(Hypertension. 1997;29:58.)
© 1997 American Heart Association, Inc.
Research Articles (Issue 1, Part 1) |
The Second Department of Internal Medicine (Y.H., H.H., M.K., A.T., E.S., D.N., K.K, A.G., M.O.) and Faculty of Pharmaceutical Sciences (K.K., T.N., M.H.), University of Tokyo (Japan).
Correspondence to Yasunobu Hirata, MD, The Second Department of Internal Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan. E-mail hirata-2im@h.u-tokyo.ac.jp
| Abstract |
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was not associated with the increase in NO release. OPC-21268, a V1 receptor antagonist, significantly reduced the vasopressin-evoked renal vasoconstriction and NO release, whereas OPC-31260, a V2 receptor antagonist, had no effects. Moreover, desmopressin, a selective V2 receptor agonist, did not increase the NO signal. NO release by vasopressin was markedly attenuated in deoxycorticosterone acetate (DOCA)salt hypertensive rat kidneys compared with control kidneys (10-10 mol/L vasopressin: +0.8±0.3 versus +6.9±1.4 fmol/min per gram kidney, DOCA versus control; P<.001). Histochemical analysis for renal NO synthase revealed a substantial attenuation of the staining of endothelial NO synthase in DOCA-salt rats. These results directly demonstrate that vasopressin stimulates NO release via the endothelial V1 receptor in the rat kidney.
Key Words: endothelium hormone antagonists desoxycorticosterone nitric oxide
| Introduction |
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| Methods |
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Isolated Perfused Rat Kidney
DOCA-salt and control rats were anesthetized with pentobarbital (30 mg/kg IP). Kidneys were isolated and perfused without ischemia as previously described.16 17 18 19 The right renal artery was punctured with an 18-gauge double lumen needle via the superior mesenteric artery. Perfusion was performed with a Krebs-Henseleit buffer, saturated with 95% O2/5% CO2, at a rate of 5 mL/min and 37°C. The perfusate contained 10-6 mol/L phenylephrine and 10-5 mol/L indomethacin. The renal vein was also cannulated with a silicone tube to drain the perfusate.
Measurements of NO Concentration in the Perfusate
The NO concentration in the perfusate was monitored continuously by the chemiluminescence method previously reported.16 17 18 19 Briefly, the venous effluent was drained at 2 mL/min with a double-head plunger pump and mixed with a chemiluminescence probe. The rest of the effluent overflowed through a three-way needle. The chemiluminescence probe, consisting of 18 µmol/L recrystallized luminol, 2 mmol/L H2O2, 2 mmol/L potassium carbonate, and 150 mmol/L desferrioxamine, was pumped at 0.5 mL/min. These solutions were passed through a reaction mixer before chemiluminescence detection. The renal perfusion pressure and chemiluminescence signal were monitored simultaneously with a polygraph recorder. The NO concentration in the perfusate was calibrated by use of an authentic NO solution of known concentration determined by the HbO2 method or a horseradish peroxidase solution that produced signals corresponding to the calibrated NO solution.
Study Protocol
After a 60-minute perfusion period for equilibration, we assayed for the effects of vehicle, AVP (Peptide Institute), and L-NMMA (Sigma Chemical Co) on RPP and NO chemiluminescence. Agents were administered by infusion pumps at a rate of 0.25 mL/min in this order: vehicle and 10-11, 10-10.5, 10-10, and 10-9.5 mol/L AVP at 10-minute intervals. Thereafter, 10-4 mol/L L-NMMA was added to 10-9.5 mol/L AVP. The effects of AVP on RPP and NO release were compared in 8 control and 14 DOCA-salttreated rats. When the effects of AVP in control rats were compared with those in DOCA-salt rat kidneys, baseline RPP in DOCA-salt rats was adjusted to about 100 (n=8) or 150 (n=6) mm Hg by changing the phenylephrine concentrations according to the difference in blood pressure between control and DOCA-salt rats before renal isolation. The effects of the receptor antagonists on RPP and NO release were also examined.
To evaluate the role of V1 receptors in the action of AVP, we assayed the changes in RPP and NO chemiluminescence in six control rats by pretreatment and posttreatment with the V1 antagonist OPC-21268 (Otsuka Pharmaceutical Co).22 Similarly, we used OPC-31260 (Otsuka),23 a V2 antagonist, to delineate the role of V2 receptors in altered RPP and NO release (n=6). As a control for AVP, we examined the effects of PGF2
, an endothelium-independent vasoactive substance, on RPP and NO release in control Wistar rats (n=5). To further define the responses to V2 receptor stimulation, we also studied the effects of DDAVP (Peptide Institute), a V2 agonist, on RPP and NO release.
Immunohistochemistry
NOS immunoreactivity was examined in renal tissues, as previously reported.24 In brief, the abdominal aorta of DOCA-salt and control rats was cannulated with rats under pentobarbital anesthesia, and the kidney was perfused and fixed with paraformaldehyde-lysine-periodate. The kidneys were sliced and the slices embedded in wax (polyethylene glycol 400 disterate, Polysciences Inc). Then, 3-µm wax sections were stained with primary antisera raised against endothelial NOS (EC-NOS), brain NOS (B-NOS), and macrophage-type inducible NOS (Transduction Laboratories) according to the avidin/biotin/horseradish peroxidase complex technique for light microscopic immunohistochemical observation. A section incubated with 1% bovine serum albumin served as the negative control. NADPH diaphorase activity was histochemically stained in the other kidney slices. Sections (50 µm thick) were incubated with 1 mmol/L reduced ß-NADPH, 0.2 mmol/L nitroblue tetrazolium, and 0.2% Triton X-100 for 45 minutes at 37°C and examined under a light microscope.
Statistical Analysis
Values are expressed as mean±SE. The effects of the test agents were analyzed by ANOVA for repeated measurements followed by Dunnett's test. Comparisons among groups were assessed by one-way ANOVA. A level of P<.05 was considered to be statistically significant.
| Results |
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As shown in Fig 1, AVP elevated RPP in a dose-dependent manner in control and DOCA-salt rats. AVP did not significantly change RPP at any concentration between 10-12 and 10-8 mol/L in this preparation. The data for control rats indicate that renal vasoconstriction is associated with a parallel increase in NO concentration in the perfusate. Addition of L-NMMA further increased RPP. L-NMMA at 10-4 mol/L suppressed NO release in almost all the kidneys to zero. Consequently, the degree of the decrease in NO release by L-NMMA was similar among the three rat groups (control, -85±15%; DOCA-salt, -90±13%; and DOCA-salt at high RPP, -92±9%; P=NS among the groups).
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To investigate which receptor subtype of AVP, V1 or V2, is responsible for NO release, we examined the effects of AVP receptor antagonists on AVP-evoked vasoconstriction and NO release. OPC-21268 or OPC-31260 given alone had no effect on RPP and NO release. Fig 2A shows that pretreatment with OPC-21268, a selective V1 antagonist, significantly suppressed both the AVP-induced vasoconstriction and NO release. Pretreatment with OPC-31260, the selective V2 antagonist, did not influence the RPP or NO signal changes caused by AVP (Fig 2B). When OPC-31260 was added to 10-10 mol/L AVP, neither RPP nor NO release changed. OPC-21268 again suppressed the AVP-induced increases in both RPP and NO release even when added after AVP administration (Fig 2C). Fig 3 illustrates the effects of AVP on RPP and NO release and the effects of AVP antagonists in normotensive control rats. The V1 antagonist (OPC-21268) but not the V2 antagonist (OPC-31260) significantly inhibited the effects of AVP on both RPP and NO release. The effects of AVP and V1 antagonists on RPP paralleled those on NO release. To delineate the nonspecific effect of the increase in RPP on NO signals, we examined the effects of PGF2
, another vasoconstrictor. PGF2
caused a similar dose-dependent increase in RPP but did not increase NO release (Fig 4).
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We then studied the effects of DDAVP, a V2 agonist, on the renal vasculature. DDAVP at concentrations of 10-8 and 10-7 mol/L did not change RPP or NO release. At 10-6 mol/L, DDAVP caused a slight elevation in RPP, and the increase in NO was negligible (Fig 5). Pretreatment with 10-7 mol/L OPC-31260 did not influence the DDAVP-induced increase of RPP. However, addition of 10-7 mol/L OPC-21268 diminished the vasoconstrictive effects of DDAVP.
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Fig 6 compares the effects of AVP on RPP and NO release in DOCA-salt and control rats. Blood pressure was significantly higher in DOCA-salt rats than in control rats (Table). The AVP-induced NO release was markedly attenuated in the DOCA-salt hypertensive rats compared with control rats despite the fact that increases in RPP by AVP were comparable in both groups. The elevation of baseline RPP of DOCA-salt rats from 100 to 150 mm Hg slightly reduced the AVP-induced increase of RPP and increased the AVP-induced release of NO; however, the effects of changes in baseline RPP were not significant. AVP-induced vasoconstriction and NO release in DOCA-salt rats were also suppressed by treatment with OPC-21268.
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To examine the origin of NO released in the perfusate, we evaluated NOS immunoreactivity using immunohistochemical examination. The antibody for EC-NOS stained the endothelium in the renal vasculature and that for B-NOS stained macula densa cells (Fig 7). The negative control incubated with 1% bovine serum albumin did not show any staining. The localizations of EC-NOS and B-NOS were consistent with previous reports.24 25 The intensity of immunoreactivity for both NOS isoforms was weaker in DOCA-salt rats. The localization and intensity of NADPH diaphorase activity were also consistent with the results of the immunohistochemical examination. However, the immunoreactivity of inducible NOS was not detected in control or DOCA-salt rats.
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| Discussion |
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elevated RPP to an extent similar to that of AVP, it did not increase NO release, suggesting that the effects of AVP are not a nonspecific phenomenon secondary to an increase in perfusion pressure. We demonstrated that this increase in NO release was mediated by the V1 receptor, as substantiated by the fact that only the V1 receptor antagonist (OPC-21268) blocked the enhancing effects of AVP on NO release. The lack of NO-releasing effects of the selective V2 agonist also supports this notion. AVP-induced vasodilation has been reported in animals and humans. In humans, Hirsch et al6 and Imaizumi et al7 showed that AVP at pharmacological doses caused vasodilation of vessels in the forearm. The AVP-evoked vasodilation was inhibited by a V2 receptor antagonist. Their subsequent work suggested that this vasodilator effect in the human forearm was due to NO because the NOS inhibitor L-NMMA abolished it.8 Similar vasodilator effects were observed with DDAVP, a specific V2 receptor agonist, in the rat aorta12 and dog systemic vasculature.10 However, the effects of DDAVP were not always inhibited by this V2 antagonist.12 Concerning the renal circulation, Naitoh et al9 showed that intrarenal infusion of AVP at physiological concentrations increased renal blood flow in conscious dogs. These authors also demonstrated the disappearance of AVP-induced vasodilation after treatment with a V2 receptor antagonist. Aki et al11 reported that intrarenal administration of AVP with a V1 receptor antagonist caused renal vasodilation in anesthetized dogs. The addition of a V2 receptor antagonist reduced the vasodilation. These authors also showed that an NOS inhibitor suppressed V2 receptormediated renal vasodilation.
On the other hand, the NO-releasing activity of AVP is also reportedly mediated by V1 receptor stimulation. Katusic et al3 4 showed that V1 receptor stimulation relaxed the dog brain stem artery. The relaxation was inhibited by L-NMMA, and arterial constriction was recovered by addition of L-arginine.4 In addition, AVP increased the production of cGMP, a second messenger of NO, in cultured porcine aortic endothelial cells through V1 receptor stimulation.15 Furthermore, Walker et al5 showed V1 receptormediated vasodilation in the isolated rat lung during hypoxia. Species differences and varying arterial character may contribute to these confounding reports.
NO release from vascular endothelial cells is primarily regulated by constitutive NOS. This regulation requires increases in intracellular Ca2+ concentration.26 27 For V2 receptor stimulation, cAMP acts as the second messenger. Direct effects of cAMP on constitutive NOS have not been shown, although cAMP activates inducible NOS in cultured vascular smooth muscle cells.28 There is no evidence for the presence of V2 receptors on the vessels.29 V2 receptor mRNA could not be detected in the renal vessels despite polymerase chain reaction amplification.30 Stimulation of V1 receptors increases the intracellular Ca2+ mobilization caused by phospholipase C hydrolysis.1 2 In fact, AVP increases intracellular Ca2+ in cultured endothelial cells31 as well as in vascular smooth muscle cells.32 Collectively, these findings strongly suggest that AVP releases NO via V1 receptors.
In the present study, AVP-induced NO release was always associated with renal vasoconstriction. The V1 antagonist suppressed not only NO release but also renal vasoconstriction. The V2 antagonist influenced neither AVP-induced NO release nor vasoconstriction. Furthermore, DDAVP did not induce NO release, and the renal vascular tone did not change. These results suggested that AVP-induced NO release may have been due to mechanical stress, ie, increases in vascular tone, rather than receptor-mediated mechanisms. To investigate this possibility, we examined the effect of PGF2
, a potent vasoconstrictor, independent of
1 or V1 receptors. As the results showed, the increase in RPP induced by PGF2
was not accompanied by NO release, suggesting that AVP-induced NO release was not due to nonspecific effects of an elevated vascular tone.
We also examined whether differences in baseline perfusion pressure influence the renal response to AVP. A standard ex vivo perfusion pressure of 100 mm Hg is substantially low for kidneys of DOCA-salt hypertensive rats compared with their in vivo perfusion pressure. Such lower perfusion pressure may attenuate the renal responses of DOCA-salt rats to AVP. Therefore, we examined the effects of a perfusion pressure of 150 mm Hg, which was close to the mean arterial pressure of the hypertensive rats used here, on the response to AVP. We observed that at this perfusion pressure, the increase in NO release was slightly greater and that in RPP was less. However, the effects of changes in baseline RPP on NO release or vascular resistance were not statistically significant. These results suggested that the increase of the baseline perfusion pressure from 100 to 150 mm Hg did not influence the NO release in response to AVP. This may have been due to less shear stress because the perfusion flow rate was maintained constant in this study.
In this study, despite NO release, AVP did not produce renal vasodilation. The effects of V1 receptor stimulation on vascular smooth muscle cells most likely masked the endothelium-derived effects. Our previous data showed that acetylcholine produced a fivefold higher endothelium-derived release of NO than was seen here.17 18 The degree of AVP-evoked NO release may have been insufficient to reduce renal vascular resistance in rats. Similar phenomena were found when endothelin-1 was administered. We have reported that endothelin-1 does not decrease RPP despite a significant increase in NO release.19
AVP induced the release of a substantial amount of NO from the renal vasculature through stimulation of V1 receptors. However, no vasorelaxation was observed, regardless of the AVP dose administered to the kidney. Some previous in vivo studies showed that AVP actually dilated renal vessels. The reasons for such differences between the results of those previous studies and ours remain undetermined, although they may be partly explained by differences between in vivo and ex vivo experiments. In in vivo studies, renal vascular tone is mostly regulated by various neurohumoral mechanisms. AVP may interact with these mechanisms. In our ex vivo preparation, the effects of AVP could not have been influenced by any systemic or neural factors, suggesting that the direct effects of AVP on renal vascular tone are vasoconstrictive. Although AVP stimulated NO release, the effects of NO released by AVP did not seem to overcome the vasoconstrictive activity of AVP. However, in vivo, the renal vasculature is exposed to greater shear stress, a physiological regulator of NO release, than ex vivo because the kidney receives more blood flow with greater viscosity. Therefore, under some circumstances, the AVP-induced NO release in vivo may be augmented, resulting in renal vasodilation. Species-specific differences may also contribute to the controversy.
We also reported that endothelium-dependent vasodilation and NO release were markedly attenuated in DOCA-salt hypertensive rats.17 18 Therefore, attenuated responses of NO release from hypertensive rat kidneys to AVP suggest that AVP may release NO via stimulation of V1 receptors on the endothelium in rat kidneys. This is consistent with the results of histochemical analyses in the present study. In kidneys of DOCA-salt rats, the staining of EC-NOS was markedly attenuated. The immunoreactivity of B-NOS in the macula densa also decreased. However, the NO signal in the venous effluent began to increase immediately after AVP administration, suggesting that most of the signals in the perfusate may reflect the endothelium-derived NO. Despite attenuated release of NO, AVP-induced renal vasoconstriction was not augmented in DOCA-salt hypertensive rats. Since the plasma concentrations of AVP are elevated in animals with DOCA-salt hypertension,33 the lack of an augmented responsiveness to AVP may have been due to receptor downregulation in the vascular smooth muscle cells. Although both V1 and V2 receptors are involved in maintaining renal function, these data reveal that the V1 receptor is the principal player in AVP-mediated NO release.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received January 8, 1996;
first decision April 15, 1996; first decision July 23, 1996;
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