(Hypertension. 1998;31:232.)
© 1998 American Heart Association, Inc.
Scientific Contributions |
From the Department of Physiology (M.A.-G., B.F., R.J.R.) Medical College of Wisconsin, Milwaukee, Wisc.
Correspondence to Dr. Richard J. Roman, Department of Physiology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226-0509. E-mail: rroman{at}post.its.mcw.edu
| Abstract |
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Key Words: cytochrome P450 eicosanoids antilipidemic agents hypertension pressure-natriuresis renal hemodynamics arachidonic acid
Abbreviations: AII = angiotensin II Dahl R rats = Dahl salt-resistant rats Dahl S rats = Dahl salt-sensitive rats FENa = fractional sodium excretion GFR = glomerular filtration rate 20-HETE = 20-hydroxyeicosatetraenoic acid P4504A = cytochrome P450 4A enzymes PMSF = phenylmethylsulfonyl fluoride PPAR = peroxisome proliferator action receptor PTH = parathyroid hormone RPP = renal perfusion pressure SDS = sodium dodecyl sulfate TALH = thick ascending limb of the loop of Henle TBS = Tris buffered saline UNaV = sodium excretion
| Introduction |
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| Methods |
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Characterization of the Pressure-Natriuresis Response
After 3 weeks, the rats were anesthetized with ketamine (40 mg/kg) and thiobutabarbital (Inactin) (30 mg/kg) and placed on a thermostatically controlled warming table to maintain body temperature at 37°C. Cannulas were placed in the carotid and femoral arteries for measurement of arterial pressure above and below the left renal artery. A cannula was placed in the right external jugular vein for intravenous infusions. The left ureter was cannulated for collection of urine. Two adjustable clamps were placed on the aorta, above and below the left renal artery, and ligatures were loosely placed around the superior mesenteric and celiac arteries for manipulation of renal perfusion pressure (RPP).12 After surgery, the rats were given an intravenous infusion of 3% bovine serum albumin in a 0.9% saline solution at a rate of 100 µL/min throughout the experiment. [3H]inulin (2 µCi/mL) was included in the infusion solution to allow for measurement of glomerular filtration rate (GFR). After a 60 minute equilibration period, RPP was lowered to 100 mm Hg by tightening the aortic clamp above the renal arteries. Pressure was only lowered to 120 mm Hg in vehicle-treated Dahl S rats because they exhibited oliguria at lower RPP. After a 15 minute equilibration period, urine and plasma samples were collected during a 10 minute clearance period. The aortic clamp was then released to allow RPP to return to control levels, and urine and plasma samples were collected in an additional 10 minute clearance period. RPP was then increased to 150 and 175 mm Hg by tightening the aortic clamp below the renal arteries and urine and plasma samples were collected in 2 additional 10 minute clearance periods.
Western Blot Analysis of P4504A Isoforms
Microsomes were prepared from the renal cortex and outer medulla of the kidneys of vehicle- and clofibrate-treated Dahl S and R rats. The tissue was homogenized in a 10 mmol/L potassium phosphate buffer at pH 7.7 containing 250 mmol/L sucrose, 1 mmol/L EDTA, 2 µmol/L leupeptinin, 1 µmol/L pepstatin, 2 µg/mL aprotinin, and 0.1 µmol/L phenylmethylsulfonyl fluoride (PMSF). Homogenates were centrifuged at 10 000g for 15 minutes to remove nuclei and mitochondria, and the supernatant was centrifuged again at 100 000g for 60 minutes. The microsomal pellet was resuspended in a 100 mmol/L potassium phosphate buffer at pH 7.25 containing 1 mmol/L EDTA, 1 mmol/L dithiotriol, 0.1 µmol/L PMSF, and 30% glycerol. Protein concentration from microsomal preparations was measured by the Bradford method (Bio-Rad) using gamma globulin as a standard. Twenty micrograms of sample protein were subjected to 8.5% sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis on a 20x20 cm gel at 100 volts for 15 hours. The proteins were transferred electrophoretically to a nitrocellulose membrane at 100 volts for 1 hour. After transfer, nonspecific binding was blocked by incubating the membrane for 2 hours at room temperature in TBS-T buffer (6 mmol/L Tris-HCl, 4 mmol/L Tris-Base, 150 mmol/L NaCl, and 0.08% Tween-20, pH 7.5) containing 5% nonfat dry milk. After the blocking solution was discarded, the membrane was washed 3 times with TBS-T buffer and subsequently incubated for 2 hours with a polyclonal antibody raised against rat liver P4504A1 at a 1:2000 dilution in TBS-T buffer containing 2% milk. This polyclonal antibody cross-reacts with 4A1, 4A2, and 4A3 isoforms in the renal cortex of the rat.13,14 The membrane was then washed 3 times with TBS-T buffer and incubated with goat anti-rabbit IgG conjugated with horseradish peroxidase (Santa Cruz Biotechnology) at a 1:1000 dilution in 2% milk for 1 hour. After 3 more washes, the immunoblots were developed using an enhanced chemiluminescence kit (ECL, Amersham).
Statistics
Data are presented as mean±SEM. Differences in the values measured at different renal perfusion pressures in each group were evaluated using an analysis of variance for repeated measures followed by a Duncan multiple-range test. Between-group differences in values measured at the same level of renal perfusion pressure were evaluated using a two-way analysis of variance for repeated measures with one independent factor followed by a Duncan multiple-range test. A P<.05 was considered statistically significant.
| Results |
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The relationships between fractional sodium excretion (FENa) and renal perfusion pressure in vehicle- and clofibrate- treated Dahl S and R rats are presented in Fig 2. Increasing RPP from 101±1 to 147±1 mm Hg in vehicle-treated Dahl R rats produced a threefold increase in FENa from 2.4±0.5 to 6.8±1.9% of filtered load (Fig 2). A similar elevation in FENa was observed when RPP was increased over the same range in clofibrate-treated Dahl R rats (4.5±1.0 to 10.0±1.5% of filtered load). At an equivalent RPP of 125 mm Hg, FENa tended to be lower in vehicle-treated Dahl S compared to Dahl R rats (2.8±1.1 versus 4.1±1.1% of filtered load) although this difference was not statistically significant. Clofibrate tended to increase FENa in Dahl S rats, particularly at the highest RPP studied, but this difference was not significant. Also, there was no significant difference in FENa between clofibrate-treated Dahl S rats and vehicle-treated Dahl R rats at equivalent levels of RPP.
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Glomerular filtration rate was similar in vehicle- and clofibrate-treated Dahl R rats (Table 1). Baseline GFR was approximately 25% lower in vehicle-treated Dahl S compared to Dahl R rats at all levels of RPP studied. Clofibrate increased GFR in Dahl S rats, and there was no significant difference in GFR in these rats and vehicle-treated Dahl R rats at equivalent levels of RPP.
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Effect of Clofibrate on P4504A Protein Expression in the Kidney
Immunoblot experiments were performed using a polyclonal antibody raised against rat liver P4504A1 enzyme that crossreacts with P4504A1, 4A2, and 4A3 isoforms in the renal cortex of the rat.13,14 Typical examples of immunoblots in Dahl S rats are presented in Fig 3. Three immunoreactive bands were detected in the renal cortex of Dahl S rats with molecular weights ranging from 50 to 52 kDa. These bands correspond to the P4504A1, 4A2, and 4A3 isoforms, which have previously been reported to be expressed in the liver and kidney of rats.15
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The levels of all three P4504A isoforms were induced in the renal cortex of clofibrate-treated Dahl S rats. In contrast, only one band was detected in the outer medulla of Dahl S. This band migrates like the P4504A2 isoform. After clofibrate treatment, the expression of P4504A protein also increased in the outer medulla of Dahl S rats.
| Discussion |
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In the present study, the pressure natriuresis relationship was blunted in vehicle-treated Dahl S rats. These results are consistent with previous studies2,7,17 and indicate that the kidney requires a higher perfusion pressure to excrete the same amount of sodium as normotensive animals. The resetting in pressure natriuresis is due to a reduction in GFR and enhanced chloride reabsorption in the loop of Henle.7,17 The factors responsible for the elevated chloride reabsorption remained to be determined, but it is associated with an impairment in the production of 20-HETE which is an inhibitor of the Na+,K+,2Cl- transport in this nephron segment.8,9 There is also evidence that NO excretion is decreased in Dahl S rats, and that L-arginine feeding improves pressure natriuresis3 and prevents the development of hypertension in Dahl S rats.18
In the present study we found that chronic treatment of Dahl S rats with clofibrate improved the pressure natriuretic relationship. There was no significant difference in the pressure natriuresis relations between clofibrate-treated Dahl S and vehicle-treated Dahl R rats. The shift in the relationship was primarily due to a 40% rise in GFR and to a lesser extent to inhibition of tubular reabsorption as indicated by the slightly greater fractional excretion of sodium in clofibrate-treated versus vehicle-treated Dahl S rats for a given level of RPP.
The mechanism by which clofibrate enhances sodium excretion may be due to increased production of 20-HETE in the kidney. Clofibrate directly binds to the PPAR transcription element and induces the expression of the P4504A gene that regulates the
-hydroxylation of fatty acids in the liver and kidney.13,15 Indeed, in the present study, we found that expression of 4A proteins was elevated in the liver, renal cortex, and outer medulla of clofibrate-treated rats; and, in a previous study, we reported that clofibrate increased the production of 20-HETE in the renal cortex and outer medulla by about 40%.16 Recent studies have indicated that 20-HETE inhibits Na+,K+ ATPase activity, and sodium reabsorption in the proximal tubule.1921 P450 metabolites of arachidonic acid also mediate the inhibitory effects of dopamine,22,23 PTH,24 and AII25,26 on Na+,K+ ATPase activity and/or sodium transport in this portion of the nephron. In addition, 20-HETE also inhibits sodium transport in the thick ascending loop of Henle by blocking the potassium efflux via a 70 pS potassium channel27 that is required for the efficient operation of the Na+,K+,2Cl- cotransporter in this portion of nephron. Thus, it is possible that the antihypertensive effects of clofibrate may be related to enhanced renal production of 20-HETE which in turn inhibits sodium reabsorption, either in the proximal tubule or the loop of Henle.
In summary, the results of the present study indicate that treatment of Dahl S rats with clofibrate induces the expression of renal P4504A enzymes in the kidney and improves the pressure natriuresis relationship in Dahl S rats. The potentiation of the pressure natriuresis relationship is due primarily to an elevation in GFR and, to a lesser extent, to inhibition of tubular sodium transport. Further studies are needed to identify the nephron segments involved and the role of P450 metabolites of arachidonic acid in mediating these responses.
Received September 17, 1997; first decision October 10, 1997; accepted October 28, 1997.
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