(Hypertension. 1999;34:1091-1096.)
© 1999 American Heart Association, Inc.
Scientific Contributions |
From the Institute for Cardiovascular Studies, College of Pharmacy, University of Houston, Tex.
Correspondence to Tahir Hussain, PhD, Institute for Cardiovascular Studies, College of Pharmacy, University of Houston, Houston TX 77204-5515. E-mail THussain{at}jetson.uh.edu
| Abstract |
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45% decrease in Bmax without a change in
Kd in the basolateral membranes of obese
rats compared with lean rats. Although we found an increase in
Gq/11
and no change in Gs
in the
basolateral membranes of obese rats, dopamine and SKF 38393 failed to
stimulate G proteins as measured by [35S]GTP
S binding
in obese rats, suggesting a receptorG protein coupling defect. We
conclude that decrease in D1-like dopamine receptor binding
sites and diminished activation of G proteins, resulting perhaps from
defective coupling, led to the reduced inhibition by dopamine of
Na,K-ATPase activity in the proximal tubules of obese Zucker rats. Such
a defect in renal dopamine receptor function may contribute to sodium
retention and development of hypertension in obese rats.
Key Words: kidney sodium pump hypertension, obesity insulin resistance obesity
| Introduction |
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The renal dopaminergic system is known to play a significant role in promoting natriuresis and diuresis under various physiological conditions.9 10 In spontaneously hypertensive rats, the natriuretic and diuretic responses to dopamine are reduced in comparison with Wistar-Kyoto rats.11 12 Detailed studies have revealed that a defect exists in the D1-like dopamine receptorcellular signaling mechanisms present on the renal proximal tubules.13 14 A similar defect in D1-like dopamine receptor-mediated cellular signaling is reported in the proximal tubules of humans with primary hypertension.15 In an attempt to demonstrate a correlation between defective dopamine receptor and hypertension, it has been reported that mice lacking functional D1A receptors (member of the D1-like dopamine receptor) developed hypertension.16 The D1-like dopamine receptors, via Gs and Gq/11 proteins, are linked to the stimulation of adenylyl cyclase and phospholipase C, which lead to the inhibition of the sodium-transporting proteins Na-H exchanger and Na,K-ATPase in the proximal tubules.17 18 19 Because of a defect in D1-like receptorG protein coupling in the proximal tubules, dopamine and D1-like receptor agonist were unable to stimulate adenylyl cyclase and phospholipase C13 20 and therefore failed to inhibit Na-H exchanger and Na,K-ATPase activities in hypertensive animals.21 22
It is believed that obesity is a primary cause of essential hypertension and type 2 diabetes mellitus or noninsulin-dependent diabetes mellitus.23 It is also known that obesity increases tubular sodium reabsorption, which is suggested to be closely linked to the enhanced activation of antinatriuretic renin-angiotensin and sympathetic systems.4 23 On the other hand, renal production of dopamine is decreased in patients with type 2 diabetes mellitus.24 In addition, exogenously infused dopamine produced markedly lower natriuretic response in insulin-treated patients with type 2 diabetes mellitus.25 On the basis of defective dopamine receptor signaling and reduced natriuretic response to dopamine in hypertension, we hypothesized that a lower natriuretic response to dopamine administration in type 2 diabetes mellitus may be a consequence of defective/reduced dopamine receptor function, leading to an impairment in the D1-like receptormediated cellular signaling mechanisms in the proximal tubules. Therefore, in the present study we used obese Zucker rats to measure D1-like receptor and its associated G proteins, which are involved in the inhibition of Na,K-ATPase in the proximal tubules. Obese Zucker rats share many similarities with obese humans who have insulin resistance and type 2 diabetes mellitus and develop hypertension.26
| Methods |
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General Parameters
For blood pressure measurement, the rats were
anesthetized with sodium pentobarbital (50 mg/kg body wt IP).
After a midline incision, the aorta was catheterized below the kidney,
and blood pressure was measured with a Statham pressure transducer and
recorded on a Grass polygraph for 30 minutes. A blood sample was
collected from the aorta in EDTA-coated tubes for measurement of blood
glucose and plasma insulin levels. Blood glucose was measured with a
glucose analyzer (1500 Sidekick, YSI). Plasma insulin was
measured by radioimmunoassay with the use of a kit (Linco Research
Inc).
Isolation and Enrichment of Proximal Tubules
After blood pressure was measured and blood samples were
withdrawn, rats were used for the preparation of renal proximal
tubules.19 Protein was measured with the use of a
kit (Pierce).
Na,K-ATPase Assay
The proximal tubular suspension (1 mg protein per milliliter) in
Krebs buffer was incubated without or with dopamine (10 nmol/L
to 1 µmol/L) at 37°C for 20 minutes. After incubation, the
tubules were permeabilized by rapid freezing in dry
ice/acetone and thawing. Na,K-ATPase activity was
measured,19 and activity was expressed as nanomoles
inorganic phosphate per milligram protein per minute.
Membrane Preparation
Rats were anesthetized with pentobarbital (50 mg/kg IP).
After a midline abdominal incision, the kidneys were excised and placed
in ice-cold Tris-buffered saline (pH 7.4), and the outer cortex was
removed above the corticomedullary junction.
Basolateral membranes from the cortices were prepared by the colloidal
suspension of silica (Percoll)/sucrose density gradient
method.27
Receptor-Ligand Binding
Binding of [3H]SCH 23390 to the
basolateral membranes was performed according to the previously
described method.28 To generate saturation isotherm, the
ligand concentration was varied from 1 to 60 nmol/L. Cold SCH 23390
(10 µmol/L) was used for determining the nonspecific
binding.
Western Blot Analysis of Sodium Pump and G
Proteins
The basolateral membrane proteins (25 µg protein in Laemmli
buffer) were separated by SDSpolyacrylamide gel
electrophoresis and then electrophoretically transferred onto immobilon
P membrane (blot). The blot was incubated with the antibodies for
Gq/11
and Gs
and
monoclonal antibody for the
-subunit of Na pump, followed by
incubation with anti-rabbit or anti-mouse IgGhorseradish peroxidase
conjugate. The signal was detected with the use of chemiluminescent
substrate.
The antibodies for G proteins were polyclonal, purified, and
antipeptides. The amino acid sequence of the peptides, specific to
the respective proteins, was as follows: QLNLKEYNLV C-terminal position
on Gq/11
; RMHLRQYELL C-terminal position on
Gs
. Specificity of
Gq/11
and Gs
protein
antibody was confirmed with the lysates from cultures of bacteria
transformed with cDNA for respective G protein
-subunits (performed
by Calbiochem-Novabiochem).
[35S]GTP
S Binding Assay
GTP binding assay was performed as earlier
described.29 Briefly, the reaction mixture contained the
following (mmol/L): HEPES 25 (pH 8.0), MgCl2 15,
EDTA 1, dithiothreitol 1, NaCl 100, plus
100 000 cpm
[35S]GTP
S, 5 µg membrane protein, and the
agonists. Bound [35S]GTP
S was separated from
free by rapid filtration on Whatman GF/C filters. Nonspecific
[35S]GTP
S binding was determined in the
presence of 100 µmol/L cold GTP
S. The
[35S]GTP
S was expressed as nanomoles of
[35S]GTP
S bound per milligram protein.
Data Analysis
The values are presented as mean±SE and were subjected
to ANOVA for concentration response curves, followed by the Fisher
protected least significant difference post hoc test and t
test for single concentration responses. P<0.05 was
considered statistically significant.
Chemicals
[35S]GTP
S (1200 Ci/mmol) and
[3H]SCH 23390 (81.4 Ci/mmol) were purchased
from DuPont NEN. Dopamine was purchased from Sigma Chemical Co, and SKF
38393 and SCH 23390 were purchased form Research Biochemicals
International. Anti-Gq/11
and
anti-Gs
were purchased from
Calbiochem-Novabiochem, and anti-
of Na pump was a gift from Dr
Carlos Pedemonte of our department. Other chemicals were from either
Sigma or Fisher Scientific Co.
| Results |
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200 g) than the lean rats (393±14 g). The
systolic and diastolic blood pressure readings of
the obese rats (170±4/148± 4 mm Hg) were significantly higher
(P<0.05) than those of the lean rats (129±3/114±3
mm Hg). Blood glucose level in the obese rats was 40% higher
(P<0.05) and levels of plasma insulin were
8 times
greater in the obese rats than in the lean rats. In addition, plasma
renin activity (nanograms angiotensin I per milliliter per
hour) in obese rats (14.14±1.8) was not significantly different than
that in lean rats (18.27±1.16).
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Effect of Dopamine on Na,K-ATPase Activity in Proximal
Tubules
Dopamine (10 nmol/L to 1 µmol/L) inhibited
Na,K-ATPase activity in the proximal tubules of the lean rats. The
maximal inhibition of
30% was produced by 1 µmol/L dopamine
(Figure 2, top). The inhibition of
Na,K-ATPase activity by dopamine was significantly attenuated in the
proximal tubules of obese rats (Figure 2, top). Na,K-ATPase
control activity (nanomoles per milligram protein per minute) in
lean rats (253±20) was not different from that in obese rats
(275±30). This observation is further supported by Western blot
analysis of the Na pump
-subunit (
95 kDa) in the
basolateral membranes (Figure 2, bottom). The density of the
-subunit of Na pump in the lean rats was comparable to that in the
obese rats.
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[3H]SCH 23390 Binding
[3H]SCH 23390 bound in a saturable manner
to the basolateral membranes from both the lean and the obese rats. As
seen in Figure 3, Scatchard
analysis of the data revealed a significant decrease in
receptor number (
45%) in the obese rat membranes
(Bmax: 1537±422 fmol per milligram protein
in lean rats and 866±96 fmol per milligram protein in obese rats). The
dissociation constant (Kd) values in lean
(37±11 nmol/L) and obese (35±5 nmol/L) rats were not significantly
different.
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Effect of Dopamine and SKF 38393 on [35S]GTP
S
Binding
As shown in Figure 4, dopamine (0.1
to 100 µmol/L) elicited stimulation of
[35S]GTP
S binding in the membranes from lean
rats. However, it failed to stimulate binding in obese rats. Similarly,
SKF 38393 stimulated [35S]GTP
S binding in
the membranes of lean rats but failed to stimulate binding in obese
rats. The basal binding of [35S]GTP
S in the
membranes of lean (6.06±0.3 pmol/mg protein) and obese (6.44±0.34
pmol/mg protein) rats was not different.
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Antibody for Gq/11
recognized a single band
(42 kDa), whereas antibody for Gs
recognized 2
bands (45 and 48 kDa) in the basolateral membranes subjected to Western
blotting. The densitometric analysis of the bands revealed a
significant increase (48%) in Gq/11
in the
membranes of obese Zucker rats compared with lean rats (Figure 5, top), whereas the densities of
Gs
were not different in the basolateral
membranes of obese rats compared with lean rats (Figure 5, bottom).
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| Discussion |
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Obesity is a metabolic disorder with multiple pathophysiological consequences, including insulin resistance, increased renal sodium reabsorption, and development of hypertension.23 Several investigators have attempted to understand the mechanisms responsible for the development of hypertension in obese individuals as well as in animal models.3 4 5 Obese Zucker rats provide a useful model in which the possible candidate hormones and/or their cellular signaling pathways have been investigated to identify a relationship between the development of hypertension and obesity.4 26 30 In the present study, obese Zucker rats were found to exhibit high plasma insulin levels along with higher blood glucose levels compared with their control lean Zucker rats, suggesting insulin resistance. Moreover, this insulin resistance in obese rats was associated with high blood pressure. Higher levels of plasma insulin and blood glucose found in this study are in agreement with earlier studies.4 30
Endogenously produced kidney dopamine and exogenously
administered dopamine and D1-like agonists
promote sodium excretion, at least in part, via the activation of
D1-like dopamine receptors and subsequent
inhibition of Na-H exchanger and Na,K-ATPase in the proximal
tubules.10 17 19 Numerous reports have suggested a
defective action of dopamine in the proximal tubules of hypertensive
patients and in animal models of hypertension.11 12 13 14 15
Unlike in hypertensive animals and patients in which renal dopamine
production is not affected, patients with type 2 diabetes
mellitus have a reduced renal dopamine
production24 ; the mechanism for this abnormality
is not yet known. However, some studies suggest that increased levels
of plasma insulin may play a role in reducing the production of
renal dopamine,31 perhaps by inhibiting either the
conversion of L-dopa to dopamine or the tubular uptake of
L-dopa. In addition to lower renal dopamine
production, a suppressed natriuretic response to
exogenously infused dopamine has been reported in patients with type 2
diabetes mellitus,25 which would suggest that the dopamine
receptors and/or coupled cellular signaling system may also be
defective in type 2 diabetes mellitus. In the present study we
observed that dopamine-mediated inhibition of Na,K-ATPase activity was
attenuated in the proximal tubules of obese Zucker rats. This suggested
that a defect or downregulation may exist in
D1-like dopamine receptormediated
cellular signaling that causes a reduction in dopamine-mediated
inhibition of Na,K-ATPase in the proximal tubules of obese rats. We
measured D1-like receptor binding sites and G
proteins as the initial components of the signaling pathway in the
basolateral membranes from obese and lean Zucker rats to identify the
site(s) of defects that contribute to the reduction in dopamine-induced
inhibition of Na,K-ATPase. It is likely that this phenomenon may
contribute and/or lead to a reduced natriuretic response to
dopamine in obese Zucker rats, as reported in subjects with type 2
diabetes mellitus.25 It should be noted that the reduced
inhibition of Na,K-ATPase by dopamine may not be due to alterations per
se in the number or the activity of Na pumps in obese rats. This was
evident from the finding that there was neither no significant
difference in either the control activity of Na,K-ATPase or the
quantity of
-subunit, the sodium-transporting part of the enzyme, as
measured by Western blotting between obese and lean rats.
The binding of [3H]SCH 23390 revealed that the
number of D1-like dopamine receptor binding sites
was reduced by
45% in the basolateral membranes of obese rats
without a change in affinity (Kd) to the
ligand. We earlier reported a similar reduction in
D1-like receptor binding sites in the proximal
tubules of old Fischer 344 rats compared with adult
rats.28 However, Fischer 344 rats were not
hypertensive.28 It is not known whether the reduction in
D1-like receptor binding sites is due to a
decrease in the synthesis of receptors or internalization and
degradation of receptors. The decrease in D1-like
receptor binding sites may be partly responsible in the attenuation of
dopamine-mediated inhibition of Na,K-ATPase in the proximal tubules of
obese Zucker rats.
Quantification of Gq/11 and
Gs proteins and agonist-induced activation of G
proteins were performed to assess the next component of the
D1-like receptor signaling pathway. Western blot
analysis of the basolateral membranes revealed an increase in
the
-subunit of Gq/11 protein and no change in
the
-subunit of Gs protein in obese rats
compared with lean rats. However, while dopamine and SKF 38393 caused a
concentration-dependent activation of G proteins (as measured by
[35S]GTP
S binding) in lean rats, this
response was absent in obese rats. We reported a similar defect in G
protein activation by dopamine in the basolateral membranes of old
Fischer 344 rats in which D1-like receptors were
reduced and the levels of G proteins were increased.28 A
45% reduction in D1-like dopamine receptors may
not account for the total failure of dopamine and SKF 38393 to
stimulate G proteins, as measured by
[35S]GTP
S binding, in obese rats. It
is possible that G proteins in obese rats may be defective and/or may
not be available for interacting with D1-like
receptors. In experiments conducted in spontaneously hypertensive rats,
it was discovered that D1-like dopamine receptor
numbers were not altered,13 but the activation of G
proteins29 and the subsequent stimulation of second
messengers were significantly reduced compared with Wistar-Kyoto
rats.13 20 The D1-like receptors
were unable to bind to the agonist with high affinity because of a
defect in a receptorG protein coupling.13 A recent study
in the proximal tubules of essential hypertensive subjects suggested
that agonist-independent phosphorylation of
D1 dopamine receptors may be the molecular cause
of the defect in the receptorG protein coupling.15 It is
yet to be determined whether a similar mechanism of receptorG protein
uncoupling exists in the proximal tubules of obese rats. However, the
failure of dopamine and SKF 38393 to activate G proteins
suggests that there may be little or no stimulation to these agonists
of the effector enzymes (phospholipase C and adenylyl cyclase)
in the proximal tubules of obese Zucker rats.
The mechanism(s) responsible for reduced D1-like dopamine receptor function in the proximal tubules of obese Zucker rats is not known. However, it is possible that the reduction in D1-like dopamine receptor binding sites and a defect in coupling with the G proteins may be 2 different independent phenomena. It is known that the defect in D1-like receptorG protein coupling in the proximal tubules of spontaneously hypertensive rats exists even before the development of hypertension,32 when such defect is proposed to have contributed to the development of hypertension. The obese Zucker rats used in this study are hypertensive. Furthermore, it is also important to determine in future studies whether the defective dopamine receptor function is related to hypertension, obesity, or insulin-resistant phenotype in these animals. Younger obese Zucker rats aged 3 to 4 and 7 to 8 weeks may be used to delineate the mechanisms of such a receptor defect when these animals have not yet developed hypertension, obesity, and insulin resistance.
In summary, we found that obese Zucker rats were hypertensive and displayed higher levels of plasma insulin and blood glucose. The D1-like dopamine receptor binding sites were reduced and the activation of G proteins by dopamine and D1-like agonists was diminished, which may account for the reduced inhibition of Na,K-ATPase by dopamine in the proximal tubules of obese rats. This is the first demonstration of such a defect in the ability of dopamine to inhibit Na,K-ATPase, which may contribute to increased sodium reabsorption and development of hypertension in obese Zucker rats.
Received March 9, 1999; first decision April 6, 1999; accepted June 29, 1999.
| References |
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