(Hypertension. 2002;39:269.)
© 2002 American Heart Association, Inc.
Scientific Contributions |
From the Division of Nephrology and Hypertension and Center for Hypertension and Renal Disease Research, Georgetown University Medical Center (T.C., C.K., W.J.W., C.S.W.), Washington, DC; Division of Nephrology and Endocrinology, Department of Internal Medicine, University of Tokyo (A.T., M.L.O., T.F.), Tokyo, Japan; and Department of Veterinary Molecular Biology, Montana State University (M.T.Q.), Bozeman.
Correspondence to Christopher S. Wilcox, MD, PhD, Chief, Division of Nephrology and Hypertension, Georgetown University Medical Center, 3800 Reservoir Rd NW, PHC F6003, Washington, DC 20007-2197. E-mail wilcoxch{at}gunet.georgetown.edu
| Abstract |
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Key Words: oxygen oxidative stress nitric oxide macula densa
| Introduction |
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Cytosolic enzyme systems contributing to oxidative stress include the extended family of NADPH oxidases. The robust oxidative burst of stimulated phagocytes utilizes the complete NADPH oxidase pathway.5 Mohazzab et al6 and Rajagopalan et al7 have identified NADPH oxidase as a major site of O2- generation in intact arteries. Components of phagocyte NADPH oxidase have been identified in some tissue culture cells, including cultured human mesangial cells,8 vascular smooth muscle cells (VSMCs),9,10 endothelial cells,11 glomerular epithelial podocytes,12 kidney proximal tubular epithelial cells,13 and fibroblasts.14
The phagocyte NADPH oxidase is a multimolecular enzyme. This is composed of a membrane-associated 22-kDa
-subunit (p22phox) and a 91-kDa ß-subunit (gp91phox), with cytosolic components composed of p47phox, p67phox, and p40phox5. Assembly of these units also incorporates a small ATPase, Rac1/Rac2.5 In rat VSMCs and colon, gp91phox is replaced by the 56% homologous MOX110; in mouse proximal tubules, by the 57% homologous RENOX.13 The site of NADPH oxidase expression within the kidney should give insight into locations for ROS generation. Previously, we found that O2- contributes to hypertension, renal vasoconstriction4,15 and enhanced tubuloglomerular feedback response in spontaneously hypertensive rat (SHR) kidney,16 but the source of O2- is not known. Therefore, we tested the hypothesis that NADPH oxidase is overexpressed in the SHR kidney.
In this report, we contrast the expression of the mRNA and protein for the components of phagocyte NADPH oxidase in adult SHR and Wistar Kyoto rat (WKY) kidneys. Because we detected higher p47phox expression in SHR, we determined if this increase preceded the development of hypertension. Finally, we located the immunocytochemical sites of expression of NADPH oxidase in the SHR kidney.
| Methods |
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Isolation of Total RNA
Total RNA was isolated from the kidney cortex using the guanidinium isothiocyanate method (Qiagen). DNase treatment was applied to avoid the contamination from genomic DNA.
Reverse Transcription and Quantitative Polymerase Chain Reaction
Quantitative multiplex reverse transcription-polymerase chain reaction (RT-PCR) was used to quantify the expression of mRNA for gene products for p22phox, gp91phox, p67phox, p47phox, p40phox, MOX-1, and RENOX as described previously.17 Quantitative multiplex PCR was done using synthetic oligonucleotide primers based on published sequences (see Table in online supplement).
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Sequencing of PCR Products
Direct sequencing of reamplified PCR products was performed according to the DyePrimer and DyeTerminator system (Applied BioSystems) and analyzed on an Applied BioSystems Model 373A DNA sequencer.
Western Blotting
Western Blotting was performed as described in detail previously.18 Signals were detected with previously characterized monoclonal19,20 and polyclonal antibodies20,21.
Light Microscopic Immunohistochemistry
Kidney slices were prepared and processed as described previously.18 Polyclonal antibodies20,21 directed against p22phox at a dilution of 1:200 or against p47phox and p67phox at a dilution of 1:400 for 2 hours were used to detect the signal.
Statistical Analysis
All values shown are mean±SE. Unpaired comparisons using Students t test were used to determine significance between specific groups. P<0.05 was considered statistically significant.
An expanded Methods section can be found in an online data supplement available at http://www.hypertensionaha.org.
| Results |
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Using quantitative multiplex RT-PCR, we found the adult SHR kidney cortex from 10-week-old rats had a significantly (0.81±0.05, P<0.01) greater mRNA abundance for p47phox compared with that of the adult WKY (0.37±0.01) (Figure 1). There were no significant differences in expression of p22phox, p91phox, p67phox, p40phox, MOX1, or RENOX between 10-week old-SHR and WKY kidney cortexes (data not shown).
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The immunoreactive expression of p22phox, p47phox, and p67phox proteins in rat renal cortex homogenates using polyclonal antibodies were confirmed for each of these proteins using monoclonal antibodies. There was a specific band for each subunit at a molecular weight corresponding to that predicted for NADPH oxidase subunits in human and mouse proteins. Figure 2 shows the reaction of monoclonal antibodies to p47phox, p67phox, and p22phox with the rat kidney cortex homogenates, and the positive control with leukocyte lysate from rat blood. Western blot analysis in 10-week-old rats showed that p47phox was greater in SHR kidney (SHR 0.58±0.02 versus WKY 0.42±0.02, P<0.05), as was p67phox (SHR 0.54±0.02 versus WKY 0.46±0.02, P<0.05) (Figure 2). There was no detectable difference for p22phox (SHR 0.51±0.02 versus WKY 0.49±0.02, P>0.05). The higher p47phox protein expression in the kidney of 10-week-old SHR compared with age-matched WKY was also detected in prehypertensive 4-week-old SHR, (SHR 0.61±0.05 versus WKY 0.039±0.04, P<0.01) (Figure 3).
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Immunocytochemical staining for all of the components studied was stronger in SHR than WKY kidney. Therefore, data shown is for SHR kidney, although a generally similar pattern was seen in WKY kidneys. Light microscopic observation of 2-µm wax sections from 10-week-old SHR kidney demonstrated that p22phox, p47phox, and p67phox were expressed strongly in the wall of the renal artery, whereas the expression was prominent in the smooth muscle cells (Figure 4). All of these components where also expressed strongly in the apical regions of the macula densa (MD) cells, cortical thick ascending limbs (TAL), distal convoluted tubules, and cortical collecting ducts (Figure 4). Higher magnification studies of the glomerulus showed that p47phox was expressed in podocytes (Figure 4). A prominent expression of p47phox protein was also detected in the MD and distal convoluted tubule segments of young prehypertensive SHR (4-week-old) (Figure 5). The immunostaining for 3 subunits of NADPH oxidase along the nephron segments of 10-week-old SHR is summarized in the Table.
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| Discussion |
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The rat kidney partial cDNA corresponding to p22phox, gp91phox, p47phox, p67phox, and p40phox was closely homologous with that cloned from human and mouse phagocytes. These represent renal genes, because the kidneys were perfused extensively with PBS to flush out blood components. Moreover, immunocytochemical studies detected no neutrophils and only very occasional tissue macrophages in the kidney sections examined.
Although we detected mRNA for gp91phox, MOX1, and RENOX in the kidney, we were not able to address the issue of the protein expression for gp91phox and its homologues because antibody specificity could not be assured.
Proteins corresponding to p22phox, p47phox, and p67phox were located in the nephron of the SHR at the MD segment, TAL, apical areas of the distal convoluted tubule, and the cortical and medullary collecting ducts. The proximal nephron was not stained. The constitutive expression of these components in the SHR kidney, which was prominent at the luminal membrane, indicates that phagocyte-type NADPH oxidase may generate O2- at these nephron sites in the SHR kidney. The TAL, the MD, and the cortical collecting ducts all express NO synthase constitutively.22 NO generated in tubular epithelium and MD cells can regulate NaCl transport.23,24 Therefore, the finding of co-expression of NADPH oxidase components with NOS at specific sites in the nephron suggests that it could regulate the effects of epithelial-generated NO.
Previously, Bachmann et al25 reported the expression of mRNA for p22phox in the peritubular fibroblasts of the rat renal cortex. This was confirmed by immunocytochemical expression of p22phox protein in fibroblasts. Cultured podocytes from human glomeruli expresses the mRNA and immunoreactive proteins for p22phox, gp91phox, p47phox, and p67phox.12 In the present study in the SHR, we detected the expression of only p47phox in podocytes.
The finding that the SHR kidney has an increased abundance of mRNA for p47phox and of protein for the p47phox, and p67phox subunits suggests that NADPH oxidase may be a source of the excessive renal production of O2-, which has been demonstrated in previous physiological studies.4,15 The SHR has enhanced excretion of 8-iso-PGF2
, which is a marker of oxidative stress.4 Moreover, long-term administration of tempol, which is a membrane-permeable O2- dismutase mimetic, reduces the blood pressure and the oxidative stress of the SHR.15
What are the possible functional correlates of this study? First, the expression of a complete NADPH oxidase system along the luminal membrane of the MD suggests that O2- generated at this site may form a barrier, which limits locally generated NO from reaching targets on the luminal membrane. NO inhibits Na+ reabsorption at the TAL,23,26 MD,27 cortical collecting ducts,28 and the inner medullary collecting duct.29 Consequently, activation of an NADPH oxidase at these sites could impair the bioavailability of NO, which is implicated in the regulation of distal nephron Na+ reabsorption and activation of MD cells. The SHR kidney has an enhanced tubuloglomerular feedback response, which has been associated with a diminished buffering by MD-derived NO, despite a greater mRNA and protein abundance for type I NO synthase expressed in MD.30 This defective NO response in the SHR is restored by local microperfusion of tempol into the surrounding interstitium, which has led to the suggestion that the defect is caused by oxidative stress.16 The finding of abundant expression of NADPH oxidase subunits in the MD cells of the SHR suggests that this enzyme could be a major source of O2- formation in the juxtaglomular apparatus of the SHR. NADPH oxidase components also were located in the apical region of TAL cells. NO generated in the TAL can inhibit the luminal Na+/K+/2Cl- cotransporter.31 This suggests that local generation of O2- in the TAL may act to protect the cotransporter from inactivation by NO, thereby contributing to enhanced NaCl reabsorption. Second, the finding that the renal cortical expression of p47phox is enhanced as early as 4 weeks of age suggests that it could be important in hypertension. At 4 weeks of age, the blood pressure of SHR is no higher than that of age-matched WKY.32 Therefore, it appears that the enhanced p47phox expression in the kidney precedes the development of hypertension in this model. Other studies have shown that the degree of oxidative stress in the blood vessel wall increases with age of the SHR.33 Because tempol can normalize the hypertension and renal vasoconstriction in adult SHR,4 it is possible that an enhanced activity of NADPH oxidase within the kidney may predispose to the development of hypertension in the SHR model.
| Acknowledgments |
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Received July 17, 2001; first decision August 8, 2001; accepted October 19, 2001.
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P. Duann, P. K. Datta, C. Pan, J. B. Blumberg, M. Sharma, and E. A. Lianos Superoxide Dismutase Mimetic Preserves the Glomerular Capillary Permeability Barrier to Protein J. Pharmacol. Exp. Ther., March 1, 2006; 316(3): 1249 - 1254. [Abstract] [Full Text] [PDF] |
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Q. Fang, H. Sun, D. M. Arrick, and W. G. Mayhan Inhibition of NADPH oxidase improves impaired reactivity of pial arterioles during chronic exposure to nicotine J Appl Physiol, February 1, 2006; 100(2): 631 - 636. [Abstract] [Full Text] [PDF] |
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P. Modlinger, T. Chabrashvili, P. S. Gill, M. Mendonca, D. G. Harrison, K. K. Griendling, M. Li, J. Raggio, A. Wellstein, Y. Chen, et al. RNA Silencing In Vivo Reveals Role of p22phox in Rat Angiotensin Slow Pressor Response Hypertension, February 1, 2006; 47(2): 238 - 244. [Abstract] [Full Text] [PDF] |
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H. Sugiyama, M. Kobayashi, D.-H. Wang, R. Sunami, Y. Maeshima, Y. Yamasaki, N. Masuoka, S. Kira, and H. Makino Telmisartan inhibits both oxidative stress and renal fibrosis after unilateral ureteral obstruction in acatalasemic mice Nephrol. Dial. Transplant., December 1, 2005; 20(12): 2670 - 2680. [Abstract] [Full Text] [PDF] |
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L. T. de Richelieu, C. M. Sorensen, N.-H. Holstein-Rathlou, and M. Salomonsson NO-independent mechanism mediates tempol-induced renal vasodilation in SHR Am J Physiol Renal Physiol, December 1, 2005; 289(6): F1227 - F1234. [Abstract] [Full Text] [PDF] |
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S. K. Fellner and W. J. Arendshorst Angiotensin II, reactive oxygen species, and Ca2+ signaling in afferent arterioles Am J Physiol Renal Physiol, November 1, 2005; 289(5): F1012 - F1019. [Abstract] [Full Text] [PDF] |
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C. S. Wilcox Oxidative stress and nitric oxide deficiency in the kidney: a critical link to hypertension? Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2005; 289(4): R913 - R935. [Abstract] [Full Text] [PDF] |
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M. C. Bowers, K. A. Katki, A. Rao, M. Koehler, P. Patel, A. Spiekerman, D. J. DiPette, and S. C. Supowit Role of Calcitonin Gene-Related Peptide in Hypertension-Induced Renal Damage Hypertension, July 1, 2005; 46(1): 51 - 57. [Abstract] [Full Text] [PDF] |
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S. Wesseling, D. A. Ishola Jr., J. A. Joles, H. A. Bluyssen, H. A. Koomans, and B. Braam Resistance to oxidative stress by chronic infusion of angiotensin II in mouse kidney is not mediated by the AT2 receptor Am J Physiol Renal Physiol, June 1, 2005; 288(6): F1191 - F1200. [Abstract] [Full Text] [PDF] |
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S. Racasan, B. Braam, H. A. Koomans, and J. A. Joles Programming blood pressure in adult SHR by shifting perinatal balance of NO and reactive oxygen species toward NO: the inverted Barker phenomenon Am J Physiol Renal Physiol, April 1, 2005; 288(4): F626 - F636. [Abstract] [Full Text] [PDF] |
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S. Adler and H. Huang Oxidant stress in kidneys of spontaneously hypertensive rats involves both oxidase overexpression and loss of extracellular superoxide dismutase Am J Physiol Renal Physiol, November 1, 2004; 287(5): F907 - F913. [Abstract] [Full Text] [PDF] |
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M. T. Quinn and K. A. Gauss Structure and regulation of the neutrophil respiratory burst oxidase: comparison with nonphagocyte oxidases J. Leukoc. Biol., October 1, 2004; 76(4): 760 - 781. [Abstract] [Full Text] [PDF] |
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N. Kawada, K. Dennehy, G. Solis, P. Modlinger, R. Hamel, J. T. Kawada, S. Aslam, T. Moriyama, E. Imai, W. J. Welch, et al. TP receptors regulate renal hemodynamics during angiotensin II slow pressor response Am J Physiol Renal Physiol, October 1, 2004; 287(4): F753 - F759. [Abstract] [Full Text] [PDF] |
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R. M. Touyz Reactive Oxygen Species, Vascular Oxidative Stress, and Redox Signaling in Hypertension: What Is the Clinical Significance? Hypertension, September 1, 2004; 44(3): 248 - 252. [Abstract] [Full Text] [PDF] |
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A. Nishiyama, L. Yao, Y. Nagai, K. Miyata, M. Yoshizumi, S. Kagami, S. Kondo, H. Kiyomoto, T. Shokoji, S. Kimura, et al. Possible Contributions of Reactive Oxygen Species and Mitogen-Activated Protein Kinase to Renal Injury in Aldosterone/Salt-Induced Hypertensive Rats Hypertension, April 1, 2004; 43(4): 841 - 848. [Abstract] [Full Text] [PDF] |
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A. Nishiyama, M. Yoshizumi, H. Hitomi, S. Kagami, S. Kondo, A. Miyatake, M. Fukunaga, T. Tamaki, H. Kiyomoto, M. Kohno, et al. The SOD Mimetic Tempol Ameliorates Glomerular Injury and Reduces Mitogen-Activated Protein Kinase Activity in Dahl Salt-Sensitive Rats J. Am. Soc. Nephrol., February 1, 2004; 15(2): 306 - 315. [Abstract] [Full Text] [PDF] |
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M. Z. Haque and D. S. A. Majid Assessment of Renal Functional Phenotype in Mice Lacking gp91PHOX Subunit of NAD(P)H Oxidase Hypertension, February 1, 2004; 43(2): 335 - 340. [Abstract] [Full Text] [PDF] |
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A. D. Dobrian, S. D. Schriver, A. A. Khraibi, and R. L. Prewitt Pioglitazone Prevents Hypertension and Reduces Oxidative Stress in Diet-Induced Obesity Hypertension, January 1, 2004; 43(1): 48 - 56. [Abstract] [Full Text] [PDF] |
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J. Zimpelmann, N. Li, and K. D. Burns Nitric oxide inhibits superoxide-stimulated urea permeability in the rat inner medullary collecting duct Am J Physiol Renal Physiol, December 1, 2003; 285(6): F1160 - F1167. [Abstract] [Full Text] |
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B. Lopez, M. G. Salom, B. Arregui, F. Valero, and F. J. Fenoy Role of Superoxide in Modulating the Renal Effects of Angiotensin II Hypertension, December 1, 2003; 42(6): 1150 - 1156. [Abstract] [Full Text] [PDF] |
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C. Kitiyakara, T. Chabrashvili, Y. Chen, J. Blau, A. Karber, S. Aslam, W. J. Welch, and C. S. Wilcox Salt Intake, Oxidative Stress, and Renal Expression of NADPH Oxidase and Superoxide Dismutase J. Am. Soc. Nephrol., November 1, 2003; 14(11): 2775 - 2782. [Abstract] [Full Text] [PDF] |
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D. Wang, Y. Chen, T. Chabrashvili, S. Aslam, L. J. Borrego Conde, J. G. Umans, and C. S. Wilcox Role of Oxidative Stress in Endothelial Dysfunction and Enhanced Responses to Angiotensin II of Afferent Arterioles from Rabbits Infused with Angiotensin II J. Am. Soc. Nephrol., November 1, 2003; 14(11): 2783 - 2789. [Abstract] [Full Text] [PDF] |
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E. Ritz and V. Haxsen Angiotensin II and Oxidative Stress: An Unholy Alliance J. Am. Soc. Nephrol., November 1, 2003; 14(11): 2985 - 2987. [Full Text] [PDF] |
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S. Fujii, L. Zhang, J. Igarashi, and H. Kosaka L-Arginine Reverses p47phox and gp91phox Expression Induced by High Salt in Dahl Rats Hypertension, November 1, 2003; 42(5): 1014 - 1020. [Abstract] [Full Text] [PDF] |
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M. Kitada, D. Koya, T. Sugimoto, M. Isono, S.-i. Araki, A. Kashiwagi, and M. Haneda Translocation of Glomerular p47phox and p67phox by Protein Kinase C-{beta} Activation Is Required for Oxidative Stress in Diabetic Nephropathy Diabetes, October 1, 2003; 52(10): 2603 - 2614. [Abstract] [Full Text] [PDF] |
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W. Guo, T. Adachi, R. Matsui, S. Xu, B. Jiang, M.-H. Zou, M. Kirber, W. Lieberthal, and R. A. Cohen Quantitative assessment of tyrosine nitration of manganese superoxide dismutase in angiotensin II-infused rat kidney Am J Physiol Heart Circ Physiol, October 1, 2003; 285(4): H1396 - H1403. [Abstract] [Full Text] [PDF] |
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M. Tepel Oxidative stress: does it play a role in the genesis of essential hypertension and hypertension of uraemia? Nephrol. Dial. Transplant., August 1, 2003; 18(8): 1439 - 1442. [Full Text] [PDF] |
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M. Tepel Oxidative stress: does it play a role in the genesis of essential hypertension and hypertension of uraemia? Nephrol. Dial. Transplant., August 1, 2003; 18(88): 1439 - 1442. [Full Text] |
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B. Lassegue and R. E. Clempus Vascular NAD(P)H oxidases: specific features, expression, and regulation Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2003; 285(2): R277 - R297. [Abstract] [Full Text] [PDF] |
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J.-M. Li and A. M. Shah ROS Generation by Nonphagocytic NADPH Oxidase: Potential Relevance in Diabetic Nephropathy J. Am. Soc. Nephrol., August 1, 2003; 14(90003): S221 - 226. [Abstract] [Full Text] [PDF] |
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T. Chabrashvili, C. Kitiyakara, J. Blau, A. Karber, S. Aslam, W. J. Welch, and C. S. Wilcox Effects of ANG II type 1 and 2 receptors on oxidative stress, renal NADPH oxidase, and SOD expression Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2003; 285(1): R117 - R124. [Abstract] [Full Text] [PDF] |
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M. Vetter, Z.-J. Chen, G.-D. Chang, D. Che, S. Liu, and C.-H. Chang Cyclosporin A Disrupts Bradykinin Signaling Through Superoxide Hypertension, May 1, 2003; 41(5): 1136 - 1142. [Abstract] [Full Text] [PDF] |
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N. Kawada, E. Imai, A. Karber, W. J. Welch, and C. S. Wilcox A Mouse Model of Angiotensin II Slow Pressor Response: Role of Oxidative Stress J. Am. Soc. Nephrol., December 1, 2002; 13(12): 2860 - 2868. [Abstract] [Full Text] [PDF] |
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A. Tojo, M. L. Onozato, N. Kobayashi, A. Goto, H. Matsuoka, and T. Fujita Angiotensin II and Oxidative Stress in Dahl Salt-Sensitive Rat With Heart Failure Hypertension, December 1, 2002; 40(6): 834 - 839. [Abstract] [Full Text] [PDF] |
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P. A. Ortiz and J. L. Garvin Superoxide stimulates NaCl absorption by the thick ascending limb Am J Physiol Renal Physiol, November 1, 2002; 283(5): F957 - F962. [Abstract] [Full Text] [PDF] |
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