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1 Departments of Internal Medicine and 2 Obstetrics/Gynecology, Department of Veterans Affairs Medical Center, and University of Iowa College of Medicine, Iowa City, Iowa 52242
Increased renal pelvic
pressure or bradykinin increases afferent renal nerve activity (ARNA)
via PGE2-induced release of substance P. Protein kinase C
(PKC) activation increases ARNA, and PKC inhibition blocks the ARNA
response to bradykinin. We now examined whether bradykinin mediates the
ARNA response to increased renal pelvic pressure by activating PKC. In
anesthetized rats, the ARNA responses to increased renal pelvic
pressure were blocked by renal pelvic perfusion with the bradykinin
B2-receptor antagonist HOE 140 and the PKC inhibitor
calphostin C by 76 ± 8% (P < 0.02) and 81 ± 5%
(P < 0.01), respectively. Renal pelvic perfusion with
4
-phorbol 12,13-dibutyrate (PDBu) to activate PKC increased ARNA 27 ± 4% and renal pelvic release of PGE2 from 500 ± 59 to
1,113 ± 183 pg/min and substance P from 10 ± 2 to 30 ± 2 pg/min
(all P < 0.01). Indomethacin abolished the increases in
substance P release and ARNA. The PDBu-mediated increase in ARNA was
also abolished by the substance P-receptor antagonist RP 67580. We
conclude that bradykinin contributes to the activation of renal pelvic
mechanosensitive neurons by activating PKC. PKC increases ARNA via a
PGE2-induced release of substance P.
afferent renal nerve activity; kinin B2 receptors; pelvic pressure; natriuresis; substance P receptors; mechanoreceptors
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