(Hypertension. 2002;39:799.)
© 2002 American Heart Association, Inc.
Scientific Contributions |
From the Division of Hypertension and Vascular Research, Henry Ford Hospital, Detroit, Mich.
Correspondence to: Oscar A. Carretero, MD, Division of Hypertension and Vascular Research, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202. E-mail ocarret1{at}hfhs.org
| Abstract |
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Key Words: arterioles angiotensin nitric oxide prostaglandins receptors, angiotensin
| Introduction |
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A major target organ of the RAS is the kidney, where Ang II plays a pivotal role in regulation of the renal microcirculation, glomerular filtration, tubular transport, and renal growth.46 Enzymes involved in Ang-(1-7) biosynthesis and degradation are abundant in the kidney.7,8 There is growing evidence that just like Ang II, Ang-(1-7) plays a physiological role in the control of water and sodium balance, mainly through its effects on the kidney.911 Although the tubular effects of Ang-(1-7) have been studied extensively, its direct effect on the renal vasculature has not been investigated to our knowledge. We hypothesized that Ang-(1-7), acting on specific receptors, participates in the control of afferent arteriole (Af-Art) tone. Our results clearly show that Ang-(1-7) causes Af-Art dilatation. This effect is due to production of NO, but not the actions of cyclooxygenase products. Ang-(1-7) has a novel receptor-mediated dilator effect on the rabbit Af-Art, which appears to be mediated by an angiotensin receptor subtype other than angiotensin II type 1 (AT1) or type 2 (AT2).
| Methods |
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The arteriole was perfused with oxygenated minimum essential medium containing 5% BSA. The bath, which was exchanged continuously, was identical to the arteriolar perfusate except that it contained 0.15% BSA. Microdissection and cannulation of the arteriole were completed within 60 minutes at 8°C, after which the bath was gradually warmed to 37°C for the rest of the experiment. Once the temperature was stable, a 30-minute equilibration period was allowed before taking any measurements. Images of the arteriole were displayed at magnifications up to 1980x and recorded with a Sony video system consisting of a camera (DXC-755), monitor (PVM1942Q), and video recorder (EDV-9500). Diameter was measured with an image-analysis system (Universal Imaging).
Experimental Protocols
Response of Preconstricted Af-Arts to Ang-(1-7)
We first examined the effect of Ang-(1-7) on Af-Art diameter. After the 30-minute equilibration period, increasing concentrations of Ang-(1-7) (10-10 to 10-6 mol/L) were added to the lumen; the diameter was monitored for 10 minutes at each dose. In the second series of experiments, to examine the possible vasodilator action of Ang-(1-7), we first constricted Af-Arts by 40% to 50% with norepinephrine and then added increasing concentrations of Ang-(1-7) to the lumen.
Effect of NO Synthesis Inhibition on Ang-(1-7)Induced Vasodilatation
To determine whether NO mediates Ang-(1-7)induced vasodilatation, we added 10-4 mol/L NG-nitro-L-arginine methyl ester (L-NAME) to the arteriolar perfusate after the equilibration period to inhibit NO synthesis. Fifteen minutes later, the arteriole was preconstricted with norepinephrine, and the effect of Ang-(1-7) was examined as in protocol 1.
Effect of Cyclooxygenase Inhibition on Ang-(1-7)Induced Vasodilatation
Indomethacin was added to the bath and lumen at a concentration of 5x10-5 mol/L from the equilibration period to the end of the experiment. We preconstricted the Af-Art with norepinephrine as described in protocol 1 and examined the effect of intraluminal Ang-(1-7).
Effect of an AT1, AT2, or Ang-(1-7) Receptor Antagonist on Af-Arts
To determine whether Ang-(1-7)induced dilatation of preconstricted Af-Arts is mediated by AT1 or AT2 or whether it can be blocked by an Ang-(1-7) receptor antagonist, we conducted similar protocols except that an AT1, AT2, or Ang-(1-7) antagonist at 10-6 mol/L was added to the luminal perfusate throughout the experiment.
Data Analysis
Values are expressed as mean±SEM. Paired t tests were used to examine whether the diameter at a given concentration differed from the control value within each group. When more than 1 comparison was made, Bonferronis multiple comparison adjustment was used. P<0.006 was considered significant.
| Results |
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First we investigated the mechanism by which Ang-(1-7) dilates the Af-Art. After L-NAME pretreatment, basal diameter decreased from 22.3±1.34 to 17.8±2.0 µm, and norepinephrine constricted arterioles further (from 17.8±2.0 to 6.6±0.7 µm). In these arterioles, Ang-(1-7) did not produce dilatation (Figure 2). Pretreatment with indomethacin did not alter basal diameter or the vasodilator response of preconstricted Af-Arts to Ang-(1-7). When Ang-(1-7) was added to arterioles preconstricted to 11.5±1.2 µm with norepinephrine, diameter increased to the same extent as the nontreated group; diameter was 12.5±1.4, 13.9±1.3, 15.8±1.2, 16.1±1.2, and 17.2±1.0 µm at 10-10, 10-9, 10-8, 10-7, and 10-6 mol/L, respectively (Figure 2). Maximal dilatation occurred at 10-6 mol/L, which returned diameter to 83% of baseline.
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Next we attempted to determine which angiotensin receptor subtype is involved in this process. Addition of the Ang-(1-7) antagonist [d-Ala7]Ang-(1-7) did not affect luminal diameter (19.2±1.0 versus 19.8±0.8 µm; n=6). In arterioles preconstricted with norepinephrine from 19.8±0.8 to 9.7±0.8 µm, the Ang-(1-7) antagonist abolished Ang-(1-7)induced dilatation (9.9±1.0, 9.5±0.8, 9.6±1.0, and 9.2±1.0 µm at 10-9, 10-8, 10-7, and 10-6 mol/L Ang-(1-7), respectively) (Figure 3). Antagonists specific for the AT1 or AT2 receptor failed to block the vasodilator action of Ang-(1-7). In the presence of the AT1 antagonist L158809 (Figure 3), when arterioles were preconstricted from 20±1.0 to 8.8±1.9 µm with norepinephrine, Ang-(1-7) induced dilatation (13.7±1.8, 16.1±1.3, 17.6±1.3, and 18.3±1.8 µm at 10-9, 10-8, 10-7, and 10-6 mol/L, respectively). Similarly, when Ang-(1-7) was added to arterioles preconstricted to 9.6±1.5 µm in the presence of the AT2 antagonist PD 123319, diameter increased to the same extent as the nontreated group, becoming 13.4±1.3, 17.1±0.7, 17.4±0.9, and 17.8±1.1 at 10-9, 10-8, 10-7, and 10-6 mol/L, respectively (Figure 3).
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| Discussion |
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Several studies have shown that Ang-(1-7) produces dose-dependent dilatation of coronary artery rings, the aorta, and mesentery artery.1416 The kidney is a critically important target organ for the RAS. The action of Ang-(1-7) in the renal nephron has been studied extensively. Renal infusion of Ang-(1-7) produced marked diuresis and natriuresis in isolated and intact kidneys of Sprague-Dawley and Wistar rats.10,17,18 Small increases in glomerular filtration rate have been observed after Ang-(1-7) infusion in isolated rat kidneys,17 suggesting that Ang-(1-7) may have a dilatory effect on the renal microcirculation or mesangial cells.19 We believe our studies provide the first direct evidence that Ang-(1-7) relaxes preconstricted Af-Arts in a dose-dependent manner.
Accumulating evidence suggests that Ang-(1-7) stimulates the synthesis and release of vasodilator prostaglandins,20 augments the metabolic actions of bradykinin, and increases the release of NO in other vessels21; however, the mechanism by which it dilates renal vessels is unknown. In our study, pretreatment with L-NAME abolished Ang-(1-7)induced dilatation of preconstricted Af-Arts, suggesting that this process depends on NO synthesis. It was reported that in porcine coronary arteries, Ang-(1-7)stimulated NO synthesis induced endothelium-dependent relaxation, because relaxation was complete when the endothelium was intact but absent when it was removed.22 Preincubation of arterial rings with the NO synthase inhibitor L-nitro-arginine abolished the vasodilator response to Ang-(1-7). Similarly, le Tran and Forster15 reported that Ang-(1-7) caused concentration-dependent relaxation that was more pronounced when the endothelium was intact. Ang-(1-7) has been found to stimulate the release of vasodilator prostaglandins in rabbit aortic smooth muscle cells,23 and long-term intravenous infusion of Ang-(1-7) in spontaneously hypertensive rats lowered arterial pressure accompanied by significant diuresis and natriuresis and an increase in urinary prostaglandins,24,25 raising the possibility that prostaglandins may be involved in Ang-(1-7)induced renal vasodilatation. However, both le Tran and Forster15 and Brosnihan et al14 reported that exposure of the rat aorta or coronary vessels to the cyclooxygenase inhibitor indomethacin had no effect on the relaxation response produced by Ang-(1-7), suggesting that prostaglandins are not involved in its action. Moreover, meclofenamate (a cyclooxygenase inhibitor) did not block the vasodilatation caused by Ang-(1-7).16 In our study, we found that blocking cyclooxygenase with indomethacin failed to alter the action of Ang-(1-7). In control preparations, 10-6 mol/L Ang-(1-7) increased diameter to 86% of basal values, whereas in indomethacin-treated vessels diameter returned to 83% of baseline. The apparent difference seen in Figure 2 is caused by the difference in basal diameter. Consequently, these studies provide evidence that prostaglandins may not play a major role in the renal vasodilator actions of Ang-(1-7).
There is growing evidence that the actions of Ang-(1-7) in the kidney and other sites are mediated by specific receptors.21,2628 In the kidney, the antidiuretic action of Ang-(1-7) in water-loaded rats was blocked by the selective Ang-(1-7) antagonist A-779, which has a very low affinity for classical Ang II receptor subtypes (AT1 and AT2).9 Brosnihan et al14 showed that Ang-(1-7) dilates canine coronary arteries by a non-AT1 or non-AT2 receptor. Scatchard analysis of saturation isotherms of endothelial cells from the bovine thoracic aorta shows that 125IAng-(1-7) binds to bovine aortic endothelial cells with an affinity of 19 nmol/L and a density of 1351 fmol/mg protein. In competition studies, specific binding of 125IAng-(1-7) was blocked by [Sar1,Ile8]Ang II and [d-Ala7]Ang-(1-7). In contrast, neither AT1- nor AT2-selective antagonists significantly competed for 125IAng-(1-7) binding.29 These results are in agreement with our finding that Ang-(1-7) has a receptor-mediated dilator effect on the rabbit Af-Art that can be blocked by a selective antagonist, [d-Ala7]Ang-(1-7), but not by AT1/AT2 receptor antagonists. Although further studies are needed to demonstrate the existence of specific Ang-(1-7) receptors, the observations made with the Ang-(1-7) analogue [d-Ala7]Ang-(1-7) strongly suggest that a receptor other than the AT1 or AT2 receptor mediates the biological actions of Ang-(1-7). However, it should be noted that under certain conditions, the effects of Ang-(1-7) may be blocked by losartan or, to a variable extent, by AT2 receptor antagonists,20,30,31 suggesting a heterogeneity of Ang-(1-7) receptors sensitive to either AT1 or AT2 antagonists.
In conclusion, our results suggest that Ang-(1-7) serves as a vasodilator in Af-Arts by stimulating the endothelium to produce NO, which in turn maintains low basal Af-Art resistance and counteracts the vasoconstriction induced by Ang II. We have also provided evidence that this effect may be mediated by Ang-(1-7) receptors, because AT1 and AT2 receptor antagonists could not block Ang-(1-7)induced dilatation. This suggests that Ang-(1-7) opposes the action of Ang II and plays an important role in regulation of renal hemodynamics.
| Acknowledgments |
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Received November 1, 2001; first decision November 19, 2001; accepted December 18, 2001.
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