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Department of Physiology and Biophysics and Center for Excellence in Cardiovascular-Renal Research, University of Mississippi Medical Center, Jackson, Mississippi 39216 - 4505
Vascular resistance and
arterial pressure are reduced during normal pregnancy, but dangerously
elevated during pregnancy-induced hypertension (PIH), and changes in
nitric oxide (NO) synthesis have been hypothesized as one potential
cause. In support of this hypothesis, chronic inhibition of NO
synthesis in pregnant rats has been shown to cause significant
increases in renal vascular resistance and hypertension; however, the
cellular mechanisms involved are unclear. We tested the hypothesis that
the pregnancy-associated changes in renal vascular resistance reflect
changes in contractility and intracellular Ca2+
concentration ([Ca2+]i) of renal
arterial smooth muscle. Smooth muscle cells were isolated from
renal interlobular arteries of virgin and pregnant Sprague-Dawley rats
untreated or treated with the NO synthase inhibitor
nitro-L-arginine methyl ester (L-NAME; 4 mg · kg
1 · day
1 for 5 days), then loaded with fura 2. In cells of virgin rats incubated in
Hanks' solution (1 mM Ca2+), the basal
[Ca2+]i was 86 ± 6 nM. Phenylephrine
(Phe, 10
5 M) caused a transient increase in
[Ca2+]i to 417 ± 11 nM and maintained
an increase to 183 ± 8 nM and 32 ± 3% cell contraction.
Membrane depolarization by 51 mM KCl, which stimulates Ca2+
entry from the extracellular space, caused maintained increase in
[Ca2+]i to 292 ± 12 nM and 31 ± 2% contraction. The maintained Phe- and KCl-induced
[Ca2+]i and contractions were reduced in
pregnant rats but significantly enhanced in pregnant rats treated with
L-NAME. Phe- and KCl-induced contraction and
[Ca2+]i were not significantly different
between untreated and L-NAME-treated virgin rats or between
untreated and L-NAME + L-arginine treated pregnant rats. In Ca2+-free Hanks', application of Phe or
caffeine (10 mM), to stimulate Ca2+ release from the
intracellular stores, caused a transient increase in
[Ca2+]i and a small cell contraction that
were not significantly different among the different groups. Thus renal
interlobular smooth muscle of normal pregnant rats exhibits reduction
in [Ca2+]i signaling that involves
Ca2+ entry from the extracellular space but not
Ca2+ release from the intracellular stores. The reduced
renal smooth muscle cell contraction and
[Ca2+]i in pregnant rats may explain the
decreased renal vascular resistance associated with normal pregnancy,
whereas the enhanced cell contraction and
[Ca2+]i during inhibition of NO synthesis in
pregnant rats may, in part, explain the increased renal vascular
resistance associated with PIH.
vascular resistance; hypertension; calcium; contraction
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