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在集合管中肾素的过度表达导致血压升高。

Overexpression of Renin in the collecting duct causes elevated blood pressure.

机构信息

Division of Nephrology and Hypertension, University of Utah Health Sciences Center, Salt Lake City, UT. USA.

出版信息

Am J Hypertens. 2013 Aug;26(8):965-72. doi: 10.1093/ajh/hpt071. Epub 2013 May 23.

Abstract

BACKGROUND

Renin is synthesized in the collecting duct and is regulated differently than renin in the juxtaglomerular apparatus. However, the physiological relevance of collecting duct renin remains unknown, particularly with regard to its ability to regulate blood pressure.

METHODS

We used gene targeting to generate mice with overexpression of renin in the collecting duct. A conditional mutant mouse line was created with the mouse renin transcript distal to a "transcriptional stop sequence" such that gene expression only occurred when the stop sequence was excised. These mice were bred with mice transgenic for the aquaporin-2 promoter driving Cre recombinase in order to achieve collecting duct-specific overexpression of renin.

RESULTS

RNA analysis confirmed kidney-specific recombination, and medullary renin mRNA levels were increased 5-fold in collecting duct renin mice. Blood pressure was recorded by telemetry and plasma and urine was collected in 24-hour metabolic cages on normal, high-, and low-Na+ diets. Although no significant differences in 24-hour urinary Na+ excretion between targeted and control mice were detected, renin overexpresser mice had elevated blood pressure compared with controls on a high-Na+ diet. Urinary renin excretion was 2-fold higher in targeted mice as compared with controls on normal and low-Na+ diets. Plasma renin concentration was significantly suppressed in targeted mice as compared with controls on normal and high-Na+ diets.

CONCLUSION

Taken together, these results suggest that collecting duct-derived renin has the potential to modulate blood pressure independent of the systemic renin-angiotensin system.

摘要

背景

肾素在集合管中合成,其调节方式与肾小球旁器中的肾素不同。然而,集合管肾素的生理相关性尚不清楚,尤其是其调节血压的能力。

方法

我们使用基因靶向技术在集合管中过表达肾素,生成了一种条件性突变鼠系,该鼠系的鼠肾素转录本在“转录终止序列”的远端,只有当该终止序列被切除时,基因表达才会发生。这些小鼠与转 aquaporin-2 启动子驱动 Cre 重组酶的小鼠杂交,以实现集合管特异性的肾素过表达。

结果

RNA 分析证实了肾脏特异性重组,集合管肾素小鼠的肾髓质肾素 mRNA 水平增加了 5 倍。通过遥测记录血压,并在正常、高钠和低钠饮食的 24 小时代谢笼中收集血浆和尿液。尽管靶向和对照小鼠的 24 小时尿钠排泄量没有显著差异,但在高钠饮食时,肾素过表达小鼠的血压高于对照组。与对照组相比,正常和低钠饮食时,靶向小鼠的尿肾素排泄量增加了 2 倍。与对照组相比,正常和高钠饮食时,靶向小鼠的血浆肾素浓度显著降低。

结论

综上所述,这些结果表明,集合管来源的肾素具有独立于全身肾素-血管紧张素系统调节血压的潜力。

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