| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
(Hypertension. 2003;42:523.)
© 2003 American Heart Association, Inc.
Scientific Contributions |
From the Department of Physiology (P.R., S.L.S.) and St Vincents Institute of Medical Research and Department of Medicine (D.J.C), University of Melbourne, Melbourne, Australia.
Correspondence to Sandford L. Skinner, MD, Department of Physiology, University of Melbourne, Victoria 3010, Australia. E-mail s.skinner{at}physiology.unimelb.edu.au
| Abstract |
|---|
|
|
|---|
Key Words: renin-angiotensin system angiotensinogen blood pressure hypertension, essential
| Introduction |
|---|
|
|
|---|
That plasma Ang II is not suppressed is now apparent, with resting levels increased up to 4-fold in both young9 and adult10 Ren-2 rats. One would expect a similar elevation of plasma active renin, but this depends on the pH at which the activity is estimated,11,12 because mouse and rat renins have different pH optima when acting on rat aogen (pH 8.5 and 6.5, respectively).5,11,12 Measured at pH 7.4 the Ren-2 rat plasma renin reaction is a mixed activity, mainly owing to the mouse transgenic renin,11 and increases in renin activity have been found under these physiologic conditions. The lower level of rat renin in plasma is consistent with its low but not absent level in the kidneys.11,12 By comparison with other high-renin models that cause malignant hypertension, the
4-fold increase in plasma renin and Ang II would not seem a sufficient explanation for the degree of hypertension that develops rapidly in the mature animal. However, tissue levels of Ang II are also increased, by as much as 20-fold in the brain and 3-fold in the kidney,9 and would be expected to have accelerating effects on the hypertensive process.
Another factor examined by Tokita et al13 was the possibility that an enhanced reaction between the heterologous reactants, mouse Ren-2 renin and rat aogen, might explain why in some reports the adult animal displays low/normal plasma active renin but that the hypertension is nevertheless Ang II dependent. These investigators used high concentrations of mouse salivary gland Ren-2 renin acting on mouse and rat aogens and found that the heterologous reaction was 10 times faster than the mouse homologous reaction. This confirmed the earlier conclusion by Poulsen and Jacobsen14 of unusual renin kinetics in the normal mouse, wherein the turnover number was one quarter that of the homologous rat reaction. Tokita et al13 then cited the kinetic data of Gutkowska et al15 for the homologous rat reaction and of Poulsen and Jacobsen14 for the heterologous mouse renin on rat aogen reaction and proposed that the hypertension could be Ang II dependent, despite low molar concentrations of active mouse renin in plasma due to enhanced kinetics. However, such extrapolation from kinetic data obtained by different authors who used various conditions and reactants could lead to erroneous conclusions. Neither Tokita et al13 nor other authors have directly compared, under plasma physiologic conditions at pH 7.4, the mouse Ren-2 renin on rat aogen reaction with the rat renin on rat aogen reaction, which is the appropriate experiment to test this notion and which is reported in this article.
| Methods |
|---|
|
|
|---|
Angiotensinogen Preparations
Sprague-Dawley rats and BALB/c mice were exsanguinated by cardiac puncture after heparin injection (200 and 20 U IV, respectively) under pentobarbitone anesthesia (60 mg/kg body weight) 24 hours after binephrectomy (BNx), and the plasma was separated at 4°C. Rats received dexamethasone 1 mg/kg SC, and mice, 0.3 mg dexamethasone each 8 hours after BNx to stimulate aogen synthesis. Residual renin in plasma was removed by antibody affinity chromatography.24 Rat aogen content was 7.8 µmol/L and mouse content was 0.2 µmol/L, estimated as the maximum Ang I generated during incubation with excess SMG renin in the presence of angiotensinase inhibitors (see following sections). The aogen was dialyzed against a phosphate (0.1 mol/L)/saline (0.05 mol/L) buffer (PBS), pH 7.4 at 4°C, and stored frozen at -20°C. The low concentration of mouse aogen has been reported previously in several mouse strains.25 These aogen preparations did not generate a blank when incubated for 12 hours The use of animals in these experiments was approved by the Animal Ethics Committee of the University of Melbourne.
Renin Assay and Kinetics
Incubations were conducted at 37°C, pH 7.4, for 30 minutes or more in the presence of protease inhibitors (20 mmol/L disodium EDTA, 25 mmol/L N-ethylmaleimide, and 100 mmol/L benzamidine). The diluent for all procedures was PBS containing 4 mg/mL heat-denatured bovine serum albumin. The reaction was terminated in ice water, with the reaction rate kept at a level such that termination prevented further Ang I formation. The final 100-µL incubation for standard assay conditions comprised 20 µL renin sample, 30 µL protease inhibitors, 37.5 µL diluent, and 12.5 µL rat aogen. The incubate aogen concentration was 0.975 µmol/L. Ang I generated was estimated by radioimmunoassay with an in-house antibody and a 125IAng I tracer.24,25 In this assay, 1 GU of standard hog renin generated 87 µg Ang I/h, a value similar to that found by Devaux et al26 (68 µg Ang I/h), although incubated at pH 6.5. For kinetic studies, renin and aogen were serially diluted with PBS with bovine serum albumin (see Results) and keeping incubate volume and protein concentration constant. Standard Ang I displacement curves were established for each set of circumstances.
| Results |
|---|
|
|
|---|
|
|
Comparison of the Reactions of Ren-2 Renin on Mouse and Rat Aogens
Figure 2 shows the result of serially diluting rat aogen to equal the very low concentrations of mouse aogen obtained from the 24-hour BNx mice. The reaction was conducted with 500 pmol/L mouse Ren-2 renin, a concentration 5 times that used in Figure 1 to raise reaction velocity to a measurable level. The incubation period was prolonged to 12 hours for the homologous reaction. The rate of the heterologous reaction (Ren-2 renin on rat aogen) was considerably faster than the matched homologous mouse reaction, but the kinetic constants cannot be derived for mouse aogen, because maximum velocity was not approached. This experiment was conducted to test the hypothesis that the basis for the proposal of Tokita et al13 was reproducible under the present conditions.
|
| Discussion |
|---|
|
|
|---|
It has been shown for rat and human renin that Kcat values are in the lower range for proteolytic enzymes reacting with their natural substrates, whereas for the mouse reaction (Ren-2 renin on mouse aogen), it is even lower.14 Our limited mouse data are consistent with this observation and illustrate the extreme differences in kinetics that Ren-2 renin can display for rat and mouse aogens. Substrate specificities and properties have been extensively investigated and reviewed14,15,29,30 and have included comparisons of whole plasma with purified aogen, without kinetic differences being apparent.
In considering possible sources of error sufficient to invalidate our conclusion, there would have to be a major disparity in the enzyme specific-activity estimation or that the rat aogen preparation was not representative of in vivo conditions. As presented in Methods, the specific activities are similar to those reported in previous publications of rodent renin, but the question could be raised as to whether aogen prepared after BNx and/or dexamethasone stimulation represents its normal composition. However, kinetics are not affected by the changes in aogen glycoforms after BNx or hormone stimulation in the rat,29 and these procedures have been used routinely in many previous kinetic studies to augment the aogen level.
From these findings, we conclude that hypertension in the Ren-2 rat is not related to renin kinetics and logically rests with other mechanisms. In addition to the considerations mentioned in the Introduction, there are several hypertensive mechanisms not commonly appreciated that could result specifically from the increased tissue renin expression.
First, although renal juxtaglomerular cell renin and renal renin content are low in the Ren-2 rat, the renal content of Ang II is increased and probably mainly of plasma origin.9 However, renin and aogen are also expressed in the renal tubules of the normal mouse,31 and both renin expression32 and Ang II peptide33 become obvious in the proximal tubule of the Ren-2 rat with streptozotocin-induced diabetes. Renal Ang II type 1 receptors are also markedly increased in the Ren-2 rat,34 and tubular Ang II in various hypertensive models is considered to provide the necessary condition for the retention of sodium, despite high perfusion pressure.35 This would be expected to be at least a permissive hypertensive process in the Ren-2 rat.
Second, both blood pressure and peripheral vasoconstriction are reduced by bosentan (ETA/ETB endothelin blockade)32,36 in Ren-2 rats, an effect seen also in normal animals infused with Ang II.37 Endothelin involvement in Ren-2 rat hypertension is controversial,38 but a specific action of Ang II to stimulate endothelin in a variety of systems is widely acknowledged.39
Perspectives
Of the several other possible single causes of hypertension, such as increased adrenal secretions, increased sympathetic tone, increased sodium-proton exchange, or decreased nitric oxide production, none apply convincingly to the Ren-2 rat.6,8 An important feature of the hypertension of the Ren-2 rat is its sensitivity not only to RAS blockade but also to a variety of other antihypertensive agents or procedures that do not directly interfere with the RAS. This suggests that tissue renin synthesis, albeit manifest as high plasma prorenin, when resulting in at least some local Ang II production, might be viewed as a dispersed regulator of blood pressure that exploits many established hypertensive systems but is insufficient when acting alone as the single vasoconstrictor endocrine mediator. This concept is novel to the extent that it is the tissue RAS, including renal tubules, that is the proposed initiator, irrespective of plasma Ang II or renin activity level and largely independent of any direct Ang II vasoconstrictor action. Similar to the Ren-2 rat, prorenin exists in high concentrations in human plasma, but in humans, only half of the plasma prorenin originates from extrarenal sources.40 Human plasma prorenin level is correlated inversely with blood pressure,41 and as for plasma active renin, is moderately decreased in essential hypertension.42 The inverse relation likely results from feedback suppression of juxtaglomerular cell renin synthesis and prorenin secretion due to the hypertension and any extrarenal sources of plasma Ang II. This leaves open the possibility that tissue renin expression in humans, although causing considerable constitutive prorenin release, is also associated with local active renin and Ang II formation not accurately reflected in plasma levels. By analogy with the Ren-2 rat but in a much less fulminant manner,1 this could influence blood pressure incrementally through a variety of pathways over an extended time span and be an important contributing factor to essential hypertension in humans.
| Acknowledgments |
|---|
Received March 11, 2003; first decision April 3, 2003; accepted August 20, 2003.
| References |
|---|
|
|
|---|
2. Zhao Y, Bader M, Kreutz R, Fernandez Alfonso M, Zimmermann F, Ganten U, Metzger R, Ganten D, Mullins JJ, Peters J. Ontogenetic regulation of mouse Ren-2d renin gene in transgenic hypertensive rats, TGR(mREN2)27. Am J Physiol. 1993; 265: E699E707.[Medline] [Order article via Infotrieve]
3. Bader M, Zhao Y, Sander M, Lee MA, Bachmann J, Böhm M, Djavidani B, Peters J, Mullins JJ, Ganten D. Role of tissue renin in the pathophysiology of hypertension in TGR(mREN2)27 rats. Hypertension. 1992; 19: 681686.
4. Peter J, Hilgers KF, Masur-Gluth C, Kreutz R. Role of the circulating renin-angiotensin system in the pathogenesis of hypertension in transgenic rats, TGR(mRen2)27. Clin Exp Hypertens. 1996; 18: 933948.[CrossRef][Medline] [Order article via Infotrieve]
5. Tokita Y, Franco-Saenz R, Mulrow PJ, Ganten D. Effects of nephrectomy and adrenalectomy on the renin-angiotensin system of transgenic rats TGR(mRen-2)27. Endocrinology. 1994; 134: 253257.
6. Langheinrich M, Lee MA, Bohm M, Pinto YM, Ganten D, Paul M. The hypertensive Ren-2 transgenic rat TGR(mREN2)27 in hypertension research: characteristics and functional aspects. Am J Hypertens. 1996; 9: 506512.[CrossRef][Medline] [Order article via Infotrieve]
7. Bachmann S, Peters J, Engler E, Ganten D, Mullins J. Transgenic rats carrying the mouse renin gene: morphological characterization of a low-renin hypertension model. Kidney Int. 1992; 41: 2436.[Medline] [Order article via Infotrieve]
8. Moriguchi A, Brosnihan KB, Kumagai H, Ganten D, Ferrario CM. Mechanisms of hypertension in transgenic rats expressing the mouse Ren-2 gene. Am J Physiol. 1994; 266: R1273R1279.[Medline] [Order article via Infotrieve]
9. Campbell DJ, Rong P, Kladis A, Rees B, Ganten D, Skinner SL. Angiotensin and bradykinin peptides in the TGR(mRen-2)27 rat. Hypertension. 1995; 25: 10141020.
10. Mitchell KD, Jacinto SM, Mullins JJ. Proximal tubular fluid, kidney and plasma levels of angiotensin II in hypertensive ren-2 transgenic rats. Am J Physiol. 1997; 42: F246F253.
11. Veniant M, Whitworth CE, Menard J, Sharp MG, Gonzales MF, Bruneval P, Mullins JJ. Developmental studies demonstrate age-dependent elevation of renin activity in TGR(mRen2)27 rats. Am J Hypertens. 1995; 8: 11671176.[CrossRef][Medline] [Order article via Infotrieve]
12. Bohlender J, Menard J, Edling O, Ganten D, Luft FC. Mouse and rat plasma renin concentration and gene expression in (mRen2)27 transgenic rats. Am J Physiol. 1998; 274: H1450H1456.[Medline] [Order article via Infotrieve]
13. Tokita Y, Franco-Saenz R, Reimann EM, Mulrow PJ. Hypertension in the transgenic rat TGR(mRen-2)27 may be due to enhanced kinetics of the reaction between mouse renin and rat angiotensinogen. Hypertension. 1994; 23: 422427.
14. Poulsen K, Jacobsen J. Is angiotensinogen a renin inhibitor and not a substrate for renin? J Hypertens. 1986; 4: 6469.
15. Gutkowska J, Corvol P, Figueiredo AFS, Inagami T, Bouhnik J. Genest J. Kinetic studies of rat renin and tonin on purified rat angiotensinogen. Can J Biochem Cell Biol. 1984; 62: 137142.[Medline] [Order article via Infotrieve]
16. Campbell DJ, Valentijn AJ, Condron R. Purification and amino-terminal sequence of rat kidney renin: evidence for a two-chain structure. J Hypertens. 1991; 9: 2933.[Medline] [Order article via Infotrieve]
17. Campbell DJ, Valentijn AJ. Identification of vascular renin-binding proteins by chemical cross-linking: inhibition of binding of renin by renin inhibitors. J Hypertens. 1994; 12: 879890.[Medline] [Order article via Infotrieve]
18. Matoba T, Murakami K, Inagami T. Rat renin: purification and characterization. Biochim Biophys Acta. 1978; 526: 560571.[Medline] [Order article via Infotrieve]
19. Figueiredo AF, Takii Y, Tsuji H, Kato K, Inagami T. Rat kidney renin and cathepsin D: purification and comparison of properties. Biochemistry. 1983; 22: 54765481.[CrossRef][Medline] [Order article via Infotrieve]
20. Malling C, Poulsen K. Direct measurement of high molecular weight forms of renin in plasma. Biochim Biophys Acta. 1977; 491: 542550.[Medline] [Order article via Infotrieve]
21. Nexø E, Olsen PS, Poulsen K. Exocrine and endocrine secretion of renin and epidermal growth factor from the mouse submandibular glands. Regul Pept. 1984; 8: 327334.[CrossRef][Medline] [Order article via Infotrieve]
22. Ho S-C, Izumi H, Michelakis M. Purification and characterization of multiple forms of mouse submaxillary gland renin. Biochim Biophys Acta. 1982; 717: 405413.[Medline] [Order article via Infotrieve]
23. Misono KS, Holliday LA, Murakami K, Kuromizu K, Inagami T. Rapid and large-scale purification and characterization of renin from mouse submaxillary gland. Arch Biochem Biophys. 1982; 217: 574581.[CrossRef][Medline] [Order article via Infotrieve]
24. Rong P, Wilkinson-Berka JL, Skinner SL. Potassium control of extrarenal renin secretion in transgenic (mRen-2)27 and normal rats. Am J Physiol. 1999; 277: E631E638.[Medline] [Order article via Infotrieve]
25. Weaver D, Skinner S, Walker L, Sangster M. Phenotypic inhibition of the renin-angiotensin system, emergence of the Ren-2 gene and adaptive radiation of mice. Gen Comp Endocrinol. 1991; 83: 305315.
26. Devaux C, Menard J, Sicard P, Corvol P. Partial characterization of hog renin purified by affinity chromatography. Eur J Biochem. 1976; 64: 621627.[Medline] [Order article via Infotrieve]
27. Orth H, Krahe P, Steigelmann C, Gross F. Improved method for the determination of renin in rat kidneys. Pflugers Arch. 1971; 329: 125135.[Medline] [Order article via Infotrieve]
28. Whipp GT, Coghlan JP, Shulkes AA, Skinner SL, Wintour EM. Regulation of aldosterone in the rat: effect of oestrous cycle, pregnancy and sodium status. Aust J Exp Biol Med Sci. 1978; 56: 545551.[Medline] [Order article via Infotrieve]
29. Poulsen K, Jacobsen J. Enzyme reactions of the renin-angiotensin system. In: Robertson JIS, Nicholl MG, eds. The Renin-Angiotensin System. London, UK: Gower Medical Publishing; 1993.
30. Menard J, Clauser E, Bouhnik J, Corvol P. Angiotensinogen: biochemistry. In: Robertson JIS, Nicholl MG, eds. The Renin-Angiotensin System. London, UK: Gower Medical Publishing; 1993.
31. Rohrwasser A, Morgan T, Dillon HF, Zhao L, Callaway CW, Hillas E, Zhang S, Cheng T, Inagami T, Ward K, Terreros DA, Lalouel J-M. Elements of a paracrine tubular renin-angiotensin system along the entire nephron. Hypertension. 1999; 34: 12651274.
32. Kelly DJ, Skinner SL, Gilbert RE, Cox AJ, Cooper ME, Wilkinson-Berka JL. Effects of endothelin or angiotensin II receptor blockade on diabetes in the transgenic (mRen-2)27 rat. Kidney Int. 2000; 57: 18821894.[CrossRef][Medline] [Order article via Infotrieve]
33. Kelly DJ. Tissue renin and the pathogenesis of diabetic complications in the hypertensive transgenic (mRen-2) rat. PhD thesis. Melbourne, Australia: University of Melbourne; 1998.
34. Zhuo J, Ohishi M, Mendelsohn FA. Roles of AT1 and AT2 receptors in the hypertensive Ren-2 gene transgenic rat kidney. Hypertension. 1999; 33: 347353.
35. Navar LG, Harrison-Bernard LM. Intrarenal angiotensin II augmentation in angiotensin II dependent hypertension. Hypertens Res. 2000; 23: 291301.[Medline] [Order article via Infotrieve]
36. Gardiner SM, March JE, Kemp PA, Mullins JJ, Bennett T. Haemodynamic effects of losartan and the endothelin antagonist, SB 209670, in conscious transgenic (mRen-2)27 hypertensive rats. Br J Pharmacol. 1995; 116: 22372244.[Medline] [Order article via Infotrieve]
37. Balakrishnan SM, Wang HD, Gopalakrishnan V, Wilson TM. McNeil JR. Effect of an endothelin antagonist on hemodynamic responses to angiotensin II. Hypertension. 1996; 28: 806809.
38. Rossi GP, Pessina AC. Endothelin-1 in angiotensin II-dependent hypertension. Cardiovasc Res. 1999; 44: 450451.
39. Moreau P, DUscio LV, Shaw S, Takase H, Barton M, Lüscher TF. Angiotensin II increases tissue endothelin and induces vascular hypertrophy: reversal by an ETA-receptor antagonist. Circulation. 1997; 96: 15931597.
40. Campbell DJ, Kladis A, Skinner SL, Whitworth JA. Characterization of angiotensin peptides in plasma of anephric man. J Hypertens. 1991; 9: 265274.[CrossRef][Medline] [Order article via Infotrieve]
41. Danser AHJ, Derkx FHM, Schalekamp MADH, Hense H-W, Riegger AJ, Schunkert H. Determinants of individual variation of renin and prorenin concentrations: evidence for sexual dimorphism of (pro)renin levels in humans. J Hypertens. 1998; 16: 853862.[CrossRef][Medline] [Order article via Infotrieve]
42. Derkx FHM, Schalekamp MADH. Human prorenin: pathophysiology and clinical implications. Clin Exp Hypertens A. 1988; 10: 12131225.[Medline] [Order article via Infotrieve]
This article has been cited by other articles:
![]() |
D. J. Campbell, H. Karam, J. Menard, P. Bruneval, and J. J. Mullins Prorenin Contributes to Angiotensin Peptide Formation in Transgenic Rats With Rat Prorenin Expression Targeted to the Liver Hypertension, December 1, 2009; 54(6): 1248 - 1253. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. J. Mullins, M. A. Bailey, and J. J. Mullins Hypertension, Kidney, and Transgenics: A Fresh Perspective Physiol Rev, April 1, 2006; 86(2): 709 - 746. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Hypertension Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search Copyright © 2003 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. |