Hypertension, Vol 15, 451-458, Copyright © 1990 by American Heart Association
MG Cogan
Angiotensin II has recently been shown to exert potent control over sodium
and water absorption in the proximal convoluted tubule. This transport
stimulation is effected by receptors on both the luminal and basolateral
membranes of cells located predominantly in the early, S1 proximal tubule.
Angiotensin II increases transport primarily by a Gi protein-mediated
reduction in intracellular cyclic adenosine monophosphate, which enhances
the affinity of the Na(+)-H+ antiporter. Change in early proximal
acidification ultimately causes alteration in the amount of sodium chloride
leaving the proximal tubule and entering the urine. These direct tubular
transport actions by angiotensin II may participate importantly in various
physiological actions of the kidney, including the renal response to change
in dietary sodium intake and in extracellular volume, as well as in
pathophysiological processes such as hypertension.
ARTICLES
Angiotensin II: a powerful controller of sodium transport in the early proximal tubule
Division of Nephrology, University of California, San Francisco.
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