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(Hypertension. 1997;30:1591-1597.)
© 1997 American Heart Association, Inc.
Articles |
From the Third Department of Internal Medicine, Kumamoto University School of Medicine, Kumamoto (T.D., H.N., T.I., S.N., Y.N., K.T.), and the Biological Research Laboratories, Sankyo Co, Ltd, Tokyo, Japan.
| Abstract |
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Key Words: endothelin-1 reverse transcriptionpolymerase chain reaction nephron sodium
| Introduction |
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A decade ago, endothelin, a family of 21-amino acid vasoconstrictor peptides was discovered.3 Three isoforms of endothelin, ET-1, ET-2, and ET-3, encoded by three different genes have been identified. Among the three isoforms, ET-1 is the most abundantly expressed in vessels. It is long acting and one of the most potent vasoconstrictors known.4 In rats, infusion of ET-1 induced sustained renal vasoconstriction and decrease of GFR.5 Inappropriate release of such a long-acting substance could conceivably contribute to the increase of regional and systemic vascular resistance. In addition to its vasoactive properties, the observation that ET-1 stimulates sodium and water retention in rats,6 dogs,7 monkeys,8 or humans9 raised interest in its potential pathophysiological significance in the development or maintenance of hypertension.
In contrast to elevated plasma ET-1 levels in patients with hypertension,10 11 12 circulating levels of ET-1 in SHR are either lower or comparable to those in normotensive WKY.13 14 However, the use of anti-ET-1 monoclonal antibodies or ET-1 receptor antagonist was effective in lowering the blood pressure or improving the renal function in SHR, suggesting that ET-1 has an important role in the pathogenesis of hypertension in SHR.15 16 Moreover, ET-1 released from the kidney was increased in SHR.13 The kidney is not only a target of circulating ET-1 but also is an important source of ET-1.17
The gene encoding for ET-1 precursor is preproendothelin-1 gene, but synthesis of bioactive ET-1 requires a recently cloned phosphoramidon-sensitive ECE.18 19 ECE-1 converts an intermediate metabolite, big ET-1, into bioactive ET-1. Its expression has been detected in the kidney.19 With the possibility that some genes involved in the pathogenesis or maintenance of hypertension in SHR may be differentially expressed in certain structures of the kidney, we investigated whether steady state ECE-1 gene expression is altered in the kidney of SHR, especially in the nephron segments.
| Methods |
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Blood Pressure Monitoring
Systolic blood pressure was measured in conscious rats
with the tail-cuff method using a programmable sphygmomanome2ter with
photoelectric and pulse amplifier (model PS-200, Riken kaihatsu). Rats
were prewarmed and held in a warm box mounted on a heating plate
maintained between 37°C to 38°C during the measurement. Ten
readings were taken for each measurement.
Renal Tubule Microdissection
To determine whether the mRNA expression was different at the
nephron level, we used microdissection combined with RT-PCR techniques
and Southern blot.20 Animals were
anesthetized with pentobarbital 50 mg/kg wt, IP. The abdominal
aorta was ligated at two sites, under the right renal artery and 2 cm
below the left renal artery. A catheter was then inserted in the
abdominal aorta for the perfusion of the left kidney. Perfusion was
made first with 10 mL ice-cold solution A and then with 10 mL ice-cold
solution B. Solution A contained (mmol/L) NaCl 130, KCl 5.0,
NaH2PO4 1.0,
MgSO4 1.0, Ca lactate 1.0, Na acetate 2.0,
glucose 5.5, HEPES 10, pH 7.4. Solution B was made from solution A by
addition of 300 U/mg collagenase type I and 1 g/L BSA.
The left kidney was decapsulated, removed, and cut in thin 1-mm transverse sections. The sections were transferred into tubes containing 3 mL of solution B with 10 mmol/L vanadyl ribonucleotide complex (VRC) and incubated with bubbling oxygen at 37°C under constant agitation. After 30 minutes of incubation, the slices were rinsed with solution A and then transferred to a microdissection dish containing 10 mL of solution A with 10 mmol/L VRC (New England Biolabs).
Microdissection of nephron segments was performed using dissecting needles under a dissection microscope with a cooling plate at 4°C. Superficial and juxtamedullary glomeruli were extracted separately. Identification of tubule segments was based on previously reported criteria.21 The following segments were microdissected: superficial glomeruli (sGlm), juxtamedullary glomeruli (jGlm), proximal convoluted tubule (PCT), proximal straight tubule (PST), medullary thick ascending limb of Henle's loop (MTAL), cortical thick ascending limb of Henle's loop (CTAL), cortical collecting duct (CCD), outer medullary collecting duct (OMCD), and inner medullary collecting duct (IMCD). Microdissected segments were measured with a calibrated eyepiece micrometer. A total length of 2 mm was collected for each renal tubule segment, and 20 glomeruli of each type were collected. Microdissected segments were transferred to a clean wash dish containing solution A using pipettes coated with 0.1% BSA. After a washing for VRC and binding debris, cleaned microdissected segments were transferred into individual microcentrifuge tubes containing 10 µL of solution A with 1 U/µL RNase inhibitor and 5 mmol/L DTT.
Reverse Transcription
Microdissected segments were collected at the bottom of the tube
by centrifugation at 20 000g for 5 minutes.
The supernatant was checked to be free of tubules under a microscope
and then discarded. The pellet was dissolved in 3.5 µL of 2% Triton
X-100 in the presence of 1U/µL RNase inhibitor and 5
mmol/L DTT; we then proceeded with the reverse transcription using a
cDNA synthesis kit (Boehringer Mannheim) according to the
instructions of the manufacturer. In brief, a 4.5-µL RT reaction
mixture containing RNase inhibitor,
deoxynucleotide mixture, avian myeloblastosis virus reverse
transcriptase, and random primer was added. The sample was mixed and
centrifuged to be collected at the bottom of the tube. The
reaction mixture was incubated at 42°C for 60 minutes and heated to
95°C for 5 minutes to denature the RNA-cDNA hybrids and to
inactivate the reverse transcriptase activity.
Polymerase Chain Reaction
The resulting RT product was processed by PCR with rat
specific primers for ECE-1 and preproET-1. For amplification of
preproET-1, the antisense primer was 5'-TCCTGCTCCT CCTTGATGGA-3' and
the sense primer was 5'-AAACACCACGGGGCTCTGTA-3'. The predicted size
of cDNA amplification product was 471 bp, extending from base 724
through base 1194. Simultaneously, we performed RT-PCR for
the housekeeping gene GAPDH. For amplification of GAPDH, the antisense
primer was 5'-TCCCTCAAGATTGTCAGCAA-3' and the sense primer was
5'-AGATCCACAACGGATACATT-3'. The predicted size of cDNA amplification
product was 308 bp, extending from base 506 through base 813.
Including the RT product, the final volume of the PCR reaction was 100 µL, with the following concentrations: 25 U/mLTaq DNA-polymerase, 2 mmol/mL deoxynucleotide, 0.2 pmol/µL sense primer, 0.2 pmol/µL antisense primer, 10 mmol/L Tris HCl, 1.5 mmol/L MgCl2, and 50 mmol/L KCl. The mixture was overlaid with 100 µL of mineral oil and amplified in a DNA thermocycler (ASTEC-Takara). PreproET-1 cDNA fragments were amplified by 32 cycles and GAPDH by 28 cycles with the following amplification profile: 45 seconds at 94°C (denaturation), 45 seconds at 62°C (hybridization of primers), 1 minute 45 seconds at 72°C (elongation), and 7 minutes at 72°C (final elongation). ECE-1 cDNA was coamplified with a constant amount of competitive template by 29 cycles. The antisense primer was 5'-AGCTCAGCAGCCGTGA CTTT-3' and the sense primer was 5'-AATATCACAGCACCCTGGGC-3'. The predicted size of cDNA amplification product was 389 bp for ECE-1 and 201 bp for the competitive template.
To synthesize this mimic DNA for competitive PCR, we used an in vitro strategy for site-directed deletion.22 The 389-bp portion of ECE-1 cDNA extending from base 676 through base 1064 was analyzed to construct four different primers: left, right, internal left, and internal right primers. The left and right primers were sense and antisense primers used to amplify the 389-bp portion of ECE-1 cDNA extending from base 676 through base 1064. The internal primers of 20-mer were constructed with an additional 20-mer nonsense sequence to the 5' end. The internal left primer was 5'-TTGGCCAAGGACAACTTCCATACATGGTCCAGCTGGGGAA-3' extending from base 691 through base 710, and the internal right primer was 5'-TTCCCCAGCTGGACCATGTATGGAAGTTGTCCTTGGCCCA-3' extending from base 899 through base 918. The 20-mer nonsense sequences are italicized. The full-length internal primers were carefully chosen so that their sequences were complementary. Primary PCRs were performed in separate tubes with the left primer and its internal partner and the right primer with its internal partner. The PCR products were purified separately with Centricon 30 (Amicon Inc) to eliminate the primers. After purification, the two primary PCR products were recombined, and a zipping PCR reaction was performed with the outermost left and right primers to produce a recombinant competitor DNA of 201 bp, with a deletion of the 188-bp portion between 710 and 899 bp. A second purification with Centricon 30 was performed, and the amplified product was quantified by photometry.
The initial amount of ECE-1 cDNA before amplification was quantified from the densitometric ratio of ECE-1 cDNA to mimic DNA in ethidium bromidestained gel.23 After coamplification of ECE-1 cDNA with a dilution series of mimic DNA, a linear plot of the ratio of ECE-1 cDNA to mimic DNA versus mimic DNA concentration was drawn on an arithmetic scale. To correct for differences in molecular weight between ECE-1 cDNA and mimic DNA, the densitometric ratio obtained from the ethidium bromidestained gel was multiplied by 389/201 as reported elsewhere with modification.24
Southern Blot
The identity of PCR products was confirmed by Southern
hybridization after size fractionation by 2% agarose gel
electrophoresis. The cDNA bands were stained with ethidium bromide,
visualized, and photographed under UV illumination. After destaining
and denaturation, the PCR product was transferred to a positively
charged nylon membrane by capillary blotting. After 30 minutes of
prehybridization, hybridization was conducted at 37°C for 6 hours
with digoxigenin-labeled oligonucleotide probes using a
Dig Easy Hyb kit (Boehringer Mannheim). Posthybridization
washes were performed twice in 2x SSC, 0.1% SDS for 15 minutes at
room temperature and then twice in 0.1x SSC, 0.1% SDS at 68°C.
Hybridized probes were immunodetected with antidigoxigenin, Fab
fragments conjugated to alkaline phosphatase, and then visualized by
chemiluminescence with disodium phenyl phosphate (DIG luminescence
detection kit, Boehringer Mannheim). Chemilumigraphs were
produced with Fuji film and analyzed by densitometer.
Renal Membrane Fraction Extraction
Rat kidneys were quickly removed, decapsulated, and cooled in
ice-cold PBS. The cortex, the outer medulla, and the inner medulla were
dissected out, finely minced on a chilled petri dish, and
homogenized separately in a lysis buffer (20 mmol/L
HEPES buffer, pH 7.4, 0.05 mmol/L sodium vanadate, 1 mmol/L
EDTA, 5 mmol/L EGTA, 2 mmol/L DTT, 1 mmol/L PMSF, 10
pg/L aprotinine, 10 pg/L leupeptine, 5 mmol/L
ß-glycerophosphate) by five strokes in a 5-mL Teflon glass
homogenizer with the piston rotating at 1000 rpm. The
homogenate was centrifuged at 5000g for
15 minutes at 4°C, and the resulting supernatant was further
centrifuged at 20 000g for 30 minutes as reported
elsewhere with little modification.25 The
resulting membrane fraction pellet was resuspended into 50 to 100 µL
of lysis buffer, and a portion was taken for protein assay by
spectrophotometer using BSA for standards.
Western Blot
Samples of 6 µg protein in an SDS buffer (0.5% bromophenol
blue, 5% 2-mercaptoethanol, 12 mg/L DTT, 10% glycerol, 3% SDS, 0.5
mol/L Tris, pH 6.8) were resolved on a gradient
SDS-polyacrylamide gel (Daiichi Pure Chemicals Co) using a
discontinuous buffer electrophoresis system. After electrophoresis,
proteins were transferred to polyvinylidene difluoride (PVDF)
membrane (Millipore Corp) with a semidry blotting
apparatus. The membrane was cut into several strips and
blocked in Tris-buffered saline solution, pH 7.6, containing 0.1%
Tween-20 (TBS-T) and 5% nonfat dry milk at room temperature for 1
hour. The membrane strips were incubated at 4°C overnight with an
anti-rat ECE-1 monoclonal antibody (Sankyo Co) diluted 1:1000 with 5%
milk TBS-T and subsequently incubated with a sheep anti-mouse secondary
antibody conjugated to horseradish peroxidase (Amersham Life Science)
for 1 hour at room temperature. Blots were washed in TBS-T for 15
minutes once, then for 5 minutes twice after blocking and after
incubation with each antibody. Immunological bands were visualized by
an enhanced chemiluminescence (ECL) detection system (Amersham Life
Science). Chemilumigraphs produced with Fuji medical x-ray film were
analyzed by densitometer.
Immunoblotting for Glomerular ECE-1
Microdissected glomeruli were dissolved in 110 µL lysis
buffer, and the protein was processed for immunoblot after
ethanol precipitation.
Data Analysis
Data are presented as mean±SEM unless otherwise stated.
Significance of difference in mean values was evaluated by the
Wilcoxon rank-sum test. Values of P<.05 were
considered significant.
| Results |
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ECE-1 mRNA Expression in the Glomeruli
The amplification product of reverse-transcribed ECE-1 mRNA
was detected as a single band of 389 bp, concordant with the predicted
size. Southern blot confirmed the nature of the PCR product. When
the sample was not reverse transcribed, PCR did not yield any
detectable band. RT combined with competitive PCR analysis of
ECE-1 mRNA in glomeruli showed that the expression of ECE-1 mRNA in
both superficial and juxtamedullary glomeruli of 4-week-old SHR and
that in age-matched WKY were comparable (Fig 2A
). At 12 weeks, however, SHR showed
significantly higher expression of ECE-1 mRNA in both superficial and
juxtamedullary glomeruli (Fig 2B
).
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ECE-1 Protein Level in the Glomeruli
Fig 3
shows the ECE-1 protein level
in glomeruli of 4- and 12-week-old SHR and WKY by Western blot. At 4
weeks, ECE-1 protein level was not significantly different between SHR
and WKY; at 12 weeks, SHR had significantly higher
glomerular ECE-1 protein level.
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ECE-1 mRNA Expression in the Renal Tubule
In 4-week-old SHR, the expression of ECE-1 mRNA in renal tubules
was significantly increased in PST, MTAL, CTAL, and IMCD (Fig 4A
). In 12-week-old rats, the pattern of
ECE-1 expression was similar, but ECE-1 mRNA was no more significantly
increased in CTAL and in IMCD (Fig 4B
). Both SHR and WKY had low
expression of ECE-1 in PCT. Although ECE-1 mRNA expression in PCT of
SHR was not statistically different from that of WKY, a trend toward
lower ECE-1 mRNA was observed in the PCT of SHR.
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Renal ECE-1 Protein Level Distribution
Western blot analysis of renal membrane fractions from 4-
and 12-week-old SHR and WKY with anti-rat ECE-1 monoclonal antibody
demonstrated a single band of 125 kD. Fig 5
shows the ECE-1 protein level
distribution in kidney at 4 and 12 weeks in both SHR and WKY by Western
blot. We found that compared with age-matched WKY, ECE-1 protein level
was significantly higher in both the inner and outer medulla of SHR at
4 weeks but not at 12 weeks of age.
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PreproET-1 mRNA Expression in the Glomeruli
Because preproET-1 is a substantial determinant of ET-1 synthesis,
we also studied preproET-1 mRNA expression. After RT-PCR, preproET-1
cDNA was detected at the expected 471-bp size. As shown in Fig 6
, analysis of
glomerular preproET-1 mRNA by RT-PCR in both 4- and
12-week-old WKY and SHR showed no difference between the two
strains.
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| Discussion |
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To assess whether this increase in ECE-1 mRNA also resulted in an increase of protein synthesis, ECE-1 protein was also determined. We analyzed ECE-1 protein level in both the superficial and juxtamedullary glomeruli by Western blot. We found that at 4 weeks, glomerular ECE-1 protein level of SHR was not yet significantly different from that of WKY rats. But at 12 weeks, ECE-1 protein level in superficial as well as in juxtamedullary glomeruli was higher in SHR. High ECE-1 transcripts resulted into a high protein level. We observed that ECE-1 mRNA expression was increased in renal tubule segments in SHR and also found that the ECE-1 protein level in the outer and inner medulla was high at 4 weeks in SHR. Determination of ECE-1 protein levels in renal tubule segments was not performed because it would have required too great a length of tubular segments, but it is likely that the high expression of ECE-1 mRNA in the renal tubule segments of SHR was also translated into ECE-1 protein to contribute to the high ECE-1 protein levels observed in both the outer and inner medulla of young SHR.
It was surprising to find that ECE-1 protein level in the overall cortex of SHR was comparable to WKY at 12 weeks, while glomerular ECE-1 level was rather high in 12-week-old SHR. This observation suggests that within the renal cortex of SHR, some structures have rather low ECE-1 expression. This is supported by the trend toward lower ECE-1 mRNA expression in the PCT of SHR. We consider that the increase in the expression of ECE-1 gene in SHR may be tissue-specific, involving certain segments of the nephron among various structures of the kidney.
ECE-1 mRNA in PST and MTAL was consistently high in both 4- and 12-week-old SHR, and ECE-1 gene expression increased in glomeruli of 12-week-old SHR. This change of ECE-1 gene expression might be induced by high blood pressure or related to other changes induced by aging. However, high ECE-1 expression in glomeruli or renal tubule has some pathophysiological potential.
First, the pathophysiological implication of a high tubular ECE-1 level has to be considered. Localization of ET-1 binding sites in rat kidney,26 detection of ETB receptor mRNA in renal tubules,20 and a physiological effect of ET-1 on fluid transport27 28 29 support a direct action of ET-1 on renal tubules. Young and adult SHR had high ECE-1 mRNA expression in renal tubules. Increased ECE-1 expression in the renal tubules will yield abundant local ET-1 synthesis, a condition promoting sodium retention. Indeed, pathological levels of ET-1 as found in either hypertension or renal failure are antinatriuretic.7 9 Either ET-1 specific antibodies or ET-1 receptor antagonists improved renal function and sodium excretion in SHR.15 16 Moreover, the administration of ET-1specific antibodies to rats on a salt-restricted diet induced natriuresis.6 However, some reports indicated a natriuretic effect of ET-1. A pharmacological dose of ET-1 induced natriuresis in rats.5 ET-1, 10-8 to 10-10 mol/L, was natriuretic in CCD28 and diuretic in IMCD27 with use of the isolated tubule perfusion method. Following these reports about the natriuretic effect of ET-1, the biphasic effect of ET-1 on fluid absorption in the proximal straight tubule has been demonstrated, with 10-12 to 10-13 mol/L ET-1 increasing fluid reabsorption in the PST and 10-8 to 10-9 mol/L decreasing it.29 The local concentration of ET-1 in the tissue is not known, but in physiological or pathological conditions, ET-1 plasma concentration is in a 10-12 to 10-13 mol/L range in rats30 or humans10 31 and in a 10-11 to 10-12 mol/L range in ET-1overexpressing rats.32 In addition, ET-1 concentration in renal perfusate is estimated to be in a 10-13 mol/L range in SHR.13 Altogether, these data support the view that ET-1 is antinatriuretic in a physiological or pathological concentration range and natriuretic in a high pharmacological concentration range. Proximal tubule and thick ascending limb play a major role in sodium reabsorption. PST and MTAL, with increased ECE-1 gene expression both in 4- and 12-week-old SHR, appear to be fitting targets of ET-1induced sodium reabsorption.
Second, the pathophysiological implication of high glomerular ECE-1 level has to be considered. Twelve-week-old SHR had higher glomerular ECE-1 expression. Because no difference was found between SHR and WKY for glomerular preproET-1 mRNA, the rate of glomerular ET-1 synthesis is likely increased in SHR. ET-1 exerts a predominant vasoconstriction on the afferent arteriole with less effect on the efferent arteriole.33 It also induces the contraction of glomerular mesangial cells.34 By decreasing GFR in an autocrine or paracrine fashion, increased ET-1 will cause sodium retention and may contribute to the increase of blood pressure in SHR. Vasoconstriction at the juxtamedullary glomerulus level would not particularly influence the whole kidney GFR because juxtamedullary glomeruli make up only a limited amount of the population of glomeruli. However, blood flow to the renal medulla is supplied primarily from efferent arterioles of juxtamedullary nephrons. A decrease of medullary blood flow will favor sodium retention,35 36 but we do not know yet how important ET-1 is in regulating medullary blood flow, which is subject to a complex interplay of substances such as nitric oxide, angiotensin II, arginine-vasopressin, kinins, and prostaglandins.37 Although it is not clear whether the increase of glomerular ECE-1 expression observed in 12 week-old SHR is either a primary or a secondary phenomenon, this increase may potentially contribute to the maintenance of hypertension.
From both of the above considerations, increased ECE-1 expression has a potential to promote sodium retention via ET-1 by increasing tubular reabsorption, decreasing GFR, and medullary blood flow. These mechanisms may operate either separately or in various combinations.
The importance of ET-1 in modulating the blood pressure in SHR is demonstrated by the effectiveness of endothelin-specific antibodies to decrease the blood pressure in this strain.15 Similarly, the blockade of ECE-1 with specific inhibitors should decrease the blood pressure in SHR. Phosphoramidon, an ECE-1 inhibitor, was effective in reducing the blood pressure in SHR in one study38 but not in another.39 In both studies, pressor response to exogenous big ET-1 was abolished by phosphoramidon. ECE-1 is on the cell surface as well as in the cell secretory pathway into which access to phosphoramidon is limited.19 The incomplete blockade of intracellular ECE-1 can explain these conflicting results. In the present study, the change of glomerular ECE-1 gene expression in the presence of unchanged glomerular preproET-1 expression indicates that the ECE-1 gene could be important in the regulation of ET-1 synthesis in SHR. An absence of upregulation of preproET-1 gene expression in the glomeruli of 12-week-old SHR could also mean that major glomerular injury had not yet occurred in these rats, since preproET-1 gene expression is increased in the presence of glomerular injury.40
Our results demonstrate that the ECE-1 gene is differentially expressed in the kidney of SHR, especially at the nephron level. SHR have increased ECE-1 expression in some tubule segments at 4 and 12 weeks of age, and also in the glomeruli at 12 weeks. This high ECE-1 expression implies an increase of ET-1 synthesis in nephron segments that will promote sodium retention to contribute to the development and/or maintenance of hypertension. Our study did not address the mechanism by which ECE-1 gene expression is increased in SHR. At which level the transcription is regulated remains to be studied. Furthermore, because differential gene expression could be either a cause of hypertension or secondary to high blood pressure, or could be just one of the strain differences, genomic linkage analysis is important in drawing a final conclusion regarding a potential role for ECE-1 gene in the pathogenesis of hypertension in SHR.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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| Footnotes |
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Received May 27, 1997; first decision June 16, 1997; accepted July 9, 1997.
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