(Hypertension. 2001;37:887.)
© 2001 American Heart Association, Inc.
Scientific Contributions |
From the Department of Pharmacology (S.I.P, M.A.C., J.C.M.), New York Medical College, Valhalla, and the Department of Biochemistry (J.R.F.), University of Texas Southwestern Medical Center, Dallas.
Correspondence to John C. McGiff, MD, Department of Pharmacology, New York Medical College, Valhalla, NY 10595. E-mail John_McGiff{at}nymc.edu
| Abstract |
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200 mm Hg. Unexpectedly,
renal vasodilation elicited by AA was greater in the SHR at high PP;
for example, 2.5, 5, and 10 µg of AA produced PP declines of 54±9,
92±10, and 112±5 mm Hg, respectively, in SHR compared with
26±3, 45±5, and 77±6 mm Hg in Wistar-Kyoto rats
(P<0.01). However, the renal
vasodilator responses to acetylcholine (0.1 µg) and sodium
nitroprusside (1 µg) did not differ between strains, indicating that
vascular responsiveness to AA was independent of intrinsic changes in
vascular smooth muscle. Hyperresponsiveness of the renal vasculature to
AA may be unique for the SHR, because it did not occur in
Sprague-Dawley rats with angiotensin IIinduced
hypertension. 5,8,11,14-Eicosatetraynoic acid (ETYA; 4 µmol/L), an
inhibitor of all AA pathways, attenuated the vasodilator
responses to AA, as did treatment with stannous chloride, which
depletes cytochrome P450 enzymes, suggesting that a cytochrome P450 AA
metabolite mediated the renal vasodilation.
N-Methylsulfonyl-12,12-dibromododec-11-en-amide
(DDMS; 2 µmol/L), a selective
-hydroxylase inhibitor,
did not affect AA-induced vasodilation, whereas selective inhibition of
epoxygenases with either miconazole (0.3 µmol/L) or
N-methylsulfonyl-6-(2-propargyloxyphenyl)
hexanamide (MS-PPOH; 12 µmol/L) did, indicating that one or more EETs
were involved in the renal vasodilator action of AA at high PP. This
conclusion was supported by the demonstration that AA greatly enhanced
the renal efflux of EETs at high PP but not at basal
PP.
Key Words: hypertension, renal kidney arachidonic acid vasodilation
| Introduction |
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In the first study that linked CYP AA metabolites to blood
pressure regulation, Sacerdoti and
colleagues6 used stannous
chloride (SnCl2), an inducer of heme
oxygenase, to deplete CYP enzymes, which prevented the
development of hypertension in young spontaneously hypertensive rats
(SHR). SnCl2 treatment did not, however, affect
blood pressure in either normotensive rats or the adult SHR. 20-HETE, a
product of CYP
-hydroxylase, is the prohypertensive CYP AA
metabolite par excellence by virtue of its vasoconstrictor potency and
copious production by the renal
vasculature.7 8 9
20-HETE is the principal product of preglomerular
microvessels, at which site it is generated in increased amounts in the
SHR vis-à-vis normotensive Wistar-Kyoto rats
(WKY).10 Increased
production of 20-HETE by the afferent arteriole is considered
to be responsible for a rightward shift in the pressure-natriuresis
curve, the hallmark of
hypertension.10 Additional
evidence for the importance of increased
-hydroxylase activity and
production of 20-HETE in the genesis of hypertension is based
on the blood pressurelowering ability in the young SHR of
1-aminobenzotriazole, a selective inhibitor of
-hydroxylase.11 Further,
treatment of (normotensive versus SHR) rats with CYP 4A antisense
oligonucleotides also decreased renal synthesis of
20-HETE accompanied by reduced blood pressure in the young
SHR.12 The cumulative import
of these studies provides compelling support for a prohypertensive role
for 20-HETE in the SHR.
Equally compelling studies by Makita and associates13 indicate an antihypertensive role for CYP-derived arachidonate EETs; indeed, a deficiency of EETs renders the rat liable to blood pressure elevation in response to increased dietary salt. Most recently, CYP 2C23 has been identified in the rat kidney as the major 2C arachidonate epoxygenase and the specific isoform of the 2C family that is subject to regulation by dietary salt.14 Salt sensitivity, as defined by blood pressure elevation in response to dietary salt loading, therefore, can be produced by deletion or inhibition of the 2C23 epoxygenase isoform.14 The EETs may also operate in a regulatory vascular mechanism that opposes the renal actions of 20-HETE at critical sites such as the afferent arteriole. In a recent study, Imig et al15 identified an epoxide-dependent vasodilator mechanism that antagonizes 20-HETEinduced constriction of the afferent arteriole.
A quiescent CYP-dependent vasodilator system has been identified in the normotensive rat kidney, which became evident only after inhibition of cyclooxygenase (COX) and elevation of renal perfusion pressure (PP).16 These conditions resulted in the transformation of renal vasoconstriction produced by AA to vasodilation and was dependent on an intact endothelium. Further, the AA-induced renal vasodilation was inhibited by blockade of CYP AA metabolism. The present study was designed to examine expression of CYP-dependent AA vasodilation in the SHR vis-à-vis WKY as well as in another hypertensive model, angiotensin (AII)-induced hypertension. The working hypothesis was that normotensive rats would exhibit a more active CYP-dependent renal vasodilator mechanism than the SHR. However, this hypothesis was not validated because the renal vasodilator response to AA mediated by an EET was greater in SHR than in WKY.
| Methods |
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Animals
Male SHR, WKY, and Sprague-Dawley rats (SD) (Charles
River Laboratory, Wilmington, Mass), 13 to 15 weeks of age were used
for these studies. The animals were maintained in an air-conditioned
room with a 12-hour dark/light cycle and given standard rat chow
(Ralston Purina Co) and free access to tap water. They were allowed 3
to 5 days to adjust to the new environment before starting the
experiments. The AII-induced model of hypertension was induced
according to a published
procedure.17 Briefly, an
Alzet osmotic minipump (model 2001, Alza Co) filled with AII dissolved
in 0.01N acetic acid (containing 0.15 mol/L NaCl) or vehicle was
implanted subcutaneously in SD under methoxyflurane
anesthesia. AII was delivered at the rate of 200 ng/min for
6 days. Blood pressure was measured in conscious animals by the
tail-cuff method.
Perfused Kidney In Situ
The perfused kidney in situ has been described
previously.18 Briefly, after
pentobarbital anesthesia (60 mg/kg IP) and midline
laparotomy, the right renal artery was cannulated through the
mesenteric artery with a 19-gauge needle and perfused in situ at
constant flow by a Watson Marlow pump (model 505S) with warmed (37°C)
and gassed (95% O25%
CO2) Krebs-Henseleit solution (in mmol/L):
NaCl (118), KCl (4.7),
KH2PO4 (1.19),
MgSO4 (1.19), CaCl2
(1.9), NaHCO3 (25), and glucose (5.5). PP was
measured with a Harvard Apparatus pressure transducer and
recorded on a Soltec (model 1244) chart recorder. In those
preparations in which the renal effluent was collected, the kidney was
removed after arterial cannulation and suspended in a
water-jacketed organ bath at 37°C.
Protocol I: Renal Vascular Effect of AA
After a stable PP of 70 to 90 mm Hg was
reached, AA (2.5 µg) was administered as a bolus injection into the
renal artery before and after treatment with
indomethacin (10 µmol/L) for 30 minutes.
Phenylephrine (0.5 to 1x10-6
mol/L) was then added to the perfusate to increase PP to
200 mm Hg. A dose-response curve to AA (1 to 10 µg) and
bolus injections of Ach (0.1 µg) or SNP (1 µg) were compared for
SHR and WKY or SD infused with AII and sham control
rats.
Protocol II: Role of CYP Metabolites in
Vasodilation Induced by AA
All experiments were performed at
200 mm Hg
PP in the presence of indomethacin (10 µmol/L).
First, we studied the effect of the ETYA (4 µmol/L) on the vascular
response to AA. To assess a CYP component of the AA-induced
vasodilation, animals were treated for 4 days with
SnCl2 (10 mg/100 g body wt SC), which induces
heme oxygenase, an enzyme that metabolizes heme and reduces
its availability for CYP, causing depletion of renal
CYP.6 After treatment with
either SnCl2 or vehicle, vascular responses to
AA (1 to 10 µg) and Ach (0.1 µg) or SNP (1 µg) were determined
and compared with those from kidneys of vehicle-treated
animals.
To define further the contribution of CYP AA metabolites to
the renal vascular effect of AA, experiments were performed with newly
developed specific CYP inhibitors that allow discrimination
between hydroxylase and epoxygenase
activity.19 DDMS (2
µmol/L) was used to inhibit
-hydroxylation; miconazole (0.3
µmol/L) and MS-PPOH (12 µmol/L) were used to selectively inhibit
the epoxygenase pathway. Dose-response curves to AA (1 to
10 µg) were determined and bolus injections of either Ach (0.1 µg)
or SNP (1 µg) were given and compared with those from vehicle-treated
kidneys.
Protocol III: Release of CYP
Metabolites
The unseparated ureteral and venous effluents were
collected for 5 minutes before and after a bolus injection of AA (5
µg). To measured volumes of renal perfusates, 5 ng of
20-HETE-d2 plus 7.5 ng of a mix of
EET-d8 (8,9-, 11,12-, and 14,15-EET) were added
as internal standards. The eicosanoids were extracted and separated by
high-performance liquid chromatography and
derivatized and analyzed by gas
chromatographymass spectrometry as described
previously.20
Statistical Analysis
Results are expressed as mean±SEM. A students
2-sample t test or a
Wilcoxon 2-sample rank sum test was used to analyze
differences between groups, depending on whether assumptions of
normality were met. A value of
P<0.05 was considered
significant.
| Results |
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200 mm Hg, AA produced
vasodilation followed by vasoconstriction
(Figure 2a). The vasoconstriction was blocked by COX
inhibition, whereas the vasodilator action of AA persisted
(Figure 2b). Unexpectedly, in rat kidneys subject to high PP
and treated with indomethacin, the decrease in PP
elicited by AA and bradykinin was enhanced in SHR compared with WKY
(Figure 3). The renal endothelium-dependent
vasodilator effect of Ach and the
endothelium-independent vasodilator effect of SNP did
not differ between SHR and WKY, indicating that relaxation of renal
blood vessels to standard vasodilator agents was unimpaired
(Figure 3 and
Table).
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We obtained additional evidence that the SHR had an exaggerated renal vasodilator response to AA when compared with another normotensive rat strain. The renal vasodilator responses of SD to the lower doses of AA (1 and 2.5 µg) were indistinguishable from those of WKY, whereas at the higher doses of AA (5 and 10 µg), AA-induced vasodilation was less in SD than in WKY; for example, to 5 µg AA, 25±7, 45±5, and 92±10 mm Hg decreases in renal PP occurred, and to 10 µg of AA, 44±6, 77±6, and 112±5 mm Hg decreases in renal PP occurred for SD, WKY, and SHR, respectively. In contrast to the exaggerated vasodilator response to AA in SHR, in the AII hypertension model, renal vasodilation produced by AA was either eliminated or greatly diminished (Figure 4).
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Protocol II: Role of CYP Metabolites in
Vasodilation Induced by AA
In phenylephrine-preconstricted kidneys
pretreated with the COX inhibitor
indomethacin, ETYA (4 µmol/L), an
inhibitor of all AA pathways, significantly diminished the
vasodilator response to AA in both the SHR and WKY
(Figure 5a), as did depletion of CYP enzymes in vivo by
inducing heme oxygenase activity with
SnCl2
(Figure 5b), indicating that a CYP product of AA
metabolism was a likely candidate for the augmented
response in the SHR. Having uncovered a non-COX, eicosanoid-dependent
renal vasodilator mechanism that was operative at high renal PP, we
next examined potential CYP AA products that could mediate the
renal vasodilation. Identification of a CYP AA metabolite as a mediator
of the renal vasodilation to AA made use of highly specific
inhibitors that readily distinguish the participation of an
EET from that of a HETE.19
DDMS (2 µmol/L), the
-hydroxylase inhibitor, did not
affect AA-induced vasodilation, thereby eliminating 20-HETE as a
potential mediator
(Figure 6). However, selective inhibition of
epoxygenases with either miconazole (0.3 µmol/L) or
MS-PPOH (12 µmol/L) greatly reduced the AA response
(Figure 7, a and b). Importantly, none of the
inhibitors affected endothelium-dependent
(Ach) and endothelium-independent (SNP) renal
vasodilator responses
(Table),
indicating that altered relaxation of the renal vasculature produced by
CYP inhibition was independent of intrinsic changes in either the
endothelium or vascular smooth
muscle.
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Protocol III: Release of CYP
Metabolites
At basal PP, AA (5 µg) did not induce efflux of
either EETs or 20-HETE in SHR and WKY
(Figure 8). At high PP, AA induced a 3-fold increase in renal
efflux of EETs in both SHR and WKY but was without effect on 20-HETE
release. A sharp decline in efflux of EETs occurred in the SHR when PP
was elevated (P<0.06).
Nevertheless, the SHR and WKY did not differ in the magnitude of EETs
released by AA. Interestingly, at basal PP, renal efflux of 20-HETE was
greater in SHR than in WKY. In the SHR, at high PP, the release of
20-HETE in response to AA was reduced by 35% in SHR
(P<0.05) compared with release
at basal PP
(Figure 8). This stands in contrast to the severalfold
elevation of EET efflux produced by AA at high PP in
SHR.
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| Discussion |
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This study issued directly from our previous study, which
uncovered a dormant vasodilator response to AA in the rat kidney
requiring inhibition of COX and elevation of renal PP to be
demonstrated and was mediated by a CYP AA
metabolite.16 Thus, at low
renal PP (
80 mm Hg), the renal vasoconstrictor response to AA
in both SHR and WKY was abolished when the production of
vasoconstrictor prostanoids was blocked with
indomethacin.16
Elevation of renal PP to
200 mm Hg after inhibition of COX
unmasked a vasodilator response to AA that was mediated by a
CYP-dependent metabolite of AA. Although an imbalance between
vasopressor and vasodepressor agents, in favor of the former, have been
identified in various diseases states, including
hypertension,9 the findings
of our study appear to be an exception to this generalization because
the magnitude of the renal vasodilator response of the SHR to AA was
considerably greater than that of the normotensive strains, WKY, and
SD. However, this is not unique because bradykinin also produces an
exaggerated renal vasodilator response in the
SHR,22 23 which
has been confirmed in the present study. To determine whether the
COX-independent hyperresponsiveness to AA is unique for the SHR, we
examined the effect of AA on a different experimental model of
hypertension, AII-induced
hypertension.17 In contrast
to our findings in the SHR, renal vasodilation produced by AA was
greatly diminished in this hypertensive model when compared with
normotensive SD.
A potentially important relation between blood pressure
elevation and renal 20-HETE production was also suggested by
the decline (
35%) in 20-HETE release when renal PP was abruptly
increased from 80 to 200 mm Hg. This is the first direct
demonstration that renal production/release of the
prohypertensive 20-HETE may be subject to regulation by renal PP,
suggesting the operation of a mechanism that moderates
production of 20-HETE. At basal renal PP, AA neither increased
renal release of EETs nor produced renal vasodilation. In contrast,
when PP was elevated, AA increased EET release from the kidney, whereas
efflux of 20-HETE was unaffected. The failure for AA to promote efflux
of 20-HETE irrespective of PP levels, and in both SHR and WKY, is
puzzling. Whether a receptor-mediated release of 20-HETE, such as in
response to either AII or ET-1 is also
affected,8 20 has
yet to be determined and should shed light on endogenous
versus exogenous sources of AA as determinants of vascular
responsiveness. A cause-and-effect relation between EET release and
AA-induced renal vasodilation at high PP is likely because inhibition
of epoxygenase was associated with prevention of the
vasodilator effect of AA. These findings support the general
conclusion, based on selective inhibition of epoxygenases,
that an EET(s) mediated the renal vasodilator effect of AA when renal
PP was elevated. Neither the vasodilator response to Ach, which is
endothelium-dependent, nor vasodilation produced by
SNP, a nitric oxide donor, which is
endothelium-independent, was affected by inhibition of
CYP enzymes, indicating that the CYP inhibitors did not
have a direct effect on reactivity of the renal vasculature to
vasodilator agents.
A countervailing mechanism that promotes production of an antihypertensive CYP AA metabolite is suggested by the ability of administered AA to increase renal EET release only when renal PP was elevated. However, a deficiency in renal EET production by the SHR was apparently uncovered by the sharp decline in EET efflux occasioned by elevating renal PP, suggesting deficient pressure-induced biosynthesis of vasodilator EETs in the SHR. Because exogenous AA produced similar renal efflux of EETs in SHR and WKY at high PP, an abnormality in phospholipase activity may be responsible for the failure of the SHR to respond to high PP by increasing EET production from endogenous AA.
It is instructive to review these findings in terms of the important findings of Imig et al10 regarding the hormonal basis for resetting the pressure-natriuresis relation in the SHR by enhancing tone of the preglomerular microvessels through increased renal production of 20-HETE. On the other hand, WKY demonstrated the reverse; namely, production of the 11,12-epoxide exceeded that of 20-HETE.10 Imig et al15 examined changes in the production of 20-HETE and an EET for effects on the diameter of that vascular segment primarily responsible for producing changes in renal vascular resistance (RVR), the afferent glomerular arteriole. The identity of the epoxide was presumed to be 11,12-EET because it is the most potent dilator of the major resistance blood vessel,24 the afferent glomerular arteriole, and is the principal epoxide produced by the kidney (and by preglomerular microvessels).4 When renal PP was elevated, the afferent arteriole constricted by increasing production of 20-HETE, an effect that was (1) potentiated by inhibiting production of EETs, which antagonize the vasoconstrictor action of 20-HETE, and (2) attenuated by inhibiting formation of 20-HETE. As in the study of Imig et al,15 we found that an EET reduced RVR.
The augmented renal vasodilator effect of AA in SHR versus
WKY could not be accounted for by increased renal EET released by AA in
the SHR because similar increases in renal EET efflux occurred in both
SHR and WKY. However, there are several factors regarding
production and metabolism of EETs that have not
been addressed in the present study and may have contributed to the
greater renal vasodilator responsiveness of SHR versus WKY: (1)
Increased production of an individual epoxide could not have
been detected because only total EETs were measured. Of the EETs, the
5,6-EET has been reported to be the most potent dilator of the renal
vasculature of SHR25 and to
be selectively increased in SHR. (2) Metabolism of EETs by
epoxide hydrolase to DHETs, which may have a greater dilator potency
than EETs, as has been demonstrated for coronary microvessels,
also may be a factor.26
Indeed, increased formation of DHETs by SHR vis-à-vis WKY has been
reported.10 Additional
factors that possibly operate in SHR to account for AA renal vascular
hyperresponsiveness include density of EET receptors that have recently
been suggested to operate through a
Gs
a-mediated mechanism; enhanced activity of
Gs
a proteincoupled responses of
K+Ca channels;
sensitivity of the target site, the KCa channel;
and other components of EET-initiated cell signaling events such as
efficiency of ADP-ribosylation of Gs
a and
enhanced responsiveness to signaling molecules effecting
Ca2+
entry/mobilization.27 28 29
The functional implications of these findings regarding a renal vasodilator system mediated by an EET must await studies in conscious rats conducted over longer intervals and subject to variable experimental conditions such as changes in dietary salt. Whether or not the renal vascular mechanism mediated by an EET is an important component of antihypertensive defenses deserves serious consideration. Recent studies have identified arachidonate epoxides as endothelium-derived hyperpolarizing factors at several sites in the vasculature and underscore the potential importance of this area of research to circulatory regulation.30 31 The relation between endothelium-derived hyperpolarizing factors and arachidonate epoxides is approaching resolution.32 33
| Acknowledgments |
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Received April 18, 2000; first decision May 8, 2000; accepted August 25, 2000.
| References |
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-hydroxylase activity with ABT reduces blood pressure in the SHR.
Am J Physiol. 1998;275:R426R438.
-nitro-L-arginine
Hypertension. 1991;18:683688.This article has been cited by other articles:
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J. You, E. M. Golding, and R. M. Bryan Jr. Arachidonic acid metabolites, hydrogen peroxide, and EDHF in cerebral arteries Am J Physiol Heart Circ Physiol, September 1, 2005; 289(3): H1077 - H1083. [Abstract] [Full Text] [PDF] |
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S. I. Pomposiello, J. Quilley, M. A. Carroll, J. R. Falck, and J. C. McGiff 5,6-Epoxyeicosatrienoic Acid Mediates the Enhanced Renal Vasodilation to Arachidonic Acid in the SHR Hypertension, October 1, 2003; 42(4): 548 - 554. [Abstract] [Full Text] [PDF] |
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