baseline
Ang II
levels were higher in the newborn kidney (1.5±0.1 versus
0.5±0.03
pmol/g, P<.001, n=4) (Table 1
).
|
To
demonstrate that endogenous rat renin has no significant
role in angiotensin peptide generation from the human
angiotensinogen substrate, newborn and adult kidney
homogenates were incubated for 30 minutes at 37°C with
human angiotensinogen (100 µmol/L) in the absence of the
renin/ACE inhibitor mixture (n=4 per group) (Table 1
).
At
the end of incubation without angiotensinogen, Ang I levels
increased 10-fold in the newborn and 7.5-fold in the adult. The
inclusion of angiotensinogen in the incubation mixture did
not result in any significant changes in the amount of Ang I generated
compared with incubation without angiotensinogen in either
newborns or adults. Furthermore, the increase in Ang I levels was not
affected by the addition of renin or ACE inhibitors. These
findings indicate that newborn and adult rat kidneys do not possess the
Ang Igenerating enzymes specific for human
angiotensinogen. In contrast, as shown in Table 1
, newborn
and adult kidneys are capable of generating Ang II from human
angiotensinogen. Ang II generation from human
angiotensinogen was not suppressed by the renin/ACE
inhibitors.
The efficacy of ACE blockade by the inhibitor cocktail in
the in vitro incubation system was evaluated. As shown in Table
2
, ACE activity in the homogenates,
determined from the hydrolysis of hippuryl-histidyl-leucine,
was inhibited by more than 80% in the newborn and by 50% in the adult
(n=4 per group) groups. Furthermore, the addition of exogenous Ang I to
the homogenates (in the presence of the
inhibitor mixture) did not result in any significant
increase in Ang II generation, indicating efficient blockade of ACE
activity (n=4 per group) (Table 2
).
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We evaluated whether the human angiotensinogen substrate contains any contaminating Ang IIgenerating activity. For this purpose, angiotensinogen (100 nmol/L) was incubated in phosphate buffer (pH 7.4) for 30 minutes at 37°C either alone or in the presence of the renin/ACE inhibitor cocktail and Ang II was assayed at the end of incubation (n=3). Only small amounts of Ang II were detected (without inhibitors, 87±16 fmol/mL; with inhibitors, 152±2 fmol/mL). Thus, the human angiotensinogen substrate did not contain any significant Ang IIgenerating activity.
Developmental Changes in Renal Ang IIForming
Activity
As shown in Fig 4
, incubation of kidney
homogenates with human angiotensinogen resulted
in a marked increase in Ang II levels compared with baseline values.
Coincubation with the serine protease inhibitors SBTI or
PMSF prevented the generation of Ang II in the newborn kidneys. In
contrast, Ang I levels did not change after incubation with human
angiotensinogen (9.4±2.8 versus 9.7±1.5 pmol/g), nor were
they affected by the serine protease inhibitors (9.3±2.7
pmol/g). These findings, together with those in Table 2
,
strongly
suggest that serine protease activity generates Ang II directly from
angiotensinogen. It must be pointed out here that the
marked increases in Ang II generation after incubation with
angiotensinogen and the inhibition by serine protease
inhibitors were observed in all experiments (n=4). However,
the relative increases in Ang II generation varied among the
experiments up to 10-fold.
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| Discussion |
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In the present study we tested the hypothesis that alternate pathways for Ang II formation are present in the rat kidney and are activated during early development. Although angiotensinogen is the only substrate for renin, angiotensinogen can be cleaved to Ang I by enzymes other than renin. These enzymes include cathepsin D, pepsin, and other aspartyl proteases and reninlike enzymes.10 11 Furthermore, ACE-independent conversion of Ang I to Ang II can be demonstrated in several tissues and species, including the rat hindlimb,24 hamster cheek pouch,25 dog and monkey pulmonary and mesenteric arterial strips,26 and human heart and detrusor muscle.27 28 29 ACE-independent Ang IIforming activity in dog blood vessels and human heart is blocked by inhibitors of serine proteases.30 31 32 On the contrary, Ang I to Ang II conversion in rat blood vessels is totally dependent on ACE.33 There is also growing evidence that Ang II can be released directly from angiotensinogen by enzymes that include tonin,14 15 16 34 related serine proteases, tissue kallikrein,14 16 35 SEV,14 36 37 38 and possibly other members of the kallikrein gene family.
Using this in vitro system, we found that the newborn and adult kidneys possess a significant Ang IIgenerating system that was not inhibited by inhibitors of aspartyl and metalloproteases. In contrast, the Ang IIforming activity was inhibited completely by SBTI and PMSF in the newborn but not in adult kidneys, indicating that the enzyme mediating Ang II formation in the newborn kidney is a serine protease. The nature of the nonrenin, non-ACE, Ang IIforming enzyme in the adult kidney remains to be elucidated. Unlike Ang II, Ang I levels did not change after incubation with angiotensinogen, suggesting that increased Ang II formation via this pathway originates directly from the substrate angiotensinogen.
To examine the role of enzymes other than renin or ACE in Ang II formation in the kidney, we measured the in vitro generation of Ang II from human angiotensinogen (a poor rat renin substrate) incubated with newborn and adult kidney homogenates. Additional evidence demonstrating that Ang II generation from human angiotensinogen incubated with rat kidney homogenates is renin and ACE independent include the following: (1) Ang I generation was not different in the presence or absence of human angiotensinogen in the incubation mixture, and it was not inhibited by aspartyl protease inhibitors; (2) ACE inhibitors significantly reduced ACE enzymatic activity and prevented the formation of Ang II from exogenous Ang I; and (3) human angiotensinogen substrate does not contain angiotensin-forming enzymes.
The present study was not designed to elucidate the identity of the Ang IIforming serine proteases in the developing kidney. However, candidate enzymes include tonin, SEV, and tissue kallikrein. Using in vitro translation of tissue polyA+-enriched RNA followed by immunoprecipitation with a tonin antibody and sodium dodecyl sulfatepolyacrylamide gel electrophoresis analysis, Woodley-Miller et al39 identified a toninlike immunoreactivity in the adult rat kidney, suggesting that tonin may be expressed in the kidney. There is also evidence that SEV and tissue kallikrein mRNAs are expressed in the newborn rat kidney,36 40 although the ontogenic changes in kallikrein (low in the fetus and newborn and increasing with development) do not fit the developmental pattern of Ang II generation in the newborn.
In summary, the present study demonstrates that Ang IIgenerating systems (both renin dependent and renin independent) are activated in the developing rat kidney. In addition to renin and ACE, the rat kidney possesses serine protease activity that appears to form Ang II directly from angiotensinogen and is induced during early development. This alternative pathway of Ang II formation may be important in mediating the activation of the RAS in conditions associated with low ACE activity such as during the early newborn period.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received March 8, 1995; first decision April 24, 1995; accepted November 4, 1995.
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J. Kontogiannis and K. D. Burns Role of AT1 angiotensin II receptors in renal ischemic injury Am J Physiol Renal Physiol, January 1, 1998; 274(1): F79 - F90. [Abstract] [Full Text] [PDF] |
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G. Guron, A. Nilsson, G. F. Dibona, B. Sundelin, N. Nitescu, and P. Friberg Renal adaptation to dietary sodium restriction and loading in rats treated neonatally with enalapril Am J Physiol Regulatory Integrative Comp Physiol, October 1, 1997; 273(4): R1421 - R1429. [Abstract] [Full Text] [PDF] |
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G. Guron, M. A. Adams, B. Sundelin, and P. Friberg Neonatal Angiotensin-Converting Enzyme Inhibition in the Rat Induces Persistent Abnormalities in Renal Function and Histology Hypertension, January 1, 1997; 29(1): 91 - 97. [Abstract] [Full Text] |
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K. F. Hilgers, V. Reddi, J. H. Krege, O. Smithies, and R. A. Gomez Aberrant Renal Vascular Morphology and Renin Expression in Mutant Mice Lacking Angiotensin-Converting Enzyme Hypertension, January 1, 1997; 29(1): 216 - 221. [Abstract] [Full Text] [PDF] |
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