(Hypertension. 1999;33:1036-1042.)
© 1999 American Heart Association, Inc.
Scientific Contributions |
From the University of Virginia Health Sciences Center, Charlottesville (H.S., D.E.B., J.P., R.M.C., R.A.F.); Medical University of South Carolina, Charleston (D.H-M.); and Georgetown University Medical Center, Washington, DC (P.A.J., P-Y.Y., J.X.).
Correspondence to Robin A. Felder, PhD, Department of Pathology, Box 168, Charlottesville, VA 22908. E-mail rfelder{at}virginia.edu
| Abstract |
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Key Words: receptors, dopamine adenyl cyclase phospholipases phosphorylation, serine
| Introduction |
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A defective regulation of renal proximal tubule sodium transport by D1-like receptors is also present in human essential hypertension.11 12 We hypothesized that the coupling between a D1-like receptor and the G protein/effector enzyme complex may also be defective in some patients with essential hypertension, similar to that seen in animal models of genetic hypertension. Therefore, we compared the effect of dopamine and fenoldopam on AC and PLC activity in human RPT in culture.
Two D1-like receptors have been cloned in mammals, the D1 and D5 receptors, also known as D1A and D1B, respectively, in rodents.1 Since the D1A receptor seems to be important in the regulation of blood pressure in mice,6 we studied the expression of the D1 receptor in the kidneys and RPT in culture from hypertensive (HT) and normotensive (NT) subjects. We also studied the expression and function of parathyroid hormonerelated protein (PTHrP), since there is no impairment of the parathyroid hormone (PTH)/AC cascade in the 2 animal models of genetic hypertension that have an uncoupling of renal D1-like receptors from their effector enzyme complex.1 9
| Methods |
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Tissue Culture
Human RPT (hRPT) cells were grown in serum-free medium
consisting of a 1:1 mixture of Dulbecco's modified Eagle's medium and
Ham's F12 medium supplemented with selenium (5 ng/mL), insulin (5
µg/mL), transferrin (5 µg/mL), hydrocortisone (36 ng/mL),
triiodothyronine (4 pg/mL), and epidermal growth factor (10
ng/mL).13 hRPT cells (5x105 cells
per well in 24 well plastic plates coated with 0.075% type I
collagen), passage 6 and 7 (except when indicated), were incubated at
37°C in 95% O2/5% CO2
for 48 to 72 hours. Electron microscopic studies showed characteristics
consistent with RPT origin.13 The cells express
Na+-H+ exchanger, isoform 3
(NHE-3) and PTH receptors (NHE-3 and PTH receptors are present in
proximal tubules; NHE-3 is not present in distal tubules) as well
as a brush border marker enzyme,
-glutamyltranspeptidase.
Determination of cAMP Accumulation
cAMP accumulation was determined in the presence of 1
mmol/L 3-isobutyl-1-methylxanthine in Dulbecco's PBS.9
The cells were incubated at 37°C for 30 minutes with or without
drugs: dopamine and the D1-like receptor agonist
fenoldopam, the D1-like receptor
antagonist SCH23390 (Research Biochemicals International),
PTHrP, amino acids 1 to 34 (Bachem), and forskolin (Sigma Chemical
Co).
Determination of PLC
Cytosol and membranes from hRPT were assayed for PLC activity as
utilized in our laboratory with [3H]
phosphatidylinositol-4,5-bisphosphate used as substrate.14
The reaction proceeded for 15 minutes at 37°C and was terminated by
adding a stop solution containing 100 µL of 1% bovine serum
albumin and 500 µL of 10% trichloroacetic acid.
Light Microscopic Immunohistochemistry
Antibodies were raised against synthetic peptide sequences:
rabbit polyclonal antibody human D1 receptor
GSGETQPFC (amino acids 299 to 307)15 and murine monoclonal
antibody PTH/PTHrP receptor RRCDRNGSWELVPGHNRTWANYSE (amino acids 146
to 169).16 The polyclonal antibodies were immunoglobulin
(IgG) or affinity purified (Research Genetics).
The cells and tissue sections were immersion-fixed in HISTOCHOICE for 10 minutes (hRPT) or 4 to 5 hours (kidney tissue) at room temperature and cryoprotected overnight at 4°C in PBS containing 30% sucrose, and immunohistochemistry was performed.17 The tissue sections, 5 to 10 µm thick, cut from paraffin blocks, and hRPTcells were incubated for 24 hours at 4°C with one of the following, diluted 1:500 in PBS: IgG- or affinity-purified D1 receptor polyclonal antibody or monoclonal anti-PTH/PTHrP receptor antibody, preimmune sera, IgG- or affinity-purified D1 or PTH/PTHrP receptor antibodies preadsorbed against their respective immunizing peptides. Immunostaining and visualization were detected with an avidin-biotin immunoperoxidase kit (Vectastain ABC kit, Vector Laboratories) and diaminobenzidine (Sigma Fast DAB Tablets, Sigma). The cells and tissue sections were lightly counterstained with hematoxylin.
Double-Labeling Immunohistofluorescence
The coincident location of the D1
and the PTH/PTHrP receptors was determined in HISTOCHOICE-fixed hRPT
(20 to 30 minutes). The hRPT were exposed overnight at 4°C with
primary antibodies (D1 at 1:500 and PTH/PTHrP at
1:200) in PBS blocking buffer (0.1 mol/L PBS, pH 7.4, 1% BSA, 1%
nonfat dry milk, and 0.05% Triton X-100). Subsequent incubations were
at room temperature. The secondary antibodies (biotinylated horse
anti-mouse IgG antibody, 1:200, Vector Laboratories) were also diluted
with PBS blocking buffer. Fluorescein-conjugated
affinity-purified goat anti-rabbit IgG antibody (Jackson ImmunoResearch
Laboratories, Inc) was applied at 1:100 for 30 minutes, followed by 0.1
mol/L Tris-HCl, pH 7.5, 0.15 mol/L NaCl, and 0.5% Dupont Blocking
Reagent for 30 minutes, streptavidinhorseradish peroxidase for 30
minutes, and tetramethylrhodamine tyramide in amplification diluent
(1:50) for 10 minutes. Any remaining horseradish peroxidase activity
was deactivated with 1%
H2O2 in PBS (pH 7.0) for 15
minutes. Thereafter, the slides were incubated with
antifluoresceinhorseradish peroxidase (NEN Life Science
Products) for 30 minutes and followed by a 10-minute incubation
with 1:50 dilution of fluorescein tyramide in x1
amplification diluent. Immunostaining was detected with
the Tyramide Signal Amplification kit (NEN Life Science Products)
followed by immunofluorescence visualization.
Immunoblotting and Immunoprecipitation
The tissues or cells were lysed with ice-cold lysis buffer
(PBS with 1% NP40, 0.5% Na cholate, 0.1% SDS, 1 mmol/L PMSF, 10
µg/mL aprotinin, 10 µg/mL leupeptin, and 1 mmol/L sodium
vanadate). The lysates were incubated with D1
antibody for 1 hour followed with protein-A agarose for 12 hours with
rocking at 4°C. The proteins separated by SDSpolyacrylamide
gel electrophoresis were electrophoretically transferred onto
nitrocellulose membranes. The transblot sheets were blocked with 5% to
10% nonfat dry milk in 10 mmol/L Tris-HCl, pH 7.5 and 0.1%
Tween-20 and incubated with diluted affinity-purified polyclonal
antiphosphoserine antibody (Zymed Laboratory)18 for 1 hour
at room temperature or overnight at 4°C. The transblots were washed
with buffer and then incubated with peroxidase-conjugated
affinity-purified donkey anti-rabbit IgG for 1 hour at room
temperature. The immunoblots, visualized with ECL System
(Amersham), were quantified by densitometry.14
Determination of D1-like Receptor
Specificity
We determined the involvement of the D1
receptor using antisense phosphorothioate/propyne-modified
oligonucleotides purified by high-performance
liquid chromatography (Genosys). Sense (5 nmol/L) (5'
ATG AGG ACT CTG AAC ACC 3') and antisense (5 nmol/L) 3' GGT GTT CAG AGT
CCT CAT 5') oligonucleotides were incubated with
cultures of hRPT for 4 to 16 hours, washed, and reincubated for another
4 to 48 hours (total incubation time of 20 to 48 hours). The ability of
antisense but not sense oligonucleotides to prevent
expression of the D1 receptor was verified by
Western blotting.
Sequencing
The sequences of the cDNA from the reverse
transcriptasepolymerase chain reaction products of RNA from hRPT
in culture were determined by the Sanger dideoxy chain termination
method with Sequenase (US Biochemical).
Statistical Analysis
Data are reported as mean±SE. Within-group differences were
determined by ANOVA for repeated measures and Scheffé's test.
Differences between HT and NT were determined by t test.
| Results |
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The differential effect of dopamine and fenoldopam on cAMP accumulation in hRPT from NT and HT was not due to intrinsic differences in AC enzyme because forskolin (100 nmol/L), which stimulates AC directly, increased cAMP accumulation to the same extent in NT and HT (Figure 3). There was receptor specificity of the differential effect of dopamine and fenoldopam on cAMP accumulation in hRPT from NT and HT since PTHrP (10-11 to 10-6 mol/L) increased cAMP accumulation to the same extent in NT and HT (Figure 3).
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PLC Activity
Previous studies in rodents have shown that the
D1-like receptor is linked to both AC and PLC
activation.1 7 10 The ability of
D1-like receptor agonists to stimulate AC and PLC
activity is attenuated in rat models of genetic
hypertension.1 6 7 8 9 10 However, in hRPT, fenoldopam (5
µmol/L) stimulated PLC activity to a greater extent in HT than in NT
at 1 minute (Figure 4). Since the cells
were studied contemporaneously, the preservation of the PLC, forskolin,
and PTHrP response but not the cAMP response in HT may be taken to
indicate that a selective dedifferentiation of HT cells did not occur
with multiple passaging.
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Light Microscopic Immunohistochemistry
Kidney Section Studies
Immunohistochemical staining for the D1
receptor was found in proximal and distal tubules and cortical
collecting ducts but was absent in glomeruli,
juxtaglomerular apparatuses, small blood
vessels, and medulla.17 No staining was observed in
consecutive sections processed with either the antibody preadsorbed
against the immunizing peptide or the preimmune serum.17
As with the D1 receptor, the PTH/PTHrP receptor
was present in both proximal and distal tubules in HT and NT (not
shown). No staining was observed in consecutive sections processed with
the antibody preadsorbed against the immunizing peptide (not
shown).
RPT Cells in Culture
There were no differences in the immunostaining
pattern of the D1 and PTH/PTHrP receptors between
hRPT cells from NT and HT (not shown). No staining was observed in
consecutive sections processed with either the antibodies preadsorbed
against the immunizing peptide or preimmune serum (for the
D1 receptor) (not shown).
Immunofluorescence of D1 and
PTH/PTHrP Receptors in hRPT
The presence of D1 and PTH/PTHrP receptors
in hRPT was corroborated by the immunofluorescence
studies; there were also no differences in the
immunofluorescence pattern of the
D1 and PTH/PTHrP receptors in hRPT cells from NT
and HT (Figures 5). No staining was
observed with either the antibodies preadsorbed against the immunizing
peptide or preimmune serum (for the D1 receptor)
(not shown).
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D1 Receptor Sequence, Immunoblotting,
and D1-like Receptor Specificity
There were no differences in the primary sequence (coding and
noncoding region) of the D1 receptor gene
(generated by reverse transcriptasepolymerase chain reaction of RNA
from hRPT) between NT and HT (data not shown). Western blot
analysis revealed that bands of
55 to 60 kDa, 70 to 90 kDa,
and 113 kDa were detected by the D1 antibody in
renal cortex and hRPT from NT and HT; no bands were observed in
preimmune serum (data not shown). There were no differences in
the density of immunostaining between NT (51.6±2.1%
area, n=4) and HT (48.4±2.1%, n=5) at either the 55- to 60-kDa or 70-
to 90-kDa band. Antisense but not sense
oligonucleotides inhibited translation of the
D1 receptor and completely blocked the ability of
fenoldopam to stimulate cAMP accumulation in HT and nearly so in NT
(Figure 6). Thus, the
D1-like receptor involved in the
fenoldopam-stimulated cAMP accumulation is due mainly to the
D1 receptor subtype.
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D1 Receptor Phosphorylation
The uncoupling of the D1-like receptor from
its G protein/AC complex is similar but distinct from homologous
desensitization that is due to phosphorylation of the
receptor after ligand occupation.1 19 We hypothesized that
the D1 receptor in RPT in hypertension may be
already phosphorylated even in the basal state and is
therefore essentially desensitized. Since the D1
receptor is phosphorylated at its serine
residues,19 we compared the serine
phosphorylation of the receptor with and without 1
µmol/L fenoldopam. As shown in Figure 7, the quantity of
serine-phosphorylated D1 receptor
is greater in HT than in NT at basal conditions. Moreover, fenoldopam
increased the phosphorylation of the
D1 receptor in NT but not in HT subjects. These
data are in accord with the hypothesis that the decreased ability of
fenoldopam to stimulate cAMP accumulation in HT subjects is associated
with increased phosphorylation of the
D1 receptor in the basal state.
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| Discussion |
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The decreased ability of D1-like receptors to stimulate cAMP production in hRPT from subjects with essential hypertension is similar to observations in RPT and arterioles in animal models of genetic hypertension.1 8 9 22 Because the D1-like receptormediated natriuresis is, in part, caused by cAMP, we have suggested that the impaired natriuretic effect of D1-like receptors in the SHR is in part due to decreased D1-mediated stimulation of cytoplasmic second messengers.1 The preservation of the natriuretic effect of the D1-like agonist fenoldopam in essential hypertension may be due to an intact D1-like response at more distal sites along the nephron (eg, cortical collecting duct).12 The ability of guanine nucleotides to stimulate AC activity in the RPT is also not impaired in the SHR, suggesting that the defect is probably located proximal to G proteins, presumably at a D1-like receptor.1 9 There is organ specificity of the defect since fenoldopam stimulated AC activity in the striatum of the brain to the same extent in SHR and its normotensive control.1 There is receptor specificity since PTH stimulated AC activity to the same extent in the RPT of these rat strains, an observation similar to that noted in the present study.1 9 There is, however, one appreciable difference. In the SHR, the ability of dopamine and D1-like agonists to stimulate PLC and phospholipase A2 activity in RPT is also impaired.7 10 In the present study, D1-like activation of PLC may be actually greater in HT than in NT subjects. The significance of the apparently greater increase in PLC activity after D1-like receptor stimulation in HT than in NT remains to be determined.
The 2 D1 receptor subtypes (D1 and D5 subtypes) cloned in mammals are expressed in RPT.1 There is no difference in the amount or distribution (data not shown) of D1 or D5 receptors in the kidney of HT and NT subjects. The apparent uncoupling of a D1-like receptor from AC is also not due to decreased receptor density, similar to studies in genetically hypertensive rats.1 9 The ability of antisense D1 receptor oligonucleotide to completely block the stimulatory effect of fenoldopam on cAMP accumulation in HT, and nearly so in NT, indicates that D1 receptor function predominates over D5 receptor function. Moreover, we have reported that disruption of the D1A receptor in mice increases blood pressure and produces diastolic hypertension.6 Although a defect of the D5 receptor or its regulation may be involved in hypertension, this dopamine receptor subtype has not been linked to PLC activation.1 It is also unlikely that a novel D1-like receptor linked to PLC is involved in hypertension because D1-like receptormediated PLC activation is not impaired in hRPT from HT subjects.
We have not found a mutation of the D1 receptor in our patients with essential hypertension; we have not found a mutation in the D1A or D1B receptor in genetically hypertensive rats, either.23 We have suggested that the uncoupling of D1-like receptor from its effector complex in RPT is akin to homologous desensitization.1 However, the desensitization is ligand independent since it occurs in cultures of RPT that are not exposed to dopamine. (RPT cannot synthesize dopamine in the absence of L-DOPA.1 ) The present studies show that the renal proximal tubular D1 receptor is "hyper"-serine-phosphorylated in HT compared with NT and does not respond to fenoldopam stimulation, similar to the cAMP accumulation studies. Since G proteincoupled receptorrelated kinases (GRKs) are involved in the phosphorylation of receptors, resulting in their desensitization, it is of interest that GRK activity and GRK2 expression are increased in lymphocytes of patients with essential hypertension.24 GRK2 is involved in the phosphorylation of several G proteincoupled receptors, including D1 receptors.25 Increased activity of GRK2 could be responsible for the desensitization of the D1-like receptor. However, increased GRK2 activity does not explain the apparent importance of the kidney in the pathogenesis of essential hypertension, since GRK2 is expressed in many organs other than the kidney. Because GRK2 is involved in the desensitization of PTH receptor,25 an increase in GRK2 activity should have resulted in the desensitization of the PTH receptor in hypertension. However, renal PTH action is not impaired in rats with genetic hypertension and in humans with essential hypertension.1 9 Thus, the desensitization of the D1 receptor in hypertension may be due to a kinase but not necessarily GRK2.
In summary, we have found that dopamine D1 and PTH/PTHrP receptors are expressed in RPT of human kidneys. Although the distribution and quantity of D1 receptor expression are similar in RPT from NT and HT subjects, the ability of dopamine and a D1-like receptor agonist to stimulate cAMP production is impaired in HT subjects. The impairment is not due to a defective AC enzyme akin to the ligand-independent desensitization reported in genetically hypertensive rats. The defect is also receptor specific because PTHrP responsiveness is intact. Although the relationship between the increased serine phosphorylation of the D1 receptor and ligand-independent uncoupling of a D1-like receptor remains to be determined, it is suggested that this uncoupling may be involved in the pathogenesis of essential hypertension.
| Acknowledgments |
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| Footnotes |
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Received July 16, 1998; first decision August 18, 1998; accepted December 7, 1998.
| References |
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