上皮钠通道
内分泌学
内科学
醛固酮
氯沙坦
重吸收
盐皮质激素受体
盐皮质激素
受体
肾钠重吸收
化学
螺内酯
肾素-血管紧张素系统
阿米洛利
肾
血管紧张素II
钠
生物
血压
医学
有机化学
作者
Mykola Mamenko,Oleg Zaika,Viktor Tomilin,V. Behrana Jensen,Oleh Pochynyuk
摘要
ENaC‐mediated sodium reabsorption in the collecting duct (CD) is a critical determinant of urinary sodium excretion. Existing evidence suggest direct stimulatory actions of Angiotensin II (Ang II) on ENaC in the CD, independently of the aldosterone‐mineralocorticoid receptor (MR) signaling. Deletion of the major renal AT 1 receptor isoform, AT 1a R, decreases blood pressure and reduces ENaC abundance despite elevated aldosterone levels. The mechanism of this insufficient compensation is not known. Here, we used patch clamp electrophysiology in freshly isolated split‐opened CDs to investigate how AT 1a R dysfunction compromises functional ENaC activity and its regulation by dietary salt intake. Ang II had no effect on ENaC activity in CDs from AT 1a R −/− mice suggesting no complementary contribution of AT 2 receptors. We next found that AT 1a R deficient mice had lower ENaC activity when fed with low (<0.01% Na + ) and regular (0.32% Na + ) but not with high (∼2% Na + ) salt diet, when compared to the respective values obtained in Wild type (WT) animals. Inhibition of AT 1 R with losartan in wild‐type animals reproduces the effects of genetic ablation of AT 1a R on ENaC activity arguing against contribution of developmental factors. Interestingly, manipulation with aldosterone‐MR signaling via deoxycosterone acetate (DOCA) and spironolactone had much reduced influence on ENaC activity upon AT 1a R deletion. Consistently, AT 1a R −/− mice have a markedly diminished MR abundance in cytosol. Overall, we conclude that AT 1a R deficiency elicits a complex inhibitory effect on ENaC activity by attenuating ENaC P o and precluding adequate compensation via aldosterone cascade due to decreased MR availability.
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