IUPS2009 Satellite Symposium “The Kidney and Hypertension” POSTER SESSION ABSTRACTS CONTENTS P1. URETERIC BUD-DERIVED BMP7 MAINTAINS RENAL PROGENITOR CELLS: A
NOVEL REGULATORY MECHANISM THROUGH THE EXPRESSION OF EARLY NEPHROGENIC MARKERS
P2. A NOVEL RENOPROTECTIVE PATHWAY MEDIATED BY AATF
P3. MODULATION OF BCL-2 BY PAR-4 AND AATF IN RENAL TUBULAR EPITHELIAL
P4. LOCALIZATION AND EXPRESSION OF CARBONIC ANHYDRASE ISOFORMS
ALONG THE MOUSE NEPHRON DURING METABOLIC ACIDOSIS
P5. NHE3 IS ACTIVATED VIA AN ELECTROSTATIC INTERACTION BETWEEN THE
CYTOSOLIC -TERMINUS AND THE INNER LEAFLET OF THE PLASMA MEMBRANE
P6. ALDOSTERONE STIMULATES NF-κB ACTIVITY AND TRANSCRIPTION OF
ICAM-1 VIA SERUM AND GLUCOCORTICOID -INDUCIBLE PROTEIN KINASE (SGK)-1 IN RAT MESANGIAL CELLS IN VIVO AND IN VITRO
P7. ACUTE SUPPRESSIVE EFFECT OF INTERLEUKIN-1β ON K+ CHANNEL
P8. INHIBITION OF AN INWARDLY RECTIFYING K+ CHANNEL BY CYCLOSPORIN
A INVOLVES Ca2+/CAM-KINASE II-MEDIATED PROCESSES IN HUMAN PROXIMAL TUBULE CELLS
P9. THE VOLTAGE-DRIVEN ORGANIC ANION TRANSPORT OF TYPE I
SODIUM-PHOSPHATE COTRANSPORTER AND OATv1
P10. VOLTAGE-DEPENDENT TRANSPORT OF URATE ON A NOVEL HUMAN
URATE EFFLUX TRANSPORTER URATv1 EXPRESSED IN Xenopus OOCYTES
P11. IDENTIFICATION OF THE MULTIVALENT PDZ PROTEIN PDZK1 AS A
BINDING PARTNER OF SODIUM–COUPLED MONOCARBOXYLATE TRANSPORTER SMCT1 (SLC5A8) AND SMCT2 (SLC5A12) BY YEAST TWO-HYBRID ASSAY
P12. INTERACTION OF A NOVEL URATE EFFLUX TRANSPORTER URATv1
P13. CALCIUM, MAGNESIUM, AND CALCIMIMETICS DECREASE PNa/PCl RATIO
IN MOUSE THIN ASCENDING LIMB OF HENLE’S LOOP
P14. ROMK1 KNOCKOUT MICE DO NOT PRODUCE BARTTER’S PHENOTYPE
P15. CRITICAL ROLES OF V1A AND V1B VASOPRESSIN RECEPTORS IN
SYSTEMIC BLOOD PRESSURE HOMEOSTASIS: STUDIES FROM GENE KNOCKOUT MICE
P16. FUROSEMIDE-INDUCED nNOS OF THE MOUSE MACULA DENSA CELL LINE
LACKS A C-TERMINAL REDUCTASE DOMAIN, BUT GENERATES NO Ca2+-DEPENDENTLY
P17. REGULATION OF PGE2 PRODUCTION IN MOUSE MACULA DENSA CELLS
P18. A ROLE OF V1A VASOPRESSIN RECEPTOR FOR URINARY SODIUM
P19. DIFFERENT RESPONSES OF MACULA DENSA TO SALT LOAD BETWEEN
DIABETIC AND NON-DIABETIC KIDNEY IN RATS
P20. DIFFERENCE OF HIGH SALT DIET-INDUCED GLOMERULAR
HYPERTENSION BETWEEN TYPE-2 DIABETES AND NON-DIABETES
P21. CARBONYL STRESS MEDIATED MYOCARDIAL FIBROSIS AND RENAL
P22. FUNCTIONAL CHARACTERIZATION OF CONNEXINS IN
P23. THE ACTIVATION OF PGE2 RECEPTOR TYPE4 IN RENAL COLLECTING
DUCTS INHIBITS THE ENAC EXPRESSION BY THE ACTIVATION OF PKA AND THE INHIBITION OF P38 VIA NON-PKA PATHWAY
1. URETERIC BUD-DERIVED BMP7 MAINTAINS RENAL PROGENITOR CELLS: A NOVEL REGULATORY MECHANISM THROUGH THE EXPRESSION OF EARLY NEPHROGENIC MARKERS Itsuro KAZAMA1,2, Daniel GRAF3, Aris N ECONOMIDES4, Motoko YANAGITA 5, Jordan A. KREIDBERG2 1Department of Nephrology, Jichi Medical University, Shimotsuke, Tochigi 329-0498, Japan 2Division of Nephrology, Children’s Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA
3Institute of Immunology, Biomedical Science Research Center, Hellas, Greece 4Regeneron Pharmaceuticals, Inc, Tarrytown, NY, USA
5Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
Renal progenitor cells are the precursors of the differentiated epithelial cells that give
rise to nephrons. However, we know little about the molecular regulation in the
maintenance of these cells. During the initial induction of nephrons within the
nephrogenic zone, Bone Morphogenetic Protein 7 (BMP7) is mainly expressed in
ureteric bud derivatives that give rise to collecting ducts. Since ureteric bud derivatives
are adjacent to the cap mesenchyme that contains the precursor population, ureteric
bud-derived BMP7 was hypothesized to affect those precursor cells. In the present
study, to determine the role of ureteric bud-derived BMP7 in the maintenance of renal
progenitor cells, we generated a ureteric bud-specific conditional knock out mouse of
BMP7 (BMP7 CKO). At embryonic day 18 (E18), the cap mesenchyme in BMP7 CKO
kidneys looked more disorganized and less condensed than control kidneys, followed
by a dramatic reduction in the progenitor cells by postnatal day 0 (P0). Decreased
numbers of Ki67 positive cells and increased numbers of TUNEL positive cells in the
cap mesenchyme indicated impaired cellular proliferation and increased apoptosis.
Six2, Pax2 and Osr1 (Odd skipped-1) are transcription factors expressed in the renal
progenitor cells in the earliest stages of nephrogenesis. In particular, Six2 has recently
been shown to have a role in maintaining the progenitor cell population. In situ
hybridization demonstrated decreased expression of those genes in cap mesenchyme
of BMP7 CKO kidneys, while the expression of WT1 and Wnt4 remained unchanged.
This work demonstrated the crucial role of BMP7 in the maintenance of renal
progenitor cells, mediated through the expression of early nephrogenic markers.
2. A NOVEL RENOPROTECTIVE PATHWAY MEDIATED BY AATF *
Qing Guo, Chelsea Baker and Jun Xie Department of Physiology, The University of Oklahoma Health Sciences Center, 940 Stanton L. Young Blvd., Oklahoma City, OK 73104 U.S.A.
Ischemia/reperfusion (I/R)-induced renal injury is the most common cause of acute
renal failure (ARF). AATF (apoptosis antagonizing transcription factor) is a leucine
zipper domain containing protein with anti-apoptotic properties. Human AATF has an
open reading frame of 560 amino acids, and is expressed in several organs and
tissues including the kidney. We found that levels of AATF expression in renal tubular
epithelial cells were significantly altered in an in vitro model of renal injury induced by
I/R. In renal tubule epithelial cells, RNAi-mediated silencing of AATF exacerbated,
while overexpression of AATF ameliorated mitochondrial dysfunction, oxidative
damage, and apoptotic death induced by I/R. These results identify AATF as a novel
cytoprotective factor in renal tubular cells. Par-4 (prostate apoptosis response-4) is a
leucine zipper protein linked to apoptotic cell death in prostate cancer and neuronal
tissues. The leucine zipper domain of Par-4 (Leu.zip) mediates protein-protein
interactions that are essential for sensitization of cells to apoptosis, and
overexpression of Leu.zip blocks Par-4 activity in a dominant negative fashion. We
found that AATF is an endogenous interaction partner and blocker of Par-4 activity. We
also provide evidence that AATF is a novel phosphorylation target of the
serine/threonine protein kinase Akt1/PKBa, and that phosphorylation of AATF by Akt1
may represent a critical mechanism of signal transduction mediated by Akt1 in
3. MODULATION OF BCL-2 BY PAR-4 AND AATF IN RENAL TUBULAR EPITHELIAL CELLS *
Jun Xie, Chelsea Baker and Qing Guo Department of Physiology, The University of Oklahoma Health Sciences Center, 940 Stanton L. Young Blvd., Oklahoma City, OK 73104 U.S.A.
Par-4 (prostate apoptosis response-4) is a leucine zipper protein initially linked to
apoptotic cell death in prostate cancer and neuronal tissues. We have identified Par-4
as an early and critical link in the chain of events leading to the initiation of apoptosis in
human kidney proximal tubular cells in well-established models of renal injury induced
by ischemia/reperfusion (I/R). Targeted knockdown of Par-4 expression by RNAi
provides a novel cytoprotective mechanism. In pull down assays using specific
sequence on the bcl-2 P1 promoter as bait, we found a significantly increased Par-4
binding to the bcl-2 promoter in proximal tubular cells following I/R. Overexpression of
Par-4 effectively reduced the adaptive increase in Bcl-2 levels in the early stages of I/R
injury in renal tubule cells, indicating Par-4-dependent cell-death was mediated by
decreased bcl-2 transcription. AATF (apoptosis antagonizing transcription factor) is a
leucine zipper protein which interacts with Par-4 via the leucine zipper domain. Binding
of Par-4 to the bcl-2 promoter was significantly reduced in cells co-transfected with
AATF. These results suggest that Par-4/AATF complex formation plays a critical role in
renal cell survival by regulating nuclear transcription of bcl-2.
4. LOCALIZATION AND EXPRESSION OF CARBONIC ANHYDRASE ISOFORMS ALONG THE MOUSE NEPHRON DURING METABOLIC ACIDOSIS
Yukiko YASUOKA1, Mizuka KOBAYASHI2, Yuichi SATO3, and Katsumasa KAWAHARA1. 1, 2. Departments of Physiology and Anesthesiology, Kitasato University School of Medicine, Kitasato 1-15-1, Sagamihara 228-8555, Japan 3. Department of Molecular Diagnostics, Kitasato University School of Allied Health Sciences, Kitasato 1-15-1, Sagamihara 228-8555, Japan
The kidney plays a key role in extracellular fluid pH homeostasis by reclaiming
3 ) at the proximal tubules and generating the consumed HCO3 at
the intercalated cells of collecting ducts. Further, MTAL, medullary thick ascending limb
of Henle’s loop, is thought to be important for H+ and ammonium excretion. We
investigated localization and expression of carbonic anhydrase (CA) isoforms along
the nephron to examine whether CAs are really involved in urine acidification during
metabolic acidosis (MA). Methods. The CA (CAII, CAIV, CAXII, CAXIV) mRNAs
expression was examined by a quantitative In situ hybridization method along the
mouse (C57BL/6J, male, 10 wks) nephron, such as PCT, PST, DTL, MTAL, CTAL,
DCT, and CDs. Dots of CA mRNAs (stainings) were counted by eye under the
microscope during the conditions of control and metabolic acidosis (0.28 M NH4Cl
solution drinking). Results. After administration of NH4Cl, average urine pH (± SEM)
decreased significantly (P < 0.001) from 6.52 ± 0.04 (n=14) to 5.8 ± 0.03 (day 1, n=5)
and was unchanged until day 6. Plasma pH instantaneously decreased from 7.32 ±
0.02 (n=6) to 7.17 ± 0.01 (n=5) on day 1 (P < 0.001), but completely recovered to 7.35
± 0.02 (n=9) on day 6. In control mice, CAII
MTAL, CTAL, DCT, and CDs. During NH4Cl load, the levels of CAII CAXIV mRNAs
increased specifically at MTAL (CAII), at DTL and MTAL (CAIV), and at PCT and CD-IC
(CAXII) . Interestingly, a level of the CAXIV expression was unchanged. Conclusion.
CAII and CAIV in MTAL may play an important role for maintaining the systemic
acid-base balance, especially during MA.
5. NHE3 IS ACTIVATED VIA AN ELECTROSTATIC INTERACTION BETWEEN THE CYTOSOLIC-TERMINUS AND THE INNER LEAFLET OF THE PLASMA MEMBRANE R. Todd A
, Tony YEUNG , Wendy FURUYA , Iskra PELTEKOVA , John
1Cell Biology Program, The Hospital for Sick Children, Toronto, M5G 1X8, Canada,
2Department of Pediatrics, The University of Alberta, Edmonton, T6J 2R7, Canada 3Department of Physiology, McGill University, Montreal, H3G 1Y6, Canada
4Department of Biochemistry, University of Toronto,M5S 1X8, Canada
Implicit to the maintenance of intravascular volume and consequently blood
pressure is the absorption of filtered NaCl and water by the renal tubule. The proximal
tubule absorbs the bulk (∼110 L of water and 1.2 Kg of NaCl daily). Apical entry of Na +
via exchange for a proton by NHE3 is the rate -limiting and regulated step in this
process. The cytosolic C -terminus is known to be necessary for the regulation of NHE3
by many effectors, however the precise mechanism(s) are poorly understood. In an
attempt to explain NHE3 regulation we examined its cytosolic domain and observed
several regions proximal to the transmembrane domain that contained multiple
cationic residues (region 1: residues 456-480 +4; region 2:503-527, +7; and region
3:645-688, +13). Given that the inner leaflet of the plasma membrane contains a high
concentration of negati vely charged lipids we predicted that the tail of NHE3 would
bind to the plasma membrane and that this interaction could be regulated via
alterations in the juxta-membrane ion concentration and/or surface charge. To test our
hypothesis we designed peptides corresponding to the three regions and conjugated a
fluorescent probe (bimane) to them. The interaction of bimane with a hydrophobic
environment increases its fluorescence. Consistent with our hypothesis, the addition of
these peptides to liposomes containing anionic lipids increased fluorescence, a
phenomenon not observed in the presence of liposomes composed of zwitterionic
lipids. Moreover, fluorescence was quenched by increasing the ionic strength of the
solution bathing the anionic liposomes, or by introducing cationic sterols into the
anionic liposomes. Next we generated expression constructs of the three regions
conjugated to GFP. In order to mimic the in vivo situation we introduced a farnesylation
motif at the opposite end to the GFP. Expression of these constructs revealed plasma
membrane localization, which could be prevented by increasing intracellular Ca2+,
depleting the cells of ATP (which would deplete the inner membrane surface charge) or
incorporating cationic sterols into the plasma membrane. Further, mutating the cationic
residues to alanines, despite the presence of the farnesyl group, prevented plasma
membrane localization. Next we measured the Na+-dependent recovery of pH in OK
cells (which express NHE3 endogenously) after increasing intracellular Ca2+, depleting
ATP or in the presence of a cationic sterol. All of these perturbations inhibited NHE3
activity. Finally, we generated full-length NHE3 constructs that had the cationic
residues from each region mutated to alanines. The region 1 (residues 456-480) and 2
(residues 503-527) mutants completely lacked NHE activity, while the third mutant
(residues 642-678) had similar activity to wild-type NHE3. Together these findings
strongly suggest that NHE3 activity is regulated by an electrostatic interaction between
cationic residues in the cytosolic C-terminus of NHE3 and anionic lipids in the inner
leaflet of the plasma membrane and provides a putative mechanism for many of the
processes known to regulate NHE3 activity.
6. ALDOSTERONE STIMULATES NF-κB ACTIVITY AND TRANSCRIPTION OF ICAM -1 VIA SERUM AND GLUCOCORTICOID-INDUCIBLE PROTEIN KINASE (SGK)-1 IN RAT MESANGIAL CELLS IN VIVO AND IN VITRO
Yoshio TERADA, Department of Endocrinology, Metabolism, and Nephrology, Kochi University, Kochi 785-8505, Japan
Recently, attention has focused on the role of aldosterone (Ald) in the
pathophysiology of hypertension and cardiovascular disease. Several clinical and
experimental data support a contribution of Ald to the inflammation of several organs.
However, the molecular mechanisms of Ald on glomerular inflammation are not known
We at first showed that mineralcorticoid receptor (MR) was expressed in rat
mesangial cells and glomeruli, and that Ald translocated MR from cytosolic lesions to
the nucleus. To determine the signaling pathway of Ald concerning inflammation in
cultured mesangial cells, we investigated the effects of Ald on serum and
glicocorticoid-inducible protein kinase (SGK)-1 expression and activation, NF-κB
activation, and ICAM-1 expression. Ald (1-100 nM) stimulated SGK-1 expression and
phosphorylation (Ser-422) dose-dependently. Ald (10 nM) stimulated phosphorylation
of SGK-1 from 1 h, and increased protein expression of SGK-1 from 3h. The
increments of phosphorylation and expression of SGK-1 by Ald were inhibited by MR
inhibitor (Eplerenone). Ald (10 nM) stimulated NF-κB activity measured by NF-κB
responsive elements-luciferase assay and phosphorylation of Ik -B from 3 h. This
activation of NF-κB by Ald was inhibited to 30% by transfection of dominant-negative
SGK-1, and enhanced by wild-type SGK-1. Furthermore, ICAM-1 promoter activity
and protein expression increased by Ald (10 nM) from 3 h and 6 h, respectively. The
effects of Ald on ICAM-1 promoter activity and protein expression were inhibited by
transfection of dominant-negative SGK-1 and dominant-negative Ik-B in rat mesangial
cells. We also demonstrated that Ald (10 nM) activated Ki-Ras-A, c-Raf kinase,
MEK1/2, MAPK1/2, and induced cyclin D1, cyclin A expression, and cell cycle
progression in rat mesangial cells. Moreover, we found that the MR inhibitor
significantly ameliorated glomerular sclerosis and inflammation induced by
aldosterone-infusion (five weeks in 21 rats) in vivo. The expression of SGK-1 and
ICAM-1 in glomeruli was markedly increased by Ald treatment. Increments of SGK-1
and ICAM-1 expression induced by Ald in glemeruli were markedly reduced by MR
In conclusion, our findings suggest that Ald stimulates SGK phosphorylation and
protein expression in mesangial cells via MR. Ald stimulates NF -kB at least in part by
activation of SGK-1. Ald also stimulates cell cycle progression in mesangial cells.
Furthermore, Ald stimulates ICAM-1 transcription via NF-κB and SGK-1. Ald may
have key roles in NF-κB- and ICAM-1-related inflammation and cell proliferation in
mesangial cells in vivo and in vitro. MR antagonist may serves as a potential
therapeutic approach to glomerular inflammatory diseases.
7. ACUTE SUPPRESSIVE EFFECT OF INTERLEUKIN-1β ON K+ CHANNEL ACTIVITY IN HUMAN PROXIMAL TUBULE CELLS
Kazuyoshi NAKAMURA, You KOMAGIRI, Toshiyuki KOJO, Manabu KUBOKAWA Department of Physiology, Iwate Medical University School of Medicine, Morioka 020-8505, Japan
Interleukin-1ß (IL-1ß) is one of the cytokines which augment cell injury in various
organs during inflammatory diseases. Although some investigators reported that
changes in K+ channel activity were involved in the renal tubular cell injury induced by
endotoxemia or ischemia, little information is available regarding effects of cytokines
on activity of renal K+ channels. In this study, we investigated the effect of IL-1ß on
activity of an inwardly rectifying K+ channel (Gi: 40 pS, Go: 7 pS) in cultured human
proximal tubule cells, using the patch-clamp technique. In cell-attached patches, IL-1ß
(15 pg/ml) suppressed the K+ channel activity in a few minutes after its addition to the
bath. This acute suppressive effect was blocked by IL -1 receptor antagonist (20 ng/ml).
As we reported previously, the activity of this K+ channel was increased by 8Br-cAMP
(100 µM) and 8Br-cGMP (100 µM) through activation of protein kinases A (PKA) and G
(PKG), respectively. However, these cyclic nucleotides did not stimulate channel
activity in the presence of IL-1ß, suggesting that IL -1β might interfere with the effects of
cAMP/PKA and cGMP/PKG pathways on channel activity. Since it was reported that
protein kinase C (PKC) suppressed K+ channel activity in opossum kidney proximal
tubule cells or rat cortical collecting duct, we next examined whether PKC would
mediate the suppressive effect of IL -1β. When the cultured human proximal tubule
cells were pretreated with a PKC inhibitor, GF109203X (500 nM), IL-1β did not
suppress channel activity. Furthermore, GF109203X reactivated the channel which
was suppressed by IL-1β. In inside-out patches, PKC- α (1 U/ml) reduced channel
activity in the presence of phorbol 12-myristate 13-acetate (PMA, 500 nM) and 10-6 M
Ca2+. PMA alone had no appreciable effect on channel activity. In addition, IL-1β itself
did not affect channel activity in inside-out patches. These results suggested that IL-1β
acutely suppressed K+ channel activity through its specific receptor in cultured human
proximal tubule cells, and that the suppressive effect would be dependent on activation
of the PKC pathway which overcame the PKA/PKG-dependent processes.
8. INHIBITION OF AN INWARDLY RECTIFYING K + CHANNEL BY CYCLOSPORIN A INVOLVES Ca2+/CAM -KINASE II-MEDIATED PROCESSES IN HUMAN PROXIMAL TUBULE CELLS
Manabu KUBOKAWA, Toshiyuki KOJO, You KOMAGIRI, Kazuyoshi NAKAMURA Department of Physiology, Iwate Medical University School of Medicine, Morioka, 020-8505 Japan
Cyclosporin A (CsA) is an inhibitor of a Ca2+/CaM-depdent phosphatase (PP-2B),
and a well-known immunosuppressive agent. CsA is clinically used after organ
transplantation or for the therapy of autoimmune diseases. However, several
complications, such as hypertension or decrease in the renal function, are observed
during use of CsA. One of the significant findings of CsA-induced changes in renal
cells is suppression of K+ channel activity in the apical or basolateral membrane of
several nephron segments. In cultured human proximal tubule cells (RPTECs), an
inwardly rectifying K+ channel with inward conductance of about 40 pS is the K+
channel which is most frequently observed in RPTECs, and its activity was inhibited by
application of CsA (5 µM). In this study, we examined the mechanism for the
CsA-induced suppression of this K+ channel in RPTECs using the patch-clamp
technique and fluorescence imaging with fura-2. Application of CsA (5 µM) to RPTECs
significantly suppressed the channel activity in cell-attached patches with a moderate
elevation of the intracellular Ca2+ concentration ([Ca2+]i) which was evaluated by using
fura-2 imaging. Since CsA attenuates the PP-2B-induced dephosphorylation, it is
conceivable that the CsA-induced channel suppression may involve Ca2+-dependent
protein phosphorylation. Thus we examined the effects of inhibitors of protein kinase C
(PKC) and Ca2+/CaM kinase II (CaMKII) on CsA-induced channel suppression. In the
presence of a PKC inhibitor, GF109203X (500 nM), CsA-induced channel suppression
occurred, but it was prevented in the presence of an inhibitor of CaMKII, KN-62 (20 nM),
suggesting that the CsA-induced channel suppression was CaMKII-dependent.
Furthermore, we examined the direct effect of CaMKII on channel activity in inside-out
patches in the absence and presence of PP-2B. In inside-out experiments, bath
solution contained 1 mM ATP to maintain channel activity and 10-6 M Ca2+ and 0.6 µM
CaM to stimulate CaMKII or PP-2B. Application of CaMKII (0.15 U/ml) induced channel
suppression in inside-out patches, indicating that CaMKII has the inhibitory effect on
channel activity. Moreover, the following addition of PP-2B (800 U/ml) re-activated the
suppressed channel activity even in the presence of CaMKII. Thus, it is strongly
suggested that inhibition of PP-2B by CsA elevates [Ca2+]i and evoked
CaMKII-mediated channel suppression. We conclude that CsA-induced channel
suppression is mainly caused by CaMKII-mediated phosphorylation processes in
9. THE VOLTAGE-DRIVEN ORGANIC ANION TRANSPORT OF TYPE I SODIUM-PHOSPHATE COTRANSPORTER AND OATv1
Promsuk JUTABHA, Naohiko ANZAI, Hitoshi ENDOU, Hiroyuki SAKURAI Department of Pharmacology and Toxicology, Kyorin University School of Medicine, Mitaka-shi, Tokyo 181-8611, Japan
Type I sodium -phosphate cotransporter (NPT1), a protein initially characterized as
phosphate transporter, is expressed at the apical membrane of renal proximal tubular
cells and mediated the transport of organic anions (Uchino et al. Biochem Biophys Res Commun, 2000). The predicted amino acid sequence of NPT1 exhibited 60-65%
identity to that of OATv1, a voltage-driven organic anion transporter identified in pig
kidney. NPT1 is suggested to be the human orthologue of OATv1 (Jutabha et al. J Biol Chem, 2003). To clarify the functional properties of NPT1 in comparison to OATv1, we
used HEK293 expressing either OATv1 or NPT1 as an expression system. NPT1
showed high affinity transport of estrone sulfate, as shown in that of OATv1. The
transport was Na+-independent and enhanced at high concentrations of extracellular
potassium and chloride-free condition. Using oocyte expression system, the transport
of PAH and estrone sulfate by NPT1 was enhanced by chloride-free condition not by
high potassium concentration, different from that observed in OATv1-expressed
oocytes. This finding is the first report supporting the functional property of NPT1 as
10. VOLTAGE-DEPENDENT TRANSPORT OF URATE ON A NOVEL HUMAN URATE EFFLUX TRANSPORTER URATv1 EXPRESSED IN Xenopus OOCYTES
Promsuk JUTABHA1, Naohiko ANZAI1, Shuji KANEKO2, Hiroyuki SAKURAI1
1Department of Pharmacology and Toxicology, Kyorin University School of Medicine, Mitaka-shi, Tokyo 181-8611, Japan
2Department of Molecular Pharmacology, Graduate School of Pharmaceutical Sciences, Kyoto University
Voltage-driven urate efflux transporter URATv1 (SLC2A9) is a member of the
facilitative glucose transporter (GLUT) family that regulates blood urate level in
humans and its function is inhibited by a uricosuric agent benzbromarone (Anzai et al., J Biol Chem, 2008). Although depolarization induced by the elevation of extracellular
K+ concentration enhanced URATv1-mediated urate transport in Xenopus oocytes, it is
still unclear whether this effect is due to change in membrane potential or extracellular
K+ concentration. In the present study, we used two-electrode voltage-clamp to
demonstrate the voltage-dependent urate transport of URATv1 heterologously
expressed in Xenopus oocytes. The urate-evoked, outward current was linearly
increased with depolarization when the oocytes were perfused with 0.5 mM urate,
indicating that urate transport through URATv1 is affected by membrane potential. The
urate-evoked current was completely inhibited in the presence of benzbromarone (0.1
mM), confirming the involvement of URATv1. Moreover, when external Na+ was fully
replaced with K+, the urate -evoked current was not affected, indicating that the
URATv1-mediated conductance is not dependent on external Na+ or K + concentrations.
These results suggest that urate is transported into oocytes through URATv1 in a
membrane potential, but not Na+ or K+, dependent manner favoring depolarization,
where urate moves from negative to positive direction. In conclusion, we provide
electrophysiological evidences that URATv1 is a voltage dependent urate transporter.
In a physiological state in the kidney proximal tubular cell, urate is likely to be
transported out of the cell through URATv1 which located in the basolateral
11. IDENTIFICATION OF THE MULTIVALENT PDZ PROTEIN PDZK1 AS A BINDING PARTNER OF SODIUM –COUPLED MONOCARBOXYLATE TRANSPORTER SMCT1 (SLC5A8) AND SMCT2 (SLC5A12) BY YEAST TWO-HYBRID ASSAY
Sunena SRIVASTAVA1, Naohiko ANZAI1, Seiji MIYAUCHI2, Daisaku MIURA1, Toshiyuki FUKUTOMI1, Vadivel GANAPATHY, Hiroyuki SAKURAI1 1Department of Pharmacology and Toxicology, Kyorin University School of Medicine, Mitaka-shi, Tokyo 181-8611, Japan
2College of Pharmaceutical Sciences, Matsuyama University, Matsuyama-shi, Ehime, Japan
3Department of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta, GA 30912, USA
SMCT1 (SLC5A8) and SMCT2 (SLC5A12) are transporters that mediate the transport
of lactate in the apical membrane of proximal tubular cells. Since URAT1 is also
expressed in the apical membrane of renal proximal tubular cells and transports urate
in exchange for intracellular organic anions such as lactate and nicotinate, SMC T1 and
SMCT2 seem important for the transport function of URAT1 (Anzai et al., Curr Opin Rheumatol, 2007). In addition, SMCT1 & SMCT2 C-terminal domain is in the
cytoplasm and contains PDZ motif, suggesting that it interacts with PDZ proteins. In
this study, we used the yeast two-hybrid screening to investigate the putative SMCT1-
and SMCT2 -associated proteins in the kidney. Using the SMCT1 and SMCT2
C-terminus as bait, we performed yeast two -hybrid screenings of a human adult kidney
cDNA library. In both cases, an identical sequence encoding the gene for the
multivalent PDZ domain-containing protein PDZK1 was obtained (13 out of 22 for
SMCT1, 8 out of 34 for SMCT2). The elucidation of these interactions may lead to the
further understanding of functional regulation of urate transport via monocarboxylate
12. INTERACTION OF A NOVEL URATE EFFLUX TRANSPORTER URATv1 (SLC2A9) WITH URICOSURIC AGENTS
Naohiko ANZAI, Promsuk JUTABHA, Chun Ji JIN, Toru KIMURA, Ellappan BABU, Sunena SRIVASTAVA, Hitoshi ENDOU, Hiroyuki SAKURAI Department of Pharmacology and Toxicology, Kyorin University School of Medicine, Mitaka-shi, Tokyo 181-8611, Japan
Hyperuricemia is a significant factor in a variety of diseases, including gout
and cardiovascular diseases. And renal excretion largely determines blood urate level.
in 2002, we identified a major urate reabsorptive transporter, URAT1 (SLC22A12), on
the apical side of the renal proximal tubular cells (Enomoto et al., Nature, 2002).
Recently, we identified that URATv1 (SLC2A9) functions as a urate efflux transporter
from renal tubular cells into the blood circulation (Anzai et al., J Biol Chem, 2008).
URATv1-expressed Xenopus oocytes transported urate favoring negative to positive
potential direction. In vivo role of URATv1 is supported by the fact that a renal
hypouricemia patient without any mutations in SLC22A12 was found to have a
missense mutation P412R in SLC2A9, which reduced urate transport activity in vitro.
Considering its basolateral localization, SLC2A9 is likely to mediate the second step of
urate reabsorption. To further characterize the substrate selectivity of URATv1, we
performed the urate uptake inhibition study in the URATv1 expressed oocytes using
several organic anions that are known to interact with URAT1.
intracellularly-injected glucose, fructose, monocarboxylates such as lactate, nicotinate
or pyrazinoate (PZA) for urate. In addition, urate efflux via URATv1 was not enhanced
by extracellular glucose or fructose. Urate transport via URATv1 was affected by
uricosuric agents probenecid, benzbromarone, phenylbutazone and losartan, but not
by monocarboxylates such as lactate, nicotinate, orotate, PZA, or -hydroxybutyrate.
In summary, different substrate selectivity between URATv1 and URAT1
suggests that URATv1 may be a novel therapeutic target for hyperuricemia.
13. CALCIUM , MAGNESIUM , AND CALCIMIMETICS DECREASE PNa/PCl RATIO IN MOUSE THIN ASCENDING LIMB OF HENLE’S LOOP
Tetsuji MORIMOTO1), Noriko SUGAWARA1), Elnur I. FARAJOV2), Fumiaki KAMADA1), Naonori KUMAGAI1), Shigeru TSUCHIYA 1), Yoshiaki KONDO2) 1) Department of Pediatrics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan 2) Department of Medical Informatics, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan
It is well known that Randall’s plaque, the initial lesion in calcium-oxalate
nephrolithiasis, is formed in the basement membranes of the thin ascending limbs
(ATLs) of Henle’s loop. We demonstrated in 1995 that Ca2+ pump and Ca2+ channel
are present in the ATLs (Takahashi et al. Am J Physiol). While it is known that NaCl
transport is stimulated by ambient Ca2+ (Kondo et al. Am J Physiol 1988), the
contribution of calcium-sensing receptor (CaSR) to NaCl transport in the ATLs has not
In this study, the effect of Ca2+, Mg2+, and calcimimetics on NaCl transport was
investigated in the in vitro isolated microperfused mouse thin ascending limb (ATL) of
Henle’s loop by measuring transepithelial voltage (Vt). In the presence of a transmural
NaCl concentration gradient (100 mM higher in the lumen), the transepithelial
diffusional potential (Vd) was 13.7 + 0.4 mV (n=17). When Ca2+ concentration in the
bathing fluid was increased from 1.5 mM to 4.5 mM at 37 °C, the relative permeability
of Na+ to Cl- (PNa/PCl) estimated from the NaCl diffusion voltage changed from 0.371 +
0.017 to 0.341 + 0.015 (n=10, P<0.0001). Increasing Ca2+ concentration in the luminal
fluid from 1.5 mM to 4.5 mM decreased PNa/PCl from 0.349 + 0.013 to 0.330 + 0.013
(n=5, P=0.001). When Mg2+ concentration in the bathing fluid was increased from 1
mM to 5 mM at 37°C, the PNa/PCl decreased from 0.339 + 0.020 to 0.319 + 0.020 (n=5,
P<0.0001). Increasing Mg 2+ concentration in the luminal fluid from 1 mM to 5 mM
decreased PNa/PCl from 0.347 + 0.033 to 0.333 + 0.033 (n=5, P<0.0001). The addition
of 0.1 mM Neomycin (Neo) and 0.2 mM Gentamicin (Gen) to the basolateral or luminal
solution also decreased P Na/PCl. Besides, the addition of 30uM Gadolinium (Gd) to the
basolateral solution also decreased PNa/PCl. These data indicate that ambient Ca2+, Mg
2+, and calcimimetics inhibit Na+ transport in the ATLs, which is known to occur via
Our observations strongly suggest that Ca2+ is a potent regulator of paracellular Na+
permeability, leading to prevention of calcium stone formation via inhibition of urine
14. ROMK1 KNOCKOUT MICE DO NOT PRODUCE BARTTER’S PHENOTYPE BUT EXHIBIT HYPERTENSION
Ke Dong, Qingshang Yan, Gerhard Giebisch, Steven Hebert and Tong Wang. Department of Cellular & Molecular Physiology, Yale University School of Medicine, 333 Cedar Street, New Have n, CT, 06520, USA
We have previously reported that ROMK knockout mice show a similar
phenotype to Bartter’s syndrome, which is salt wasting and dehydration due to
reduced Na-2Cl-K-cotransporter activity (Lu et al, JBC 2002, Cantone et al, AJP 2008).
The salt and water wasting in ROMK Bartter’s mouse is compensated by increased
thiazide-sensitive NaCl transport activity, distal tubule hypertrophy, elevated renin-Ang
II and aldosterone levels (Cantone et al, AJP 2008, Wagner et al, AJP, 2008). At least
three ROMK isoforms have been identified in the kidney; however, unique functions of
any of the isoforms in nephron segments are still poorly understood. To establish the
roles of ROMK1 in distal tubules and collecting ducts, we have generated a mouse
deficient only in ROMK1 by selective deletion of the ROMK1 exon, using an ES cell
Cre-LoxP strategy. We examined general and renal phenotypes in ROMK1 null mice
by metabolic and renal clearance experiments. Our data show no difference in plasma
Na+, K+ and acid-base parameters between littermate WT and ROMK1 null mice.
Unlike ROMK null mice with a 3-fold increase in urine volume, 60% increase in Na+ and
K+ excretion, and a 3-fold and 60% increase in water and food intake, the re was no
significant difference in urine volume, Na+, K+ excretion, and water and food intake
between WT and ROMK1 null mice. Renal clearance data show no difference in urine
output (1.39 vs. 1.48ml/min) and GFR (0.9 ±0.03 vs. 0.75±0.09) between WT and
ROMK1 null mice. However, the fractional Na+ excretion was significantly reduced
(0.32±0.05 vs. 0.56±0.08%) in ROMK null mice compared with the WT. The mean
blood pressure, measured via the carotid artery, was higher in ROMK1 null mice
compared with background-matched wild-type controls. Mean blood pressure was
112.3±6.48mmHg and 133.9±5.58mmHg (n=16 and n=15, P<0.05) in WT and ROMK1
null mice respectively. To investigate the mechanism of the hypertension, we examined
kidney Na+ channel activities by testing the effect of the ENaC inhibitor benzamil on
renal clearance. Experimental data show that benzamil produces a higher natriuretic
effect in ROMK1 null mice than in WT control. Benzamil increased ENa and FENa by
6.5-fold and 3.2-fold in ROMK1 null mice, and 2.9-fold and 1.8-fold in WT control,
respectively. The increased sensitivity to benzamil suggests elevated ENaC activity in
ROMK1 KO mice. We conclude that the ROMK1 knockout mouse does not produce
Bartter’s phenotype of lost salt and water, but rather increased ENaC activity leading to
15. CRITICAL ROLES OF V1A AND V1B VASOPRESSIN RECEPTORS IN SYSTEMIC BLOOD PRESSURE HOMEOSTASIS: STUDIES FROM GENE KNOCKOUT MICE
Yoko FUJIWARA1, Taka-aki KOSHIMIZU1, Hiroyoshi TSUCHIYA 1, Gozoh TSUJIMOTO2, and Akito TANOUE3
1Div. of Molecular Pharmacol., Dep. of Pharmacol., Jichi Medical University, Yakushiji 329-0498, Tochigi, Japan.
2Dep. of Genomic Drug Discovery Science, Graduate School of Pharmaceutical Sciences Kyoto University Faculty of Pharmaceutical Sciences, Kyoto University, Yoshida shimoadachi 606-8501, Kyoto, Japan
3Dep. of Molecular and Cellular Pharmacol., National Research Institute for Child Health and Development, Setagaya 157-8535, Tokyo, Japan Three receptor subtypes, V1a, V1b, and V2, are activated by arginine -vasopressin
(AVP) and modulate both osmotic and cardiovascular homeostasis. Although a potent
vasoconstrictor effect of intravenously administered AVP is mediated by V1a, the
physiological contribution of V1a and V1b to basal blood pressure (BP) is ill-defined.
We investigated the functional roles of the V1a and V1b in cardiovascular homeostasis
by generating mice lacking each receptor. The basal BP of conscious mutant mice
lacking the V1a receptor gene (V1a-/-) was significantly lower compared to the
wild-type mice without a notable change in heart rate. AVP-induced vasopressor
responses were abolished in the V1a-/- mice; rather, AVP caused a decrease in BP,
which occurred in part, through V2 receptor-mediated release of nitric oxide from the
vascular endothelium. In V1a-/-, arterial baroreceptor reflexes were markedly impaired
and a significant 9 % reduction in circulating blood volume was noted. The plasma
renin activity and aldosterone level, as well as AVP-stimulated aldosterone release,
are reduced in V1a-/- mice. The V1a was found to specifically co-express at the macula
densa cells with cyclooxygenase-2 and neuronal nitric oxide synthase. In contrast to
V1a-/-, systolic BP of V1b knockout mice (V1b-/-) was elevated. Cardiac contractile
functions assessed by echocardiography were enhanced and heart weight/body
weight ratio was increased in V1b-/-. Taken together, these results indicate that both
V1a and V1b receptors are critically involved in the maintenance of resting arterial BP
16. FUROSEMIDE-INDUCED nNOS OF THE MOUSE MACULA DENSA CELL LINE LACKS A C-TERMINAL REDUCTASE DOMAIN, BUT GENERATES NO Ca2+-DEPENDENTLY
Hideaki KAWADA1,3), Yukiko YASUOKA1), Mizuka KOBAYASHI2), Hidekazu FUKUDA1), Yukito ISHIZAKA3), and Katsumasa KAWAHARA1) Departments of Physiology1) and anesthesiology2), Kitasato University School of Medicine, Sagamihara 228-8555, Japan Department of Intractable Diseases3), International Medical Center of Japan, Tokyo 162-8655, Japan
Macula densa (MD) modulates tubuloglomerular feedback (TGF) system by
generating nitric oxide (NO) in response to changes in luminal NaCl concentration. An
established cell line of mouse MD (NE-MD) shows upregulation of neuronal NO
synthase (nNOS) protein and generates L-arginine-induced NO in the presence of
furosemide, an inhibitor of Na+-K+-2Cl- transporter. Estimated molecular weight of
furosemide-induced nNOS protein (65 kD) was much shorter than brain or cardiac type
of nNOS (160 kD), suggesting that nNOS protein of NE-MD may be largely truncated.
To further investigate the whole structure of nNOS and the deleted parts of the
functional domains, we have examined the furosemide (12 µM)-induced proteomes of
NE-MD by two-dimensional gel electrophoresis (2-DE) combined with mass
spectrometry (MALDI-TOF-MS). Eighteen unique proteins have been identified. These
proteins include mainly cytoplasmic proteins (61%) and some mitochondrial (11%),
endoplasmic reticulum (17%), and membrane proteins (11%). Although 6 protein spots
were increased approximately by 1.5 times in the presence of furosemide, one unique
protein spot, finally determined as nNOS, increased by more than 5 times. According
to the results of MS fit, N-terminal heme binding domain was highly conserved, but, a
C-terminal reductase domain, such as the flavin mononucleotide (FMN), flavin adenine
dinucleotide (FAD), and nicotinamide adenine dinucleotide phosphate (NADPH)
binding regions, was missing. Further, by using an NO sensing electrode,
L-arginine -induced NO production was Ca2+-dependent and pH-sensitive. These
findings suggest that C-terminal truncated nNOS of NE-MD cells may explain unique
regulation of gene expression and activity in mouse macula densa.
17. REGULATION OF PGE2 PRODUCTION IN MOUSE MACULA DENSA Hidekazu FUKUDA, Katsumasa KAWAHARA Department of Physiology, Kitasato University School of Medicine. Kitasato 1-15-1, Sagamihara, 228-8555, Japan
Prostaglandin E2 (PGE2), derived from cyclooxgenase-2 (COX-2) expressed
in the macula densa (MD), is known as a signal molecule stimulating the release of
renin from juxtaglomerular cells of the afferent arterioles in the kidney, especially
during volume depletion. The E prostanoid (EP) receptors comprise four isoforms
(EP1-EP4) coupled with subcellular signal transduction mechanisms. Although EP
receptors expressed in MD may control renin release through the tubuloglomerular
feedback (TGF) system, its role and cellular mechanisms remain uncertain. We have
recently established a novel mouse macula densa cell line (NE-MD). In NE-MD cells,
we examined the COX-2 gene expression, cAMP formation, and the PGE2 production
to determine whether EP isoforms are involved in the PGE2 production. Real-time PCR
revealed that the COX-2 gene expression was increased to 3.5 times in the presence
of 10 µM of forskolin, an adenylyl cyclase activator, and that the low [chloride]-induced
COX-2 expression was completely abolished by the addition of 10 µM of H-89, a PKA
inhibitor. Further, by using RT-PCR technique, we found an expression o f EP4 isoform,
a Gs protein-coupled receptor, but no expression of EP1-EP3 isoforms. More over, the
addition of PGE2 to the bathing medium stimulated significantly cAMP formation in a
dose-dependent manner (radioimmunoassay). Finally, the COX-2 gene expression
was increased to 1.5 times in the presence of 5 µM of PGE2. In summary, these results
indicate that the COX-2-derived PGE2 elevates the levels of the COX-2 expression in
MD in a positive feedback mechanism via EP4 receptor. This suggests that
orchestrated signals of PGE2 may be essential for suitable renin release through TGF
18. A ROLE OF V1A VASOPRESSIN RECEPTOR FOR URINARY SODIUM EXCRETION IN DIABETIC KIDNEY OF MICE Mizuka KOBAYASHI1, Yukiko YASUOKA2, Akito TANOUE3, Katsumasa KAWAHARA2, and Hirotsugu OKAMOTO1 1,2. Departments of Anesthesiology and Cellular & Molecular Physiology, Kitasato University Grad. Sch. of Med. Sci., Kitasato 1 -15-1, Sagamihara 228-8555, Japan 3. Department of Pharmacology, National Research Institute for Child Health and Development, Okura 2-10-1 Tokyo 157-8535, Japan
V1a vasopressin receptor (V1aR) plays a key role not only in body
water/electrolytes balance (Koshimizu et al, 2006), but also in plasma glucose
homeostasis (Aoyagi et al, 2007). Here we report that V1aR-deficient (V1aR-/-) mice
may lose a regulatory function of auto -regulation systems in kidney, such as
tubuloglomerular feedback (TGF) and urinary Na+ excretion, especially during diabetic
nephropathy. Streptozotocin-induced diabetic mice of control (WT) and V1aR-/- (KO)
were fed under conditions of standard animal diet for 14-16 wks. There were no
significant differences in body weight increases and blood glucose levels between WT
and KO mice. In contrast, although water intake and urine volume was regulated within
the same levels, plasma renin activity significantly (P < 0.05) increased from 20.8 to
42.3 ng/ml/hr in control (n=4), but was unchanged in KO mice (24.0 to 28.6 ng/ml/hr,
n=4) after diabetes. Interestingly, urinary Na+ excretion remained high in KO mice after
diabetes (22.3 to 20.5 µmol/d/Cr, n=4), whereas it was significantly (P < 0.05)
decreased from 23.9 to 18.7 µmol/d/Cr in control (n=4). Further,
immunohistochemistry revealed that a population of nNOS (neuronal nitric oxide
synthase)-immunoreactive cells (macula densa: MD) was unchanged, but a level of
the staining in MD cells markedly decreased in diabetic KO mice, compared with
control (diabetic WT mice). Taken together, these results suggest that V1aR-deficient
(V1aR-/-) mice may lose a normal function of TGF system against urinary Na+ loss. This
may explain a mechanism of unusual loss of sodium in diabetic nephropathy.
19. DIFFERENT RESPONSES OF MACULA DENSA TO SALT LOAD BETWEEN DIABETIC AND NON-DIABETIC KIDNEY IN RATS
Hajime HASEGAWA, Kaori TAKAYANAGI, Taisuke SHIMIZU, Takatsugu IWASHITA , Yosuke TAYAMA, Juko ASAKURA, Koichi KANOZAWA, Hitoshi KATO, Tetsuya MITARAI Dept of Nephrology and Hypertension, Saitama Medical Center, Saitama Medical University, Kamoda 1981, Kawagoe, Saitama 350-8550, Japan
Distinctive tubuloglomerular (TG) feedback response in diabetic kidney is
considered as a one of possible cause for the development of glomerular hypertension
(GHT) which is a key step of progressive renal damage in early diabetes. The aim o f
this study is to examine the contrasts of macula densa responses to salt load between
METHOD: Streptozotocin (60 mg i.p.) induced diabetic rats were fed by low (LS:
0.1% NaCl) and high salt (HS: 1.2% NaCl) diet for 4 weeks. Evaluation of GHT was
studied by histological analysis. Gene expression and immunoreactivity of molecular
markers for macula densa function were studied by RT-PCR and
RESULTS: Diabetic kidney showed more significant glomerular hypertrophy and
the increase in creatinine clearance and urine albumine excretion by HS diet than
non-diabetic kidney. nNOS expression was increased by HS diet in non-diabetic
kidney (109.0±19.5% vs 161.3±46.1%), but decreased in diabetic kidney (77.4±8.3 vs
51.0±13.9%). Similarly, COX-2 expression was decreased by HS in non-DM
(102.4±13.0% vs 73.0±18.8%), but not in DM (50.7±7.4% vs 49.0±13.7%). Difference
of immunoreactivity of nNOS and COX-2 in macula densa between LS and HS diet
DISCUSSION: Lack or attenuation of macula densa response to high salt load in
diabetic kidney might indicate that HS diet-induced increase in sodium delivery to
macula densa was blunted in diabetic kidney by increased sodium reabsorption in
proximal tubules. The changes in macula densa response might cause the attenuation
of TG feedback and sustained GHT in diabetic kidney.
20. DIFFERENCE OF HIGH SALT DIET-INDUCED GLOMERULAR HYPERTENSION BETWEEN TYPE-2 DIABETES AND NON-DIABETES
Kaori TAKAYANAGI, Hajime HASEGAWA, Taisuke SHIMIZU, Takatsugu IWASHITA, Yosuke TAYAMA, Juko ASAKURA, Koichi KANOZAWA, Akihiko MATSUDA, Tetsuya MITARAI Dept of Nephrology and Hypertension, Saitama Medical Center, Saitama Medical University, Kamoda 1981, Kawagoe, Saitama 350-8550, Japan
Although glomerular hypertension (GHT) is considered as a key step for the
progressive renal damage in early diabetes, the mechanisms of its development are
not well understood. The aim of this study is to examine the different responses to salt
load in the severity of glomerular damages between diabetic and non-diabetic rats for
the evaluation of significance of salt diet as an accelerating factor of diabetic
METHOD: Goto-Kakizaki rats (GK), model of non-obese type 2 diabetes, and
normal Wistar rats (W) were grown by high salt (HS, 6.0% NaCl) or low salt (LS, 0.03%
NaCl) diet for 12 weeks. Severity of glomerular damages were evaluated by
histological analysis. Gene expression of tubular salt transporting molecules were
studied by RT-PCR. For evaluation of tubular function, furosemide (5 mg/kg, ip) or
hydrochlorothiazide (10 mg/kg, ip) were administered as diuretics challenge tests.
Primary cultured cells originated from renal cortex and outer medulla were used for in
RESULTS: GK with HS diet showed more significant glomerular hypertrophy and
an increase in the expression of TGF beta and desmin in glomerulus that W with HS
diet. number of TGF beta positive glomerular cells than W-HS. Gene expression of
salt transporting molecules in pre-macula densa segments was enhanced by HS diet
in GK but not in W (NHE3: 101.8±6.1% in W-LS, 84.6±4.9% in W-HS, 99.2±5.5% in
GK-LS, 162.7±11.3% in GK-HS, NKCC2: 103.1±9.7% in W-LS, 106.2±12.5% in W-HS,
101.4±6.5% in GK-LS, 144.3±10.1% in GK-HS). However, the expression of the
molecules in post-macula densa segments was not different between GK and W.
Increase in FENa by furosemide, but not thiazide, was significantly high in GK with HS
diet (13.8±1.9-times in W-LS, 12.8±2.7 -times in W-HS, 19.3±3.1-times in GK-LS,
43.2±2.3-times in GK-HS). In vitro study of gene expression of the molecules showed
that high salt condition increased gene expression of pre-macula densa molecules but
not post-macula densa molecules (NHE3: 184±41.8% in high glucose, 1791.2±202.9%
in high glucose+HS, NKCC2: 162.7±38.0% in high glucose, 1292.4±192.9% in high
glucose+HS), although high glucose or mannitol-induced high osmolality did not
DISCUSSION: Present study showed that high salt load caused more serious
GHT in diabetic kidney than non-diabetic kidney. These results might indicate that
diabetic kidney showed different response to salt load comparing to non-diabetic
kidney, resulting the increase in salt reabsorption in pre-macula densa segments,
possible attenuation of tubuloglomerular feedback and development of GHT.
21. CARBONYL STRESS MEDIATED MYOCARDIAL FIBROSIS AND RENAL INJURY IN DAHL SALT SENSITIVE RATS
Qi GUO1, Takefumi MORI1,2, Xianguang CHEN1, Chunyan HU1, Yusuke OHSAKI1, Yoshimi YONEKI1, Toshio MIYATA4, Masayuki KANAZAWA3, Masahiro KOHZUKI3, Sadayoshi ITO1. 1 Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai, 980-8575, Japan. 2 Health Administration Center, Tohoku University, Sendai, 980-8575, Japan. 3 Department of internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Sendai, 980-8575, Japan 4 Center for Translational and Advanced Research, Tohoku University Graduate School of Medicine, Sendai, 980-8575, Japan. Objectives Carbonyl stress is enhanced in subjects with chronic kidney disease, but
whether it involves in the cardio-renal connection is not fully known. The present study
determined the role of carbonyl stress in the pathogenesis of cardio-renal connection
Methods Rats were given either 1% methylglyoxal in tap drinking water or tap water
alone for 12 weeks. In another set of rats, either candesartan (an angiotensin II
receptor blocker, 10 mg/kg/day) alone, standard rat chow with 1% methylglyoxal in tap
drinking water or candesartan plus methylglyoxal was given for 4 weeks.
Results Increase in blood pressure was observed from a baseline level of 123±1
mmHg to a level of 148±5 mmHg after 12 weeks administration of methylglyoxal, a
precursor of carbonyl stress. This was followed by increased urinary albumin excretion,
glomerular sclerosis and tubular injury. Enhanced expression of renal advanced
glycation endproducts (Ne-carboxyethyl-lysine, CEL), 8-hydroxydeoxyguanosine
(8-OHdG, a marker of oxidative stress), and NAD(P)H oxidase activity was observed in
the kidney of rats treated methylglyoxal for 4 weeks. Treatment of candesartan fo r 4
weeks completely attenuated the hypertensive response to methylglyoxal and
reversed the tubulo-glomerular injury. Co-administration of cadesartan and
methylglyoxal significantly attenuated renal expression of CEL, 8 -OHdG and NAD(P)H
oxidase activity compared with methylglyoxal alone. Methylglyoxal significantly
increased myocardial total collagen content (a percent rate of Sirius -red stained
collagen area to total myocardial area), and candesartan significantly attenuated this in
Conclusion These results indicate that carbonyl stress play a role in the pathogenesis
of hypertension and cardio-renal connection in chronic kidney disease, which is at
least in part mediated through oxidative stress in Dahl S rats.
22. FUNCTIONAL CHARACTERIZATION OF CONNEXINS IN JUXTAGLOMERULAR APPARATUS
Tsuneo TAKENAKA, Tsutomu INOUE, Yoshihiko KANNO, Hiromichi SUZUKI. Department of Nephrology, Saitama Medical University Faculty of Medicine, Iruma 350-0495 JAPAN
Gap junctions are composed of connexins, and present in the juxtaglomerular
apparatus enabling intercellular communication. Our study determined the location of
different connexin subtypes within the juxtaglomerular apparatus of the rat, and the
role of these subtypes in renal hemodynamics through the use of specific mimetic
peptides. Immunohistochemical analysis showed connexin 37 and 40 expression in
the endothelial and renin-secreting cells of the afferent arteriole while connexin 40 was
also found in extra- and intraglomerular mesangial cells. In contrast, connexin 43 was
weakly expressed in endothelial cells of the afferent arteriole and within the glomerulus.
Intra-renal infusion of the peptides (GAP) reported to block specific Gap junctions
( Cx37,43GAP27 or Cx40GAP27) elevated blood pressure, plasma renin activity and
angiotensin II levels while decreasing renal plasma flow without a significant change in
the glomerular filtration rate. Subsequent restoration of blood pressure reduced both
renal plasma flow and glomerular filtration rate. In contrast, Cx43GAP26 reduced
glomerular filtration rate without alterations in blood pressure, renal plasma flow,
plasma renin activity or angiotensin II levels. Hence, connexins 37 and 40 are
expressed in the rat juxtaglomerular apparatus and these proteins control, in part, the
renin-angiotensin system and renal autoregulation.
23. THE ACTIVATION OF PGE2 RECEPTOR TYPE4 IN RENAL COLLECTING DUCTS INHIBITS THE ENAC EXPRESSION BY THE ACTIVATION OF PKA AND THE INHIBITION OF P38 VIA NON-PKA PATHWAY Noritaka KAWADA1, Toshiki MORIYAMA1, Harumi K ITAMURA1, Carolyn M. ECELBARGER2, William J. WELCH3, Christopher S. W ILCOX3, Enyu IMAI1, Yoshitaka ISAKA1, and Hiromi RAKUGI1. 1Division of Nephrology, Osaka Univ Graduate School of Medicine, Osaka, JAPAN.
2Division of Endocrinology and Metabolism, Georgetown Univ, Washington, DC, USA.
3Center for Hypertension and Kidney, Diabetic and Vascular Diseases and Division of Nephrology and Hypertension, Georgetown University, Washington, DC, USA.
Cyclooxygenase-1 (COX-1) deficient mice are salt-sensitive and have blunted
production of prostaglandin E 2 (PGE2) and thromboxane A2 (TxA2). We hypothesized
that the PGE2 deficiency in the kidney of COX-1 deficient mice causes sodium
retention via the abnormal activation of sodium transporters. We have reported that
the activation of PGE2 receptor type 4 (EP4) by its selective agonist (EP4AG;
ONO-AE1-329, 10-6M) in cultured mice collecting duct (M-1) cells reduces the
expression of alpha-, beta-, and gamma- amiloride-sensitive epithelial sodium
transporter (ENaC) mRNAs and the protein phosphorylation of Akt and Sgk1.
Established role of EP4 is the activation of adenylate cyclase, which leads to activate
protein kinase A (PKA) via cAMP production. Thus the aim of this study was to dissect
the role of PKA and non-PKA pathways on the expression of ENaCs in M-1 cells
exposed to EP4AG. The inhibition of beta- and gamma-ENaC mRNAs and
phosphorylated Akt by EP4AG were blunted by selective protein kinase A (PKA)
inhibitor (H89, 10-6M), but H89 had no effect on the alpha-ENaC mRNA and the
phosphorylated Sgk1 (ß:+41%, ?:+50%, p<0.01 vs EP4AG; n=5). These indicate the
involvement of PKA pathway on the expression of beta-, and gamma-ENaC mRNAs
and on the phosphorylation of Akt. In M-1 cell co-incubated with H89, EP4AG reduced
the expression of alpha-, beta-, and gamma-ENaC mRNAs and the phosphorylation of
Akt and increased the expression of MKP-1 mRNA (a:-24%, ß:-27%, ?:-42%,
MKP-1:+3100%, p<0.01 vs Veh; n=5). These indicate the involvement of non-PKA
pathway in the expression of alpha-, beta-, and gamma-ENaC and MKP-1 mRNAs and
the protein phosphorylation of Akt. p38 is the targets of MKP-1 and, as anticipated,
EP4AG reduced the protein phospholylation of p38. Selective inhibitor for p38
(SB203580) reduced the expression of alpha -, beta-, and gamma-ENaC mRNAs
(SB203580, 10-5M for 6hrs; a:-14%, ß:-16%, ?:-40%, p<0.01 vs Veh; n=4). In
conclusion; EP4AG inhibits the ENaC subunits mRNA and the protein phosphorylation
of Akt and Sgk1 via the activation of PKA and non-PKA pathway. Inhibition of p38
signal via the induction of MKP-1 is a possible explanation for the reduced ENaC
mRNAs by EP4-nonPKA pathway in collecting duct cells. Abnormal ENaC regulation
due to the PGE2 deficiency in the kidney may contribute to the salt-sensitivity in COX-1
CURRICULUM VITAE Hans Annell Illustratör/informationsdesigner, civilingenjör Född 1969 070-660 94 26 PRESENTATION Jag är högskoleutbildad illustratör och har dessutom en flerårig erfarenhet som teknisk skribent. I grunden är jag civilingenjör. Jag är van att analysera och strukturera komplicerade förlopp. Med min bakgrund som ingenjör och teknisk skribent, i kombina
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