Literature
首页医源资料库在线期刊美国生理学杂志2005年第288卷第8期

Interactive effects of superoxide anion and nitric oxide on blood pressure and renal hemodynamics in transgenic rats with inducible malignant hypertension

来源:美国生理学杂志
摘要:【关键词】superoxideDepartmentofPhysiology,TulaneUniversityHealthSciencesCenter,NewOrleans,LouisianaCentreforCardiovascularScience,TheUniversityofEdinburghMedicalSchool,Edinburgh,UnitedKingdomABSTRACTSuperoxideanioncontributestothepathogenesisofvariousforms......

点击显示 收起

【关键词】  superoxide

    Department of Physiology, Tulane University Health Sciences Center, New Orleans, Louisiana
    Centre for Cardiovascular Science, The University of Edinburgh Medical School, Edinburgh, United Kingdom

    ABSTRACT

    Superoxide anion contributes to the pathogenesis of various forms of hypertension, but its role in the development of malignant hypertension remains unclear. The present study was performed to determine the influence of superoxide anion on blood pressure and renal hemodynamics in transgenic rats with inducible malignant hypertension [strain name: TGR(Cyp1a1Ren2)]. Malignant hypertension was induced in male Cyp1a1-Ren2 rats (n = 6) through dietary administration of the aryl hydrocarbon, indole-3-carbinol (0.3%) for 79 days. Mean arterial pressure (MAP) and renal hemodynamics were measured in pentobarbital sodium-anesthetized Cyp1a1-Ren2 rats before and during intravenous infusion of the superoxide dismutase mimetic tempol (100 μmol/h). Basal MAP and renal vascular resistance (RVR) were elevated in rats induced with indole-3-carbinol compared with noninduced rats (n = 5) (184 ± 4 vs. 127 ± 3 mmHg, P < 0.01, and 29 ± 2 vs. 21 ± 1 mmHg?ml1?min?g, P < 0.01, respectively). Hypertensive rats had elevated excretion of urinary 8-isoprostane compared with normotensive rats (41 ± 4 vs. 13 ± 6 pg?min1?g1, P < 0.01). There were no differences in renal plasma flow and glomerular filtration rate between groups. Systemic administration of tempol decreased MAP (184 ± 4 to 151 ± 4 mmHg, P < 0.01) and RVR (29 ± 2 to 25 ± 2 mmHg?ml1?min?g, P < 0.05) in hypertensive but not in normotensive Cyp1a1-Ren2 rats. In addition, tempol administration decreased urinary excretion of 8-isoprostane (41 ± 4 to 25 ± 4 pg?min1?g1, P < 0.05). Renal plasma flow and glomerular filtration rate remained unaltered during tempol administration in both groups. The administration of the nitric oxide synthase inhibitor nitro-L-arginine attenuated the decrease in MAP and RVR in response to tempol. These findings indicate that superoxide anion contributes to the elevated RVR and increased arterial blood pressure, by a mechanism that is at least in part nitric oxide dependent, in Cyp1a1-Ren2 rats with malignant hypertension.

    tempol; kidney; renin-angiotensin system; GFR; peptide hormones

    REACTIVE OXYGEN SPECIES, SUCH as superoxide anion, play an important role in the pathogenesis of various forms of hypertension and renal dysfunction. Indeed, superoxide anion has been implicated in various models of hypertension, including Dahl salt-sensitive rats (13, 14), spontaneously hypertensive rats (30, 31), and ANG II-dependent hypertension (21). Specifically, these various hypertensive models are characterized by increased superoxide anion products and levels (13, 14, 21, 30, 31) and increased influence of superoxide anion on arterial blood pressure (13, 14, 21, 30, 31) and renal hemodynamics (13). Furthermore, ANG II has been shown to increase superoxide anion products (6), and administration of the superoxide dismutase mimetic tempol (4-hydroxy-2,2,6,6-tetramethyl piperidinoxyl) (16, 2427) protects many cells and tissues from oxidative stress (15, 27, 28, 30, 31). In addition, it has been demonstrated that the elevated arterial pressure in spontaneously hypertensive rats and ANG II-dependent hypertensive rats can be normalized by treatment with tempol (21, 30, 31), indicating that the hypertension in these models strongly depends on increased production and activity of superoxide anion.

    Despite the wealth of information indicating a prominent role for enhanced superoxide anion activity in the pathogenesis of various forms of hypertensive states, the role of superoxide anion in the development of malignant hypertension remains unclear. Malignant hypertension is a severe form of hypertension characterized by rapidly increasing blood pressure, pressure diuresis and natriuresis, severe renal vasoconstriction and ischemia, activation of the renin-angiotensin system, microangiopathy, hemolytic anemia, and development of retinopathy (10, 34, 35). In the kidney, the vascular lesions of malignant hypertension generally consist of myointimal proliferation and fibrinoid necrosis (10, 34, 35). Given the importance of the activation of the renin-angiotensin system to the development of malignant hypertension and in light of the evidence that ANG II potently simulates superoxide anion production, one could predict that ANG II-mediated enhancement of superoxide anion contributes to the elevated arterial blood pressure and renal dysfunction in malignant hypertension. However, the influence of superoxide anion on blood pressure and renal hemodynamics in rats with malignant hypertension remains unclear.

    Recently, a transgenic rat line [strain name TGR(Cyp1a1Ren2)] was created that allowed the induction of various degrees of ANG II-dependent malignant hypertension (9). This transgenic rat line was generated by inserting the mouse Ren2 renin gene, fused to an 11.5-kb fragment of the cytochrome P-450 1a1 (Cyp1a1) promoter, into the genome of the Fischer 344 rat (9). Cyp1a1, which catalyzes the oxidation of a wide range of endogenous lipophilic compounds and xenobiotics (1, 3, 33), is not constitutively expressed. However, Cyp1a1 is highly inducible on exposure to various aryl hydrocarbons such as indole-3-carbinol (I3C) (1, 3, 4, 8, 12, 22, 33). Induction of Cyp1a1 is mediated by the aryl hydrocarbon receptor, which is a basic helix-loop-helix transcription factor that binds to specific DNA elements in the Cyp1a1 promoter (1, 33). Rats transgenic for the Cyp1a1-Ren2 construct do not constitutively express the Ren2 renin gene. Rather, the Ren2 gene is expressed, primarily in the liver, only after induction of the Cyp1a1 promoter by aryl hydrocarbons such as I3C (9). In essence, induction of the Cyp1a1 promoter by I3C is used to drive hepatic expression of the Ren2 renin gene. In this transgenic rat model, induction of the Cyp1a1 promoter by dietary administration of I3C results in a fixed level of expression of the Ren2 renin gene and in the development of ANG II-dependent hypertension (9). Thus this inducible transgenic rat model allows genetic clamping of renin gene expression and thus of plasma renin levels that are not subject to the normal physiological feedback mechanisms regulating the activity of the renin-angiotensin system. At a dose of 0.3% (wt/wt), dietary I3C induces malignant hypertension, characterized by loss of body weight, polyuria, polydypsia, lethargy, and piloerection. This model, therefore, allows the induction of ANG II-dependent malignant hypertension using a benign and naturally occurring dietary supplement without the need for surgical intervention, dietary salt manipulation, or the administration of steroids.

    In the present study, the interactive effects of superoxide anion and nitric oxide on renal hemodynamics and blood pressure were assessed during the development phase (79 days) of malignant hypertension, before the occurrence of severe renal morphological changes, which have been shown to exist after more prolonged (14 days) induction of the Cyp1a1-Ren2 transgene (9).

    METHODS

    The experimental procedures in this study conform to the National Institutes of Health Guide for the Care and Use of Laboratory Animals and was approved by the Institutional Animal Care and Use Committee of Tulane University Health Sciences Center. Experiments were performed on male Cyp1a1-Ren2 transgenic rats, weighing between 250 and 300 g, bred at Tulane University School of Medicine from stock animals supplied from the University of Edinburgh. In one group, male Cyp1a1-Ren2 rats (n = 6) were fed normal rat food containing the aryl hydrocarbon, I3C (0.3% wt/wt; diet TD 00554, Harlan-Teklad, Madison, WI) for 79 days to induce malignant hypertension. In a second group (n = 5), age-matched male Cyp1a1-Ren2 rats fed normal rat food (diet TD 90229, Harlan-Teklad), which did not contain I3C, served as normotensive controls. Renal clearance experiments were performed on all rats. For the clearance experiments, the rats were anesthetized with pentobarbital sodium (50 mg/kg ip) and placed on a thermostatically controlled surgical table to maintain body temperature at 37°C. A tracheostomy was performed, and the animals were allowed to breathe air-enriched oxygen, which has been shown to improve the stability of arterial blood pressure of pentobarbital sodium-anesthetized rats (1719). The left femoral artery was cannulated to allow monitoring of arterial blood pressure. Blood pressure was monitored with a Statham pressure transducer (model P23 DC) and recorded with a computerized data acquisition system (MP100 system; BIOPAC Systems, Santa Barbara, CA) with the Acqknowledge software package (version 3.2.4, BIOPAC Systems). The left external jugular vein was cannulated to allow intravenous infusion of solutions and additional anesthetic. The rats were infused intravenously, at a rate of 1.2 ml/h, with isotonic saline containing 6% albumin (bovine; Calbiochem, San Diego, CA) during the surgery and thereafter with isotonic saline containing 1% albumin, 7.5% polyfructosan (Inutest, Lentz, Austria), and 1.5% para-aminohippuric acid (PAH; Merck, Whitehouse Station, NJ). A suprapubic incision was made, and the bladder was exposed by blunt dissection through the abdominal wall. The bladder was catheterized to allow timed urine collections to be made. The rats were allowed to stabilize for 1 h after completion of the surgery.

    The experimental protocol consisted of two 30-min control urine collections, after which the superoxide dismutase mimetic tempol (100 μmol/h; Sigma, St. Louis, MO) was infused intravenously. After a 30-min stabilization period, two additional 30-min urine collections were obtained. Subsequently, the rats were infused intravenously with tempol (100 μmol/h) together with the nitric oxide synthase inhibitor nitro-L-arginine (NLA; 20 μg?100 g1?min1; Sigma); after a 30-min equilibration period, an additional 30-min urine collection was obtained. At all times, the rate of intravenous fluid administration was constant at 1.2 ml/h. Arterial blood samples (300 μl) were obtained at the midpoint of control, tempol, and tempol plus NLA infusion periods to allow determination of whole kidney hemodynamics. At the end of each experiment, both kidneys were removed, decapsulated, blotted dry, and weighed.

    Experiments were performed to determine the rates of 8-isoprostane excretion in Cyp1a1-Ren2 rats before and after intravenous administration of the superoxide mimetic tempol. The experimental protocol used was similar to that described above except that a single 30-min urine collection was obtained from anesthetized Cyp1a1-Ren2 rats with malignant hypertension (n = 7) and in noninduced normotensive Cyp1a1-Ren2 rats (n = 8). In the rats with malignant hypertension, an additional 30-min urine collection was also obtained during intravenous administration of tempol (100 μmol/h) to determine whether acute administration of a superoxide dismutase mimetic could attenuate the elevated urinary 8-isoprostane excretion in Cyp1a1-Ren2 rats with malignant hypertension. Experiments were also performed to determine the rates of 8-isoprostane excretion in hypertensive Cyp1a1-Ren2 rats (n = 6) before and after intravenous administration of the AT1-receptor blocker candesartan (0.1 mg/kg; AstraZeneca, Molndal, Sweden). The experimental procedure was similar to that described above. After a 1-h postsurgical stabilization period, two 30-min urine collections were obtained under control conditions and then after intravenous administration of candesartan. The magnitude of the pressor response to intravenous bolus administration of 50 ng of ANG II (Sigma) was measured before and after administration of candesartan to determine the effectiveness of blockade of AT1 receptor by candesartan. Experiments were also performed to determine the basal urinary excretion rate of nitrate/nitrite (NOx) in both induced hypertensive rats as well as noninduced normotensive rats. In these experiments, urinary NOx excretion was determined from a single 30-min urine collection from pentobarbital sodium-anesthetized induced (n = 9) and noninduced (n = 8) Cyp1a1-Ren2 rats.

    Urine volume was determined gravimetrically. Inulin and PAH concentrations in both urine and plasma were measured by standard spectrophotometry. Glomerular filtration rate (GFR) and renal plasma flow (RPF) were estimated from the clearance of inulin and PAH, respectively. Renal blood flow was calculated as RPF/(1 hematocrit). Renal vascular resistance (RVR) was determined from the quotient of mean arterial pressure (MAP) and calculated renal blood flow. Urinary excretion rates of 8-isoprostane and NOx were determined with the use of enzyme immunoassay kits (Cayman Chemical, Ann Arbor, MI).

    Statistical analyses were performed using one-way ANOVA and one-way repeated-measures ANOVA followed by Tukey's test when appropriate. Statistical significance was defined as P < 0.05. All data are expressed as means ± SE.

    RESULTS

    Chronic administration of 0.3% I3C in Cyp1a1-Ren2 rats (n = 6) for 79 days resulted in the development of severe hypertension (184 ± 4 vs. 127 ± 3 mmHg, P < 0.01; Fig. 1). The hypertension was associated with a reduction of body weight from 254 ± 5 to 213 ± 6 g (P < 0.01). In addition, rats induced with I3C had elevated hematocrits compared with noninduced rats (55 vs. 48%, P < 0.05). The rats also demonstrated polyuria, severe lethargy, piloerection, and adoption of hunched posture, which are manifestations of malignant hypertension in the rat (10, 34, 35). Thus administration of 0.3% I3C induced malignant hypertension in the Cyp1a1-Ren2 transgenic rats. Despite the markedly elevated MAP, the basal values for GFR and RPF averaged 1.16 ± 0.1 and 2.95 ± 0.18 ml?min1?g1, respectively, which were similar to values observed in noninduced normotensive rats (see Figs. 3 and 4). This observation that both GFR and RPF were normal even in the face of a markedly elevated blood pressure indicates that there is a marked increase in RVR in Cyp1a1-Ren2 rats with malignant hypertension. Indeed, as shown in Fig. 2, the basal value for RVR in Cyp1a1-Ren2 rats with malignant hypertension averaged 29 ± 2 mmHg?ml1?min?g, a value substantially higher (P < 0.01) than that observed in noninduced normotensive rats.

    As shown in Figs. 1 and 2, systemic administration of the superoxide dismutase mimetic tempol decreased MAP and RVR in rats with malignant hypertension but had no effect on noninduced normotensive rats. Tempol decreased MAP (184 ± 4 to 151 ± 4 mmHg, P < 0.01) and RVR (29 ± 2 to 25 ± 2 mmHg?ml1?min?g, P < 0.05) in hypertensive Cyp1a1-Ren2 rats. As shown in Figs. 3 and 4, intravenous infusion of tempol did not alter GFR or RPF in either the normotensive or hypertensive rats. Subsequent administration of the nitric oxide synthase inhibitor NLA (20 μg?100 g1?min1) attenuated the tempol-induced decrease in MAP and RVR in the hypertensive rats (Figs. 1 and 2). Indeed, coadministration of NLA together with tempol increased MAP and RVR (from 151 ± 4 to 165 ± 4 mmHg and from 25 ± 2 to 38 ± 4 mmHg?ml1?min?g, respectively, P < 0.05 in both cases) in the hypertensive Cyp1a1-Ren2 rats. Similarly, coadministration of NLA and tempol also increased MAP (from 124 ± 2 to 156 ± 1 mmHg, P < 0.05) and RVR (from 19 ± 0.6 to 26 ± 2 mmHg?ml1?min?g, P < 0.05) in the noninduced normotensive Cyp1a1-Ren2 transgenic rats (Figs. 1 and 2).

    As shown in Figs. 3 and 4, administration of tempol and NLA together elicited decreases in GFR (to 0.9 ± 0.06 ml?min1?g1, P < 0.05) and RPF (to 2.3 ± 0.3 ml?min1?g1, P < 0.05) in hypertensive Cyp1a1-Ren2 rats but not in noninduced normotensive rats.

    As shown in Fig. 5, Cyp1a1-Ren2 transgenic rats with malignant hypertension exhibited significantly higher basal rates of urinary 8-isoprostane excretion compared with noninduced normotensive rats (41 ± 4 vs. 13 ± 6 pg?min1?g1, P < 0.01). Intravenous administration of the superoxide dismutase mimetic tempol decreased urinary excretion of 8-isoprostane from 41 ± 4 to 25 ± 4 pg?min1?g1 (P < 0.05) in the hypertensive Cyp1a1-Ren2 rats. The effect of intravenous administration of candesartan (0.1 mg/kg) on urinary 8-isoprostane excretion is shown in Fig. 6. Administration of candesartan caused a marked reduction in 8-isoprostane excretion in hypertensive Cyp1a1-Ren2 rats (42 ± 10 to 7 ± 2 pg?min1?g1, P < 0.05). In addition, the magnitude of the pressor response to intravenous injection of 50 ng of ANG II was markedly reduced from 45 ± 3 to 7 ± 1 mmHg (P < 0.01) 10 min after administration of candesartan. The pressor response to ANG II remained similarly attenuated at the end of the experiment, some 90 min after candesartan administration, and averaged 7 ± 1 mmHg (P < 0.01). These findings indicate that the dose of candesartan used elicited substantial and sustained blockade of AT1 receptors. In addition, Cyp1a1-Ren2 transgenic rats with malignant hypertension (n = 9) exhibited significantly higher basal rates of urinary NOx excretion compared with noninduced normotensive rats (n = 8) (0.130 ± 0.03 vs. 0.013 ± 0.002 μmol?min1?g1, P < 0.001).

    DISCUSSION

    The present study examined the effects of superoxide anion on blood pressure and renal function in Cyp1a1-Ren2 transgenic rats with ANG II-dependent malignant hypertension. Malignant hypertension is a form of severe hypertension characterized by fibrinoid necrosis of arterioles and vascular damage in many tissues, including the kidney (10, 34, 35). The Cyp1a1-Ren2 transgenic rat line allows the induction of ANG II-dependent malignant hypertension (9). This transgenic rat line was generated by inserting a mouse Ren2 renin gene into the genome of the Fischer 344 rat (9). Extrarenal Ren2 renin gene expression is induced by the administration of the aryl hydrocarbon I3C, resulting in the development of ANG II-dependent malignant hypertension (9). Such induction of Ren2 renin gene expression using a benign and naturally occurring dietary supplement leads to the development of ANG II-dependent hypertension as a result of increased renin gene expression and plasma renin levels, which are not subject to normal physiological feedback control mechanisms. In the present study, induction of the Ren2 renin gene by dietary administration of 0.3% I3C for 79 days resulted in the development of severe hypertension. The hypertension was associated with a marked decrease in body weight, which was likely due, at least in part, to extracellular fluid volume depletion, as evidenced by the increase in hematocrit. Despite the markedly increased MAP, hypertensive Cyp1a1-Ren2 transgenic rats exhibited normal values of GFR and RPF. This observation that both GFR and RPF were maintained in the normal range indicates that preglomerular vascular resistance is markedly elevated in Cyp1a1-Ren2 transgenic rats with malignant hypertension. The present data do not, however, allow determination of the relative contribution of the direct preglomerular vasoconstrictor actions of ANG II and the autoregulatory response to the increase in arterial blood pressure, which allows maintenance of normal renal hemodynamic function in these rats. Regardless of the mechanism, it is clear that Cyp1a1-Ren2 rats with malignant hypertension exhibit markedly increased RVR and that the ability of the preglomerular vasculature to prevent the transmission of the systemic hypertension to the glomerular capillaries is intact at this stage of the pathogenesis of malignant hypertension.

    In the kidney, the vascular lesions of malignant hypertension generally consist of myointimal proliferation and fibrinoid necrosis (10, 34, 35). In this regard, it has been shown that Cyp1a1-Ren2 rats induced with 0.3% I3C for 14 days exhibited malignant vascular injury with fibrinoid necrosis and endarteritis obliterans of interlobular arterioles and afferent arterioles (9). In contrast, no afferent fibrinoid necrosis or endarteritis was observed in kidneys of Cyp1a1-Ren2 rats induced with 0.3% I3C for 7 days (9). However, medial thickening of the vessel walls of interlobular and arcuate arteries was found by day 7 of induction (9). Consistent with these findings, our group (5) recently observed that Cyp1a1-Ren2 rats induced with 0.3% I3C for 79 days did not exhibit fibrinoid necrosis and endarteritis of the renal vasculature. Rather, the renal pathological changes observed included myointimal hyperplasia and tubular dilation, glomerulosclerosis, and tubulointerstitial inflammation and proliferation, particularly in the perivascular areas. These recent findings demonstrate that the renal pathological changes that occur 79 days after induction of malignant hypertension in Cyp1a1-Ren2 rats primarily consists of inflammation and cellular proliferation in cortical vessels and tubulointerstitium (5). Such morphological changes together with preglomerular vasoconstriction may act to protect against transmission of the elevated arterial pressure to the glomeruli, thereby contributing to the maintenance of relatively normal values for GFR and RPF observed at this stage of the hypertension. Presumably, continued exposure to the markedly elevated arterial pressure would result in the progression of more severe hypertensive vascular damage characteristic of malignant hypertension. One would predict that this would result in marked decline in renal hemodynamic function, although further studies are required to address this issue.

    Previous investigations have shown elevated superoxide anion levels in various models of hypertension (13, 14, 30, 31). ANG II stimulates superoxide anion products via activation of the NAD/NADPH oxidase system (6), and ANG II-mediated elevation of superoxide levels contributes to the pathogenesis of various forms of ANG II-dependent hypertension (11, 21). However, less is known about the effects of superoxide anion on blood pressure and renal function in ANG II-dependent malignant hypertension. 8-Isoprostane is generated by free radical-induced peroxidation of arachidonic acid, and elevated urinary excretion of 8-isoprostane indicates an increase in oxidative stress (20, 23, 31). In the present study, Cyp1a1-Ren2 transgenic rats with malignant hypertension had markedly increased basal rates of urinary excretion of 8-isoprostane compared with the normotensive rats, indicating oxidative stress in this model of ANG II-dependent malignant hypertension. The administration of the AT1-receptor blocker candesartan significantly decreased the urinary excretion of 8-isoprostane, indicating that ANG II stimulates the production of superoxide anion in Cyp1a1-Ren2 rats with malignant hypertension. To further demonstrate the role of oxidative stress in this model of malignant hypertension, the effects of the superoxide dismutase mimetic tempol were compared in normotensive and hypertensive rats. Systemic administration of tempol decreased MAP and RVR in rats with malignant hypertension but had no effect on normotensive rats. This indicates that superoxide anion contributes to the elevated RVR and increased arterial blood pressure in Cyp1a1-Ren2 transgenic rats with malignant hypertension. These results are consistent with previous studies that have shown tempol to have an anti-hypertensive and renal vasodilatory effect in various hypertensive states (2932). This observation indicates that anesthetized normotensive rats surgically prepared for renal clearance measurements do not exhibit oxidative stress. With regard to the effects of tempol on arterial pressure and RVR, it should be recognized that tempol has been shown to inhibit sympathetic tone (37). Therefore, it is possible that the reductions in MAP and RVR could have occurred, at least in part, as a result of a tempol-mediated reduction in sympathetic tone.

    Increased levels of superoxide anion can reduce the bioactivity of nitric oxide (7, 29, 36), which may contribute to elevated arterial pressures and RVR, leading to the development of malignant hypertension. In the present study, blockade of nitric oxide synthase with NLA attenuated the decrease in MAP induced by tempol in hypertensive rats. This indicates that the elevated arterial blood pressure in Cyp1a1-Ren2 transgenic rats with malignant hypertension is due in part to a superoxide anion-mediated reduction in nitric oxide bioavailability. In addition, NLA administration elicited pronounced decreases in GFR and RPF in the tempol-treated hypertensive rats but not in the normotensive rats. Although these NLA-mediated decreases in renal hemodynamics may have reflected the very high RVR in the hypertensive rats, our observation that urinary NOx excretion was elevated in hypertensive rats indicates that endogenous nitric oxide activity is increased in these hypertensive rats. It is worth emphasizing, however, that single spot measurements of urinary NOx excretion should be interpreted with caution because they reflect total body nitric oxide production and do not provide a specific measure of renal nitric oxide production. In addition, because NOx is reabsorbed by the proximal tubule, it is possible that an impairment of proximal tubular function in Cyp1a1-Ren2 rats with malignant hypertension may also have contributed to the elevated urinary NOx excretion observed in the present study. Nevertheless, the finding that urinary NOx excretion was increased in the hypertensive rats, together with the observation that nitric oxide synthase blockade with NLA elicited pronounced decreases in RPF and GFR, is indicative of increased or maintained nitric oxide activity in Cyp1a1-Ren2 rats with malignant hypertension. Thus our findings do not indicate that the superoxide anion-mediated decrease in nitric oxide bioavailability contributes importantly to the increased RVR in this form of ANG II-dependent malignant hypertension. Rather, the results of the present study indicate that the renoprotective influence of nitric oxide on renal hemodynamics is enhanced or at least maintained in these hypertensive rats.

    In summary, the present findings demonstrate that Cyp1a1-Ren2 transgenic rats with malignant hypertension have increased oxidative stress and that elevated superoxide anion levels contribute to the increased RVR and arterial blood pressure. The elevated arterial blood pressure in Cyp1a1-Ren2 transgenic rats with malignant hypertension is produced at least in part by a decrease in nitric oxide bioavailability by superoxide anion. Furthermore, nitric oxide exerts a pronounced renal vasodilator influence in Cyp1a1-Ren2 transgenic rats with malignant hypertension. Such maintained renoprotective effects of nitric oxide would act to prevent excessive renal vasoconstriction and thus contribute to the maintenance of renal hemodynamics after induction of malignant hypertension in Cyp1a1-Ren2 transgenic rats.

    GRANTS

    This study was supported by grants from the American Heart Association and the Louisiana Board of Regents Millennium Trust Health Excellence Fund (2001-06)-07. Portions of this work were presented in abstract form at the Experimental Biology '04 Meeting (Washington, DC, 2004) and at the Annual Meeting of the American Society of Nephrology (St. Louis, MO, 2004).

    ACKNOWLEDGMENTS

    We thank Dr. Ron Rose, Harlan-Teklad, for assistance with the design and production of the I3C-containing rat diet. The AT1-receptor antagonist candesartan was generously provided by Dr. Peter Morsing (AstraZeneca, Molndal, Sweden).

    FOOTNOTES

    The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

    REFERENCES

    Campbell SJ, Carlotti F, Hall PA, Clark AJ, and Wolf CR. Regulation of the CYP1A1 promoter in transgenic mice: an exquisitely sensitive on-off system for cell specific gene regulation. J Cell Sci 109: 26192625, 1996.

    Cervenka L, Mitchell KD, and Navar LG. Renal function in mice: effects of volume expansion and angiotensin II. J Am Soc Nephrol 10: 26312636, 1999.

    Forrester LM, Henderson CJ, Glancey MJ, Back DJ, Park BK, Ball SE, Kitteringham NR, McLaren AW, Miles JS, Skett P, and Wolf CR. Relative expression of cytochrome P450 isoenzymes in human liver and association with the metabolism of drugs and xenobiotics. Biochem J 281: 359368, 1992.

    Gelboin HV. Benzo()pyrene metabolism, activation and carcinogenesis: role and regulation of mixed-function oxidases and related enzymes. Physiol Rev 60: 11071166, 1980.

    Graciano ML, Mouton C, Patterson ME, Mullins JJ, and Mitchell KD. Renal vascular and tubulointerstitial inflammation and proliferation in Cyp1a1-Ren2 transgenic rats with malignant hypertension (Abstract). FASEB J 19: A548, 2005.

    Griendling KK, Sorescu D, and Ushio-Fukai M. NAD(P)H oxidase: role in cardiovascular biology and disease. Circ Res 86: 494501, 2000.

    Gryglewski RJ, Palmer RM, and Moncada S. Superoxide anion is involved in the breakdown of endothelium-derived vascular relaxing factor. Nature 320: 454456, 1986.

    Jellinck PH, Forkert PG, Riddick DS, Okey AB, Michnovicz JJ, and Bradlow HL. Ah receptor binding properties of indole carbinols and induction of hepatic estradiol hydroxylation. Biochem Pharmacol 45: 11291136, 1993.

    Kantachuvesiri S, Fleming S, Peters J, Peters B, Brooker G, Lammie AG, McGrath I, Kotelevtsev Y, and Mullins JJ. Controlled hypertension, a transgenic toggle switch reveals differential mechanisms underlying vascular disease. J Biol Chem 276: 3672736733, 2001.

    Kantachuvesiri S, Haley CS, Fleming S, Kurian K, Whitworth CE, Wenham P, Kotelevtsev Y, and Mullins JJ. Genetic mapping of modifier loci affecting malignant hypertension in TGRmRen2 rats. Kidney Int 56: 414420, 1999.

    Lopez B, Salom MG, Arregui B, Valero F, and Fenoy FJ. Role of superoxide in modulating the renal effects of angiotensin II. Hypertension 42: 11501156, 2003.

    Loub WD, Wattenberg LW, and Davis DW. Aryl hydrocarbon hydroxylase induction in rat tissues by naturally occurring indoles of cruciferous plants. J Natl Cancer Inst 54: 985988, 1975.

    Meng S, Cason GW, Gannon AW, Racusen LC, and Manning RD Jr. Oxidative stress in Dahl salt-sensitive hypertension. Hypertension 41: 13461352, 2003.

    Meng S, Roberts 2nd LJ, Cason GW, Curry TS, and Manning RD Jr. Superoxide dismutase and oxidative stress in Dahl salt-sensitive and -resistant rats. Am J Physiol Regul Integr Comp Physiol 283: R732R738, 2002.

    Mitchell JB, DeGraff W, Kaufman D, Krishna MC, Samuni A, Finkelstein E, Ahn MS, Hahn SM, Gamson J, and Russo A. Inhibition of oxygen-dependent radiation-induced damage by nitroxide superoxide dismutase mimetic, tempol. Arch Biochem Biophys 289: 6270, 1991.

    Mitchell JB, Samuni A, Krishna MC, DeGraff WG, Ahn MS, Samuni U, and Russo A. Biologically active metal-independent superoxide dismutase mimetics. Biochemistry 29: 28022807, 1990.

    Mitchell KD, Jacinto SM, and Mullins JJ. Proximal tubular fluid, kidney, and plasma levels of angiotensin II in hypertensive ren-2 transgenic rats. Am J Physiol Renal Physiol 273: F246F253, 1997.

    Mitchell KD and Mullins JJ. ANG II dependence of tubuloglomerular feedback responsiveness in hypertensive ren-2 transgenic rats. Am J Physiol Renal Fluid Electrolyte Physiol 268: F821F828, 1995.

    Mitchell KD and Navar LG. Modulation of tubuloglomerular feedback responsiveness by extracellular ATP. Am J Physiol Renal Fluid Electrolyte Physiol 264: F458F466, 1993.

    Morrow JD, Hill KE, Burk RF, Nammour TM, Badr KF, and Roberts LJ II. A series of prostaglandin F2-like compounds are produced in vivo in humans by a non-cyclooxygenase, free radical-catalyzed mechanism. Proc Natl Acad Sci USA 87: 93839387, 1990.

    Nishiyama A, Fukui T, Fujisawa Y, Rahman M, Tian RX, Kimura S, and Abe Y. Systemic and regional hemodynamic responses to tempol in angiotensin II-infused hypertensive rats. Hypertension 37: 7783, 2001.

    Pelkonen O and Nebert DW. Metabolism of polycyclic aromatic hydrocarbons: etiologic role in carcinogenesis. Pharmacol Rev 34: 189222, 1982.

    Roberts LJ and Morrow JD. The generation and actions of isoprostanes. Biochim Biophys Acta 1345: 121135, 1997.

    Samuni A, Godinger D, Aronovitch J, Russo A, and Mitchell JB. Nitroxides block DNA scission and protect cells from oxidative damage. Biochemistry 30: 555561, 1991.

    Samuni A, Krishna CM, Mitchell JB, Collins CR, and Russo A. Superoxide reactions with nitroxides. Free Radic Res Commun 9: 241249, 1990.

    Samuni A, Min A, Krishna CM, Mitchell JB, and Russo A. SOD-like activity of 5-membered ring nitroxide spin labels. Adv Exp Med Biol 264: 8592, 1990.

    Samuni A, Mitchell JB, DeGraff W, Krishna CM, Samuni U, and Russo A. Nitroxide SOD-mimetics: mode of action. Free Radic Res Commun 1213: 187194, 1991.

    Samuni A, Winkelsberg A, Pinson A, Hahn SM, Mitchell JB, and Russo A. Nitroxide stable radicals protect beating cardiomyocytes against oxidative damage. J Clin Invest 87: 15261530, 1991.

    Schnackenberg CG. Oxygen radicals in cardiovascular-renal disease. Curr Opin Pharmacol 2: 121125, 2002.

    Schnackenberg CG, Welch W, and Wilcox CS. Normalization of blood pressure and renal vascular resistance in SHR with a membrane-permeable superoxide dismutase mimetic. Role of nitric oxide. Hypertension 32: 5964, 1998.

    Schnackenberg CG and Wilcox CS. Two-week administration of tempol attenuates hypertension and renal excretion of 8-iso prostaglandin F2. Hypertension 33: 424428, 1999.

    Schnackenberg CG and Wilcox CS. The SOD mimetic tempol restores vasodilation in afferent arterioles of experimental diabetes. Kidney Int 59: 18591864, 2001.

    Smith JD, Wong E, and Ginsberg M. Cytochrome P450 1A1 promoter as a genetic switch for the regulatable and physiological expression of a plasma protein in transgenic mice. Proc Natl Acad Sci USA 92: 1192611930, 1995.

    Whitworth CE, Fleming S, Cumming AD, Morton JJ, Burns NJ, Williams BC, and Mullins JJ. Spontaneous development of malignant phase hypertension in transgenic Ren-2 rats. Kidney Int 46: 15281532, 1994.

    Whitworth CE, Fleming S, Kotelevtsev Y, Manson L, Brooker GA, Cumming AD, and Mullins JJ. A genetic model of malignant phase hypertension in rats. Kidney Int 47: 529535, 1995.

    Wilcox CS and Welch WJ. Interaction between nitric oxide and oxygen radicals in regulation of tubuloglomerular feedback. Acta Physiol Scand 168: 119124, 2000.

    Xu H, Fink GD, and Galligan JJ. Tempol lowers blood pressure and sympathetic nerve activity but not vascular O2 in DOCA-salt rats. Hypertension 43: 329334, 2004.

作者: Matthew E. Patterson, Cynthia R. Mouton, John J. M 2013-9-26
医学百科App—中西医基础知识学习工具
  • 相关内容
  • 近期更新
  • 热文榜
  • 医学百科App—健康测试工具