Electrolyte Blood Press.  2009 Dec;7(2):58-66. 10.5049/EBP.2009.7.2.58.

Altered Regulation of Renal Sodium Transporters in Salt-Sensitive Hypertensive Rats Induced by Uninephrectomy

Affiliations
  • 1Department of Internal Medicine, Laboratory of Molecular Nephrology, Gachon University of Medicine and Science, Incheon, Korea.
  • 2Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. junephro@snu.ac.kr
  • 3Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

Abstract

Uninephrectomy (uNx) in young rats causes salt-sensitive hypertension (SSH). Alterations of sodium handling in residual nephrons may play a role in the pathogenesis. Therefore, we evaluated the adaptive alterations of renal sodium transporters according to salt intake in uNx-SSH rats. uNx or sham operations were performed in male Sprague-Dawley rats, and normal-salt diet was fed for 4 weeks. Four experimental groups were used: sham-operated rats raised on a high-salt diet for 2 weeks (CHH) or on a low-salt diet for 1 week after 1 week's high-salt diet (CHL) and uNx rats fed on the same diet (NHH, NHL) as the sham-operated rats were fed. Expression of major renal sodium transporters were determined by semiquantitative immunoblotting. Systolic blood pressure was increased in NHH and NHL groups, compared with CHH and CHL, respectively. Protein abundances of Na+/K+/2Cl- cotransporter (NKCC2) and Na+/Cl- cotransporter (NCC) in the CHH group were lower than the CHL group. Expression of epithelial sodium channel (ENaC)-gamma increased in the CHH group. In contrast, expressions of NKCC2 and NCC in the NHH group didn't show any significant alterations, compared to the NHL group. Expressions of ENaC-alpha and ENaC-beta in the NHH group were higher than the CHH group. Adaptive alterations of NKCC2 and NCC to changes of salt intake were different in the uNx group, and changes in ENaC-alpha and ENaC-beta were also different. These altered regulations of sodium transporters may be involved in the pathogenesis of SSH in the uNx rat model.

Keyword

salt-sensitive hypertension; nephrectomy; sodium-potassium-chloride symporters; sodium chloride symporters; epithelial sodium channel

MeSH Terms

Animals
Blood Pressure
Diet
Diet, Sodium-Restricted
Epithelial Sodium Channels
Handling (Psychology)
Humans
Hypertension
Immunoblotting
Male
Nephrectomy
Nephrons
Rats
Rats, Sprague-Dawley
Salicylamides
Social Control, Formal
Sodium
Sodium Chloride Symporters
Sodium-Potassium-Chloride Symporters
Epithelial Sodium Channels
Salicylamides
Sodium
Sodium Chloride Symporters
Sodium-Potassium-Chloride Symporters

Figure

  • Fig. 1 Experimental scheme. uNx, uninephrectomy; NS, normal salt diet; HS, high salt diet; LS, low salt diet. CHH: Sham-operated rats raised on a high-salt diet for 2 weeks. CHL: Sham-operated rats raised on a low-salt diet for 1 week after 1 week's high-salt diet. NHH, NHL: uninephrectomized rats fed on the same diet with matched sham-operated rats.

  • Fig. 2 Change in systolic blood pressure (SBP). After application of sham or uNx, SBP in rats fed on a high salt diet increased progressively. In rats substituted with low salt diet, the elevation of SBP was attenuated. All of the values are expressed as the mean±standard error. See Fig. 1 legend for description of experimental diets and groups.

  • Fig. 3 Pressure-natriuresis curves during the experimental period. These curves illustrate the relationship between the systolic blood pressure (SBP) and 24-hour urinary sodium output. The pressure-sodium excretion curves of the uninephrectomized groups had shifted to the right, and the sham groups had a relative shift to the left. All of the values are expressed as the mean±standard error. See Fig. 1 legend for description of experimental diets and groups.

  • Fig. 4 Change in fluid intake and urine volume. In the uninephrectomized groups, both fluid intake and urine volume increased for the entire experimental period. Fractional excretion of sodium (FENa) was also increased after high salt diet. All of the values are expressed as the mean±standard error. Bwt, body weight. See Fig. 1 legend for description of experimental diets and groups.

  • Fig. 5 Profiles of sodium transporters and protein abundance change in response to dietary NaCl in the sham-operated group. Protein abundances of Na+/K+/2Cl- cotransporter (NKCC2) and Na+/Cl- cotransporter (NCC) in the CHH group significantly decreased compared to those in the CHL group. Expression of epithelial sodium channel (ENaC)-γ increased in CHH. Each panel is immunoblot loaded with samples from 6 control rats in the CHL group and 6 rats in the CHH group. Blots were probed with antibodies to the type 3 Na+/H+ exchanger (NHE3) of the proximal tubule, the bumetanide-sensitive type 2 NKCC2 of the thick ascending limb of Henle's loop, the thiazide-sensitive NCC of the distal convoluted tubule, and each of the 3 subunits of the amiloridesensitive ENaC. Equality of loading was confirmed by densitometry of parallel Coomassie-stained gels. Values are the means and bars indicate standard error. See Fig. 1 legend for description of experimental diets and groups. *P<0.05 vs control. †P<0.01 vs control.

  • Fig. 6 Profiles of sodium transporters and protein abundance change in response to dietary NaCl in the uninephrectomized group. Expressions of Na+/K+/2Cl- cotransporter (NKCC2) and Na+/Cl- cotransporter (NCC) in the NHH group did not show any significant alterations compared with those in the NHL group. Each panel is immunoblot loaded with samples from 6 control rats in the NHL group and 6 rats in the NHH group. Values are the means and bars indicating standard error. NHE3, Na+/H+ exchanger type 3; ENaC, epithelial sodium channel. See Fig. 1 legend for description of experimental diets and groups.

  • Fig. 7 Profiles of sodium transporter and protein abundance change between the CHH and NHH group. Protein abundances of Na+/K+/2Cl- cotransporter (NKCC2) in the NHH group significantly decreased compared to those in the CHH group. Expression of epithelial sodium channel (ENaC)-α and ENaC-β increased in the NHH group. Each panel is immunoblot loaded with samples from 6 control rats in the CHH group and 6 rats in the NHH group. Values are the means and bars indicating standard error. NHE3, Na+/H+ exchanger type 3; NCC, Na+/Cl- cotransporter. See Fig. 1 legend for description of experimental diets and groups. *P<0.05 vs control. †P<0.01 vs control.


Reference

1. Johnson RJ, Rodriguez-Iturbe B, Nakagawa T, Kang DH, Feig DI, Herrera-Acosta J. Subtle renal injury Is likely a common mechanism for salt-sensitive essential hypertension. Hypertension. 2005; 45:326–330. PMID: 15655117.
Article
2. Johnson RJ, Herrera-Acosta J, Schreiner GF, Rodriguez-Iturbe B. Subtle acquired renal injury as a mechanism of salt-sensitive hypertension. N Engl J Med. 2002; 346:913–923. PMID: 11907292.
Article
3. Guyton AC, Coleman TG, Cowley AV Jr., Scheel KW, Manning RD Jr., Norman RA Jr.Arterial pressure regulation. Overriding dominance of the kidneys in long-term regulation and in hypertension. Am J Med. 1972; 52:584–594. PMID: 4337474.
4. Elliott P, Stamler J, Nichols R, et al. Intersalt revisited: further analyses of 24 hour sodium excretion and blood pressure within and across populations. Intersalt Cooperative Research Group. BMJ. 1996; 312:1249–1253. PMID: 8634612.
5. MacGregor GA, Markandu ND, Best FE, et al. Double-blind randomised crossover trial of moderate sodium restriction in essential hypertension. Lancet. 1982; 1:351–355. PMID: 6120346.
Article
6. Lifton RP. Molecular genetics of human blood pressure variation. Science. 1996; 272:676–680. PMID: 8614826.
Article
7. Karet FE, Lifton RP. Mutations contributing to human blood pressure variation. Recent Prog Horm Res. 1997; 52:263–276. PMID: 9238856.
8. Brenner BM, Garcia DL, Anderson S. Glomeruli and blood pressure. Less of one, more the other? Am J Hypertens. 1988; 1:335–347. PMID: 3063284.
Article
9. Curtis JJ, Luke RG, Dustan HP, et al. Remission of essential hypertension after renal transplantation. N Engl J Med. 1983; 309:1009–1015. PMID: 6353230.
Article
10. Boudville N, Prasad GV, Knoll G, et al. Meta-analysis: risk for hypertension in living kidney donors. Ann Intern Med. 2006; 145:185–196. PMID: 16880460.
Article
11. Larsson L, Aperia A, Wilton P. Effect of normal development on compensatory renal growth. Kidney Int. 1980; 18:29–35. PMID: 7218658.
Article
12. Carlstrom M, Sallstrom J, Skott O, Larsson E, Persson AE. Uninephrectomy in young age or chronic salt loading causes salt-sensitive hypertension in adult rats. Hypertension. 2007; 49:1342–1350. PMID: 17438306.
Article
13. Kim GH, Ecelbarger C, Knepper MA, Packer RK. Regulation of thick ascending limb ion transporter abundance in response to altered acid/base intake. J Am Soc Nephrol. 1999; 10:935–942. PMID: 10232678.
Article
14. Kim GH, Ecelbarger CA, Mitchell C, Packer RK, Wade JB, Knepper MA. Vasopressin increases Na-K-2Cl cotransporter expression in thick ascending limb of Henle's loop. Am J Physiol. 1999; 276:F96–F103. PMID: 9887085.
15. Kim G, Masilamani S, Turner R, Mitchell C, Wade J, Knepper M. The thiazide-sensitive Na-Cl cotransporter is an aldosterone-induced protein. Proc Natl Acad Sci U S A. 1998; 95:14552–14557. PMID: 9826738.
Article
16. Masilamani S, Kim GH, Mitchell C, Wade JB, Knepper MA. Aldosterone-mediated regulation of ENaC α, β, and γ subunit proteins in rat kidney. J Clin Invest. 1999; 104:R19–R23. PMID: 10510339.
Article
17. Guyton AC. Blood pressure control--special role of the kidneys and body fluids. Science. 1991; 252:1813–1816. PMID: 2063193.
Article
18. Hoagland KM, Flasch AK, Dahly-Vernon AJ, dos Santos EA, Knepper MA, Roman RJ. Elevated BSC-1 and ROMK expression in Dahl salt-sensitive rat kidneys. Hypertension. 2004; 43:860–865. PMID: 14967839.
Article
19. Hager H, Kwon TH, Vinnikova AK, et al. Immunocytochemical and immunoelectron microscopic localization of α-, β-, and γ-ENaC in rat kidney. Am J Physiol Renal Physiol. 2001; 280:F1093–F1106. PMID: 11352848.
Article
20. Ecelbarger CA, Kim GH, Terris J, et al. Vasopressin-mediated regulation of epithelial sodium channel abundance in rat kidney. Am J Physiol Renal Physiol. 2000; 279:F46–F53. PMID: 10894786.
Article
21. Masilamani S, Kim GH, Mitchell C, Wade JB, Knepper MA. Aldosterone-mediated regulation of ENaC alpha, beta, and gamma subunit proteins in rat kidney. J Clin Invest. 1999; 104:R19–R23. PMID: 10510339.
22. Loffing J, Pietri L, Aregger F, et al. Differential subcellular localization of ENaC subunits in mouse kidney in response to high-and low-Na diets. Am J Physiol Renal Physiol. 2000; 279:F252–F258. PMID: 10919843.
23. Canessa CM, Schild L, Buell G, et al. Amiloride-sensitive epithelial Na+ channel is made of three homologous subunits. Nature. 1994; 367:463–467. PMID: 8107805.
Article
24. Shimkets RA, Warnock DG, Bositis CM, et al. Liddle's syndrome: heritable human hypertension caused by mutations in the β subunit of the epithelial sodium channel. Cell. 1994; 79:407–414. PMID: 7954808.
Article
25. Ecelbarger CA, Kim GH, Wade JB, Knepper MA. Regulation of the abundance of renal sodium transporters and channels by vasopressin. Exp Neurol. 2001; 171:227–234. PMID: 11573975.
Article
26. Blazer-Yost BL, Liu X, Helman SI. Hormonal regulation of ENaCs: insulin and aldosterone. Am J Physiol. 1998; 274:C1373–C1379. PMID: 9612225.
Article
27. Morris M, Keller M, Sundberg DK. Changes in paraventricular vasopressin and oxytocin during the development of spontaneous hypertension. Hypertension. 1983; 5:476–481. PMID: 6862574.
Article
28. Tahara A, Tsukada J, Tomura Y, et al. Alterations of renal vasopressin V1A and V2 receptors in spontaneously hypertensive rats. Pharmacology. 2003; 67:106–112. PMID: 12566855.
Full Text Links
  • EBP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr