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Hypertension. 1997;30:177-183

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(Hypertension. 1997;30:177-183.)
© 1997 American Heart Association, Inc.


Articles

Role of Natriuretic Peptide Receptor Type C in Dahl Salt-Sensitive Hypertensive Rats

Miki Nagase; Katsuyuki Ando; Takeshi Katafuchi; Akira Kato; Shigehisa Hirose; ; Toshiro Fujita

From the Fourth Department of Internal Medicine, University of Tokyo School of Medicine (M.N., K.A., T.F.), and Department of Biological Sciences, Tokyo Institute of Technology, Yokohama, Japan (T.K., A.K., S.H.).

Correspondence to Toshiro Fujita, MD, Fourth Department of Internal Medicine, University of Tokyo School of Medicine, 3-28-6 Mejirodai, Bunkyo-ku, Tokyo 112, Japan. E-mail fujita-dis{at}h.u-tokyo.ac.jp


*    Abstract
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*Abstract
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Abstract The natriuretic peptide system is suggested to be involved in the pathogenesis of salt-sensitive hypertension; a recent report indicated that disruption of the atrial natriuretic peptide precursor gene caused salt-sensitive hypertension. However, natriuretic peptide receptor (NPR)-A knockout mice did not show enhanced salt sensitivity of blood pressure. The aim of the present study was to investigate the role of NPR-C, the other receptor for atrial natriuretic peptide, in increased salt sensitivity of blood pressure. Dahl salt-sensitive (DS) and salt-resistant (DR) rats were placed on a 0.3% or 8% NaCl diet for 4 weeks. Blood pressure was elevated by salt loading only in DS rats. RNase protection assay demonstrated that NPR-C transcript level in the kidney was reduced by chronic salt loading in both DR and DS rats, whereas expression of NPR-A and NPR-B was not altered. The reduction of NPR-C mRNA in response to salt loading was enhanced in DS compared with DR rats. In situ hybridization indicated that the salt-induced NPR-C change was attributed mainly to suppressed expression of NPR-C in the podocytes. NPR-C gene expression was regulated by salt loading in a tissue-specific manner; the marked decrease in NPR-C mRNA by salt loading was seen only in the kidney. These data suggest that the exaggerated salt-induced reduction of NPR-C in the kidney of DS rats may play an important role in the pathogenesis of salt hypertension in this animal, possibly related to impaired renal sodium excretion.


Key Words: sodium • rats, Dahl salt-sensitive • receptors, atrial natriuretic factor • gene expression • in situ hybridization


*    Introduction
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*Introduction
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The natriuretic peptide family in mammals consists of three related peptides, ANP, BNP, and C-type natriuretic peptide (CNP), and is implicated in the blood pressure regulation, fluid and electrolyte balance, and cardiovascular homeostasis.1 2 3 4 ANP and BNP are cardiac hormones secreted mainly from the atrium and ventricle, respectively, whereas CNP is presumed to be a neuropeptide or local factor acting in an autocrine or paracrine manner. Three subtypes of receptors for natriuretic peptides have been identified so far5 6 7 : NPR-A, with high affinity for ANP and BNP8 ; NPR-B, which is selective for CNP9 ; and NPR-C, with less stringent ligand specificity.10 NPR-A and NPR-B possess a particulate guanylyl cyclase domain and are thought to mediate the biological actions of the peptides through the intracellular accumulation of cGMP. The third member, NPR-C, lacks guanylyl cyclase activity and has been proposed to function as a "clearance" receptor to eliminate the ligands from the circulation.11 Recent reports, however, suggest that NPR-C also mediates some biological functions via other intracellular signaling pathways.12 13 14

The natriuretic peptide system has been suggested to be involved in the etiology of salt-sensitive hypertension because of its biological actions, such as potent natriuresis, diuresis, and vasorelaxation. The significance of this system was confirmed by a recent report demonstrating that the gene targeting of proANP, the precursor of ANP, caused salt-dependent hypertension.15 Another more recent study, however, reported that the gene disruption of its receptor, NPR-A, yielded an elevation of blood pressure, which unexpectedly remained unchanged in response to either low or high salt diet (ie, non–salt-sensitive hypertension).16 These results suggest the possibility that NPR-C, the other receptor for ANP, may play an important role in salt regulation. Indeed, our previous work using in vitro cultured vascular endothelial cells demonstrated that NPR-C, but not NPR-A, was very sensitive to changes in the salt concentrations of the culture medium.17

DS rats have been extensively used as an animal model for salt-sensitive hypertension. Renal cross-transplantation studies between the DS rat and its control DR rat indicated that hypertension follows the kidney, suggesting that the abnormality responsible for salt-sensitive hypertension may be located in the kidney.18 In the present study, therefore, we performed an in vivo chronic salt-loading study in DS and DR rats and investigated the effect of salt loading on the gene expression of NPR subtypes in the kidney. We show that the modulation of NPR-C gene expression by salt loading is enhanced in the kidney of DS rats, which may be related to the impaired ability of renal sodium excretion and salt-induced hypertension in this animal model.


*    Methods
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*Methods
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Animals
Four-week-old male DS and age-matched DR rats (both n=28) were purchased from Shizuoka Laboratory Animal Center (SLC) (Shizuoka, Japan). The rats were housed in a room maintained at a constant humidity (60±5%), temperature (23±1°C), and light cycle (6 AM to 6 PM). The rats were fed either a 0.3% or 8% NaCl diet (n=12 for each group). Food and tap water were available ad libitum throughout the study. After 4 weeks of salt loading, the rats were analyzed as below. Body weight was measured on the experimental day.

Tissue and RNA Preparation
The rats (n=7 for each group; DR 0.3%, DR 8%, DS 0.3%, DS 8%) were euthanized by decapitation. Organs were quickly excised, immediately snap-frozen in liquid nitrogen, and stored at -80°C until use.

Tissues were homogenized, and total RNA was extracted by the acid guanidinium thiocyanate/phenol/chloroform method.19 Ten micrograms of total RNA was fractionated by electrophoresis on a formaldehyde-degenerated 1% agarose gel, stained with ethidium bromide, and photographed under ultraviolet light. The fluorescence of 28S and 18S rRNA bands was compared to verify the quality and quantity of the isolated RNA from each tissue.

Preparation of cDNA Probes
The cDNA probes for rat ANP (bases 216-443),20 BNP (bases 10-477),21 NPR-A (bases 1067-1389),8 and NPR-B (bases 648-889)22 were cloned by reverse transcription–polymerase chain reaction (RT-PCR), as described previously. Poly(A)+ RNA was isolated from rat atrium (for ANP), ventricle (for BNP), and vascular smooth muscle cells (for NPR-A and NPR-B) using an mRNA purification kit (Pharmacia). One microgram of poly(A)+ RNA was reverse-transcribed to cDNA with Moloney murine leukemia virus reverse transcriptase (Bethesda Research Laboratories) and oligo(dT)17 primer. Each cDNA (1/20 of total) was subjected to PCR with Takara Taq DNA polymerase and the following primers: The sense and antisense primers, respectively, for ANP were 5'-ACTTAGCTCCCTCTCTGAGGT-3' and 5'-AAGCTGTTGCAGCCTAGTCC-3'; for BNP were 5'-GAGAGAGCAGGACACCAT-3' and 5'-AAAGAAGAGCCGCAGGCA-3'; for NPR-A were 5'-GGGCCTTGTTCCCCAGAAAC-3' and 5'-CACCTTGGAAGCTTCGGTTCC-3'; and for NPR-B were 5'-GGGCAGCAACCTCAGTGTGCA-3' and 5'-GCCGGCCTGTCGCACGTGTG-3'. PCR was carried out for 30 cycles by repeating 94°C for 1 minute (denaturation), 55°C for 1 minute (annealing), and 72°C for 2 minutes (extension). Rat NPR-C cDNA (bases 1059-1231)23 was cloned by screening a rat cerebrum cDNA library using bovine NPR-C cDNA fragment as a probe. The obtained cDNA fragments were subcloned into pBluescript II SK- and sequenced by the dideoxynucleotide chain termination method using a Sequenase version 2.0 7-deaza-dGTP kit (United States Biochemical) to confirm their authenticity.

RNase Protection Assay
RNase protection assay was performed according to the method described previously.24 Briefly, radiolabeled antisense cRNA probes were prepared with [{alpha}-32P]UTP (Amersham) and T3 (for NPR-A and NPR-C) or T7 (for NPR-B) RNA polymerase using an RNA in vitro transcription kit (Stratagene). The plasmids containing cDNA fragments for NPR-A, NPR-B, and NPR-C were linearized with Sal I, Xba I, and EcoRI, respectively, and used as templates. After the transcription, template DNA was degraded with RNase-free DNase I. The probes were purified by phenol/chloroform treatment and were gel-filtrated. Tissue total RNA (20 µg) from DR and DS rats on 0.3% and 8% NaCl diets (n=7, respectively) was hybridized with the three probes (5x105 cpm each) for 12 hours at 45°C. Nonannealed nucleic acids were then digested with RNase A (40 µg/µL) and RNase T1 (125 U/mL) at 30°C for 1 hour. Proteinase K and sodium dodecyl sulfate (SDS) were added to the mixture at 37°C for 30 minutes. RNase-resistant hybrids were purified by phenol/chloroform treatment, were ethanol-precipitated, and were resuspended in a gel-loading buffer containing 80% formamide. RNase-protected fragments were fractionated on a urea-degenerated 5% polyacrylamide gel and exposed to Kodak X-Omat AR5 film with an intensifying screen at -80°C or to an imaging plate. The plate was analyzed by a Phosphor Imager BAS 2000 (Fuji Film).

In Situ Hybridization
In situ hybridization with nonradioactive digoxygenin (DIG)–labeled cRNA probe was performed as described previously.25 Briefly, DR and DS rats on 0.3% and 8% NaCl diets (n=2 for each group) were perfused first with normal saline and then with 4% paraformaldehyde/phosphate-buffered saline. The kidneys were removed, immersed in the same fixative, and then immersed in 30% sucrose solution. The organs were embedded in optimal cutting temperature compound, frozen in isopentane/liquid nitrogen, and stored at -80°C. Cryosections (6 µm thick) were prepared by cryostat and were thaw-mounted onto Vectabond–coated glass slides (Vector Laboratories Inc). The sections were postfixed in 4% paraformaldehyde, treated with proteinase K (1 µg/mL) at 37°C for 20 minutes, acidified with 0.25% acetic acid, and dehydrated in graded ethanol. DIG-labeled antisense cRNA probe was synthesized using a DIG RNA labeling kit (Boehringer Mannheim) with the same template and polymerase as those used for the RNase protection assay. Control sense probe was also constructed in the same way. After the transcription, template DNA was degraded with RNase-free DNase I. The sections were hybridized with DIG-labeled probes (500 ng/mL) dissolved in a hybridization buffer composed of 50% formamide, 2x SSC (1x SSC=150 mmol/L NaCl, 15 mmol/L sodium citrate, pH 7.0), 1 µg/µL tRNA, 1 µg/µL sonicated salmon sperm DNA, 1 µg/µL bovine serum albumin, 10% dextran sulfate, and 1.2 mol/L dithiothreitol in a humidified chamber at 42°C for 16 hours. Slides were then washed in 4x, 2x, 1x, and 0.5x SSC at room temperature for 10 minutes each and 0.5x SSC at 37°C for 30 minutes. DIG-labeled hybrids were detected by an enzyme-linked immunoassay kit (Boehringer Mannheim). After immersion in 1.5% blocking solution, the slides were exposed to anti-DIG alkaline phosphatase conjugate diluted at 1:1000 for 30 minutes. The hybrids were visualized as blue precipitates by the subsequent alkaline phosphatase–catalyzed color reaction in a solution containing 5-bromo-4-chloro-3-indolyl phosphate and nitroblue tetrazolium.

Northern Blot Analysis
Northern blotting for ANP and BNP was performed as described previously.24 Briefly, tissue total RNA (20 µg) from the four experimental groups (n=7, respectively) was size-fractionated by formaldehyde-degenerated 1.2% agarose gel electrophoresis. RNAs were then blotted on a Magnagraph nylon membrane filter and cross-linked by baking at 80°C for 2 hours. After prehybridization in a solution containing 50% formamide, 6x SSC, 5x Denhardt's solution (1x Denhardt's=0.02% each of bovine serum albumin, polyvinylpyrrolidone, and Ficoll), 100 µg/mL sonicated salmon sperm DNA, and 1% SDS at 37°C for 2 hours, the filter was hybridized with random-primed, 32P-labeled cDNA probe for rat ANP or BNP (5x105 cpm/mL) at 42°C for 16 hours. The hybridized filters were washed twice in 2x SSC and 0.1% SDS at room temperature for 5 minutes and twice in 0.1x SSC and 0.1% SDS at 60°C for 1 hour and then exposed to Kodak X-Omat AR5 film with an intensifying screen at -80°C and to an imaging plate. The plate was analyzed by a Phosphor Imager BAS 2000.

Blood Pressure Measurement
Blood pressure was measured directly in some rats from each group (n=4-5). The left carotid artery was cannulated with a PE-50 tube with rats under ether anesthesia. The catheter was filled with heparinized saline (100 IU/mL). Approximately 24 hours after the operation, arterial pressure was measured with rats in a conscious and unrestrained condition via a pressure transducer (model TP-200T, Nihon-Kohden) connected to a thermal array recorder (WS-641G, Nihon-Kohden). Blood pressure was monitored over 30 minutes and expressed as mean blood pressure, using at least five measurements at the stable level.

Plasma ANP Concentration
Plasma ANP concentration was determined by a radioimmunoassay kit (Peninsula Laboratories Inc). After blood pressure measurement, 1 mL of blood was withdrawn from the catheter (n=4-5 for each group). Blood samples were collected into prechilled polypropylene tubes containing aprotinin (500 kallikrein inhibiting units [KIU]/mL) and EDTA (1 mg/mL). After centrifugation, plasma was applied to pretreated Sep-Pak C18 cartridges, and eluates were evaporated and reconstituted in radioimmunoassay buffer. The sample, or standard, was mixed with rabbit antisera against {alpha}-ANP and incubated overnight at 4°C. Then 125I-labeled rat ANP was added and incubated for another 24 hours. Antibody-bound tracer was precipitated with goat anti-rabbit {gamma}-globulin and normal rabbit serum for 90 minutes. After centrifugation, the radioactivity of the pellets was counted in a gamma counter.

Statistical Analysis
Data are expressed as mean±SEM. Statistical analysis was performed by two-way ANOVA and subsequent Tukey's simultaneous multiple comparison. A value of P<.05 was considered to be statistically significant.


*    Results
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*Results
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Blood Pressure and Body Weight
As shown in Fig 1Down, mean arterial pressure did not differ between DR and DS rats fed a 0.3% NaCl diet. Salt loading (8%) did not affect blood pressure in DR rats but significantly increased blood pressure in DS rats (P<.01). Body weight did not differ among the four groups (TableDown).



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Figure 1. Mean arterial pressure of DR and DS rats and effect of salt loading. Four-week-old male DR and DS rats were placed on diets containing 0.3% and 8% NaCl for 4 weeks (n=4-5 for each group). Intra-arterial pressure was measured in conscious, unrestrained rats. Results are shown as mean±SEM. Statistical analysis was by two-way ANOVA and subsequent Tukey's comparison. There was no significant strain difference when rats were fed a 0.3% NaCl diet. High salt diet significantly increased blood pressure of only DS rats (P<.01).


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Table 1. Body Weight and Plasma Atrial Natriuretic Peptide Concentration

Effect of Salt Loading on Gene Expression of NPR-A, NPR-B, and NPR-C in the Kidney
We performed an RNase protection assay to examine the effect of salt loading on the gene expression of NPR subtypes in the kidney. Fig 2ADown shows representative autoradiographs. The bands for NPR-A (323 bp), NPR-B (242 bp), and NPR-C (173 bp) were obtained at the appropriate positions. The radioactivity of the protected band showed a linear relation with the amount of RNA used in the assay. The message levels of NPR-A or NPR-B did not differ between DR and DS rats and were not altered by salt loading. On the other hand, NPR-C gene expression was markedly modulated by salt loading. Whereas there was no strain difference in NPR-C transcript level when the rats were fed a 0.3% NaCl diet, salt loading caused a reduction of NPR-C expression in both DR and DS rats. The reduction of NPR-C mRNA was greater in DS than DR rats. The radioactivity of the protected bands for NPR-C was measured, and the results were analyzed statistically (n=7 for each group) (Fig 2BDown). NPR-C mRNA levels did not differ between DR and DS rats when they were fed a 0.3% NaCl diet. Salt loading caused a significant reduction of NPR-C expression in both DR (-28%, P<.01) and DS (-53%, P<.01) rats, with the NPR-C mRNA level significantly lower in salt-loaded DS rats than in salt-loaded DR rats (P<.01).



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Figure 2. Effects of chronic salt loading on NPR mRNA levels in kidney of DR and DS rats. Gene expressions of NPR-A, NPR-B, and NPR-C were examined by RNase protection assay as described in "Methods." A, Representative autoradiographs. Total RNA (20 µg) from the kidney of DR rats on 0.3% (lane 1) and 8% (lane 2) NaCl diets and of DS rats on 0.3% (lane 3) and 8% (lane 4) NaCl diets were annealed with 32P-labeled antisense cRNA probes. Protected fragments for NPR-A (323 bp), NPR-B (242 bp), and NPR-C (173 bp) were fractionated by degenerated polyacrylamide gel electrophoresis. The lower panels demonstrate Northern blot analysis with GAPDH probe and ethidium bromide fluorescence of the 28S and 18S rRNA bands to verify relative amounts and quality of RNA used. B, Quantitative analysis of NPR-C mRNA. Radioactivity of the protected bands for NPR-C (n=7 for each group) were measured with a Phosphor Imager BAS 2000. Values represent mean±SEM. Statistical analysis was by two-way ANOVA and subsequent Tukey's comparison. PSL indicates photo-stimulated luminescence.

Salt-Induced Change in NPR-C Gene Expression in Extrarenal Tissues
We further examined the effect of salt loading on NPR-C expression in the lung, atrium, aorta, adrenal gland, and brain (Fig 3Down). The dramatic changes seen in the kidney were not detected in other tissues. However, there was a tissue-specific pattern of modulation by salt loading. In the lung and aorta, salt loading induced a slight increase in NPR-C message, although the change was small compared with that in the kidney. On the other hand, salt loading did not affect transcript level in the atrium, adrenal gland, and brain. The responses to salt loading did not differ between DR and DS rats.



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Figure 3. NPR-C mRNA expression in extrarenal tissues of DS and DR rats under high and low salt conditions detected by RNase protection assay. Representative autoradiographs of DR rats on 0.3% (lane 1) and 8% (lane 2) NaCl diets and of DS rats on 0.3% (lane 3) and 8% (lane 4) NaCl diets (n=5-7 for each group) and control 28S and 18S rRNA bands. Total RNA (20 µg) from the indicated organs was annealed with 32P-labeled antisense cRNA probe. Protected fragments of 173 bp were fractionated by degenerated polyacrylamide gel electrophoresis.

In Situ Localization of NPR-C mRNA in the Kidney
We carried out in situ hybridization in the kidney to determine which cell types were responsible for the salt-induced alteration in NPR-C gene expression. Fig 4Down shows representative photomicrographs. Positive signals were detected as purple/black precipitates. The NPR-C antisense probe hybridized with the glomerulus and was preferentially located in the podocytes. The location of the expression was the same in DR and DS rats and was not affected by salt loading. Control experiments with sense NPR-C probe resulted in negative staining or only low background.



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Figure 4. Localization of NPR-C mRNA in kidney sections of DR rats on a 0.3% NaCl diet. In situ hybridization was performed as described in "Methods." A, Glomerular epithelial cells (podocytes) are intensely labeled with digoxygenin-labeled antisense cRNA probe for NPR-C. B, Very low background signal with control sense cRNA probe for NPR-C. Bars represent 25 µm. Magnification x400.

Plasma ANP Concentration
As shown in the TableUp, plasma ANP levels did not differ between DR and DS rats when they were placed on a 0.3% NaCl diet. During high salt, the concentration of plasma ANP in DS rats was significantly higher (P<.05) than in DR rats.

Northern Blot Analysis
Messenger RNA for atrial ANP and ventricular BNP was examined in the four experimental groups. Corresponding to plasma ANP levels, salt loading did not increase ANP and BNP transcript levels in DR rats but augmented the expression in DS rats (Fig 5Down).



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Figure 5. ANP and BNP mRNA levels in DR and DS rats placed on 0.3% and 8% NaCl diets. Northern blot analyses were performed as described in "Methods." Total RNA (20 µg) from the atria and ventricles of DR rats on 0.3% (lane 1) and 8% (lane 2) NaCl diets and of DS rats on 0.3% (lane 3) and 8% (lane 4) NaCl diets (n=7 for each group) was annealed with 32P-labeled ANP and BNP, respectively. Bands of approximately 1.1 kb were detected. The lower panels represent ethidium bromide fluorescence of 28S and 18S rRNA bands to verify the relative amounts and quality of RNA used.


*    Discussion
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*Discussion
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The present study demonstrates that chronic salt loading attenuates renal NPR-C gene expression, which was greater in DS than DR rats. This finding suggests that NPR-C may play an important role in the regulation of sodium balance and the pathophysiology of salt-sensitive hypertension.

The effect of salt loading on renal NPR-C level is still controversial. Several groups have demonstrated, by radiolabeled ligand binding experiments, that chronic high salt diet decreases the number of NPR-C without changing the number of guanylyl cyclase–coupled receptors in the kidney.26 27 28 However, it has also been reported that salt loading does not change the number of ANP binding sites in the kidney.29 Moreover, Martin et al30 pointed out a pitfall in that the reported salt-induced reduction of NPR-C26 was due to the prior receptor occupation by endogenous ANP under the condition of elevated plasma ANP concentration. Indeed, they demonstrated that after elimination of bound ANP by acid wash treatment, the number of NPR-C between the kidneys of salt-loaded and control rats did not differ. In the present study, we sought to avoid any spurious change caused by technical problems in the ligand binding assay by analyzing changes in mRNA. As indicated, we have demonstrated a reduction in NPR-C mRNA in DR (control) rats. This finding is compatible with our previous in vitro study in which we showed that in cultured bovine vascular endothelial cells, NaCl treatment caused a reduction in NPR-C at the pretranslational level without affecting NPR-A.17 Furthermore, we also showed that NPR-C mRNA expression was lower in the gills of eels adapted to sea water than in those adapted to fresh water.31 Thus, the regulation of NPR-C gene expression may have an important role in maintaining the internal milieu against extrinsic environmental sodium changes.

This is the first study to demonstrate enhanced reduction of NPR-C mRNA by chronic salt loading in the kidneys of DS rats compared with those in DR rats. This finding can be interpreted in several ways as an explanation for salt-sensitive hypertension. First, several lines of evidence suggest that NPR-C has a major role in the removal of the ligands from the circulation.11 According to this "clearance" theory, one of the most probable explanations is that the augmented NPR-C reduction in DS rats may contribute to a compensatory mechanism. NPR-C reduction in the kidney lowers the elimination of the ligands from the renal circulation and subsequently increases the ANP availability at the target sites in the kidney. As a result, the biological actions of ANP via NPR-A are augmented without affecting systemic ANP levels. Thus, natriuresis is appropriately enhanced in response to sodium overload without causing any extrarenal effects in DR rats. In salt-loaded DS rats, the suppression of NPR-C may be augmented to compensate for the impaired renal sodium excretion caused by other primary factor or factors of salt-sensitive hypertension. However, in our previous study, the mere masking of NPR-C by C-ANF did not reproduce the cGMP hyperreactivity that was observed in a condition with reduced NPR-C expression,17 which does not support the clearance theory.

Several recent studies suggest another possibility; the augmented reduction of NPR-C in DS rats in the present study may be a primary factor in the mechanism of salt-sensitive hypertension. Two groups have recently succeeded in the generation of gene-targeted mice of the natriuretic peptide system. John et al15 reported that gene targeting of proANP caused salt-sensitive hypertension. This finding suggests that the ANP system has an important regulatory role in salt-sensitive hypertension. However, Lopez et al16 reported that NPR-A knockout mice exhibited salt-resistant hypertension. This finding was unexpected because a linkage analysis indicated NPR-A as a candidate gene causing salt-sensitive hypertension in DS rats.32 These facts imply that the actions of ANP cannot be explained by the mechanism via NPR-A alone and that NPR-C, the other receptor for ANP, might be involved in the pathogenesis of salt-sensitive hypertension independent of NPR-A. Indeed, the following evidence supports this possibility. ANP modulates blood pressure and fluid balance also by interacting with other vasoactive hormones and neurotransmitters.12 Recent studies indicate that some of this cross talk is mediated through NPR-C without the interference of NPR-A: For example, ANP inhibits endothelin production,33 inhibits catecholamine release,34 and enhances nitric oxide production35 through NPR-C. NPR-C has also been suggested to mediate the interaction with the renin-angiotensin system.36 37 On the basis of these findings, the reduction in NPR-C in DS rats may alter the equilibrium between vasoconstrictive/antinatriuretic and vasorelaxant/natriuretic systems, resulting in hypertension and elevated plasma ANP. Moreover, some groups12 13 14 have proposed that NPR-C affects cAMP, phosphatidylinositol, or other unknown signaling pathways. Therefore, it is possible that NPR-C contributes to the etiology of salt-sensitive hypertension directly through some novel unknown mechanism.

Our result from in situ hybridization provides additional supportive evidence for the possible involvement of NPR-C in salt-sensitive hypertension of DS rats. On the basis of renal cross-transplantation studies between DS and DR rats, it is generally accepted that the abnormality responsible for the salt sensitivity in DS rats is localized in the kidney.18 Tobian et al38 reported an altered pressure-natriuresis relationship in the kidney of DS rats caused by the impaired renal sodium excretory capability. Analysis of the pattern of the pressure-natriuresis relationship revealed that salt-sensitive hypertension in DS rats can be ascribed to the reduced ultrafiltration coefficient (Kf) per glomerulus, similar to the case of hypertension in the early phase of glomerulonephritis.39 40 41 The reduced single glomerulus Kf can be caused by the reduced surface area per glomerulus or the reduced hydraulic permeability of the glomerular filtration barrier.42 This can be explained by the malfunction of podocytes, since podocytes, together with basement membrane, surround the glomerular capillaries and provide the size and charge barrier for glomerular filtration. In addition, podocytes are thought to modulate the permeability of the glomerular filtration membrane, or the filtration surface area, through the abundant contractile elements in their cytoplasm.43 In the present study, in situ hybridization demonstrated that NPR-C mRNA was localized predominantly in the glomeruli and especially in the podocytes. This finding is consistent with the previously reported RNase protection assay using microdissected nephron fragments, electron microscopy, immunohistochemical staining, and in situ hybridization.25 44 45 46 47 Since the location of the positive signals within the kidney was similar among the four rat groups, podocytes should be responsible for the salt-induced reduction of NPR-C expression. Therefore, the marked reduction of NPR-C in the podocytes in DS rats may contribute to the abnormal function of podocytes resulting in salt-sensitive hypertension. In contrast to our data, it has been reported that NPR-C is detectable in cultured mesangial cells but not in cultured epithelial cells.26 The discrepancy may be due to the subtype switching of natriuretic peptide receptors seen between in vivo and in vitro conditions.48 49 50

In the present study, we found that NPR-C gene expression was regulated by salt loading in a tissue-specific manner; the reduction in NPR-C was seen only in the kidney. Previously, hepatic NPR-C was reported to be reduced by salt loading only in DS rats, although the liver is not a major target of ANP compared with the kidney.51 On the other hand, salt loading did not influence NPR-C gene expression in several tissues, including the atrium, where ANP is synthesized and NPR-C expression is abundant. Furthermore, NPR-C mRNA was slightly increased in the lung and aorta. The mechanism for this tissue-specific modulation of NPR-C is unclear. There is a discrepancy between whole aorta and cultured vascular endothelial cells.17 This discrepancy may be explained by subtype switching between in vivo aorta and cultured cells, as mentioned above.48 49 50 Vascular smooth muscle cells in whole aorta might cause the upregulation observed in the present study.

We have to take into account the possibility that NPR-C reduction is a secondary event caused by several other primary mechanisms. First, the possibility of ligand-mediated receptor downregulation should be considered. Since we observed the changes in mRNA level, the reduction is not an artifact caused by increased endogenous ANP, as mentioned above. The salt-induced NPR-C reduction is not related to ligand-mediated receptor downregulation in DR rats because mRNA levels of ANP and BNP, as well as plasma ANP concentration, were not increased by salt loading in this group. On the other hand, in DS rats, both plasma ANP and mRNA levels of ANP and BNP were increased. However, ligand-mediated receptor downregulation may not be the case even in DS rats because NPR-C reduction was observed only in the kidney. If the increased ligand level was responsible for the reduction of NPR-C, the reduction should be a general effect and should be seen in every organ. Rather, in DS rats, the ligand production might be stimulated in compensation for the NPR-C decrease in the kidney.

Second, NPR-C expression may be affected incidentally in response to other primary defects. NPR-C gene expression is known to be suppressed by angiotensin II and ß2-adrenergic stimulant,52 53 although either insufficient suppression of angiotensin II or overactivity of ß2-adrenergic receptor has not been reported in salt-loaded DS rats. Of course, our statement here does not mean that a direct effect of NPR-C is definitely proved in the present study. Further investigation, such as the establishment of NPR-C knockout mice and the elucidation of the intracellular signaling pathway of NPR-C, will be necessary to provide more detailed insight into the possible involvement of NPR-C.

In conclusion, our data demonstrate that chronic salt loading attenuated NPR-C gene expression without changing NPR-A or NPR-B levels in the kidney. We also show that renal NPR-C expression is reduced to a greater extent in DS than DR rats. These findings suggest that NPR-C may play a pivotal role in the pathogenesis of salt-sensitive hypertension.


*    Selected Abbreviations and Acronyms
 
ANP = atrial natriuretic peptide
BNP = brain natriuretic peptide
DR = Dahl salt-resistant (rat)
DS = Dahl salt-sensitive (rat)
NPR = natriuretic peptide receptor


*    Acknowledgments
 
We are grateful to Dr Mervyn J. Merrilees for reviewing the English in our manuscript.

Received August 27, 1996; first decision October 1, 1996; accepted January 9, 1997.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
1. de Bold AJ. Atrial natriuretic factor: a hormone produced by the heart. Science. 1985;230:767-770.[Abstract/Free Full Text]

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