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George M. O'Brien Kidney Disease Center, Division of Nephrology, Departments of 1 Medicine and 2 Cell Biology, Vanderbilt University School of Medicine, Nashville, Tennessee 37232
It is well known that nonselective,
nonsteroidal anti-inflammatory drugs inhibit renal renin production.
Our previous studies indicated that angiotensin-converting enzyme
inhibitor (ACEI)-mediated renin increases were absent in rats treated
with a cyclooxygenase (COX)-2-selective inhibitor and in COX-2
/
mice. The current study examined further whether COX-1 is also involved
in mediating ACEI-induced renin production. Because renin increases are
mediated by cAMP, we also examined whether increased renin is mediated by the prostaglandin E2 receptor EP2 subtype,
which is coupled to Gs and increases cAMP. Therefore, we
investigated if genetic deletion of COX-1 or EP2 prevents
increased ACEI-induced renin expression. Age- and gender-matched
wild-type (+/+) and homozygous null mice (
/
) were administered
captopril for 7 days, and plasma and renal renin levels and renal renin
mRNA expression were measured. There were no significant differences in
the basal level of renal renin activity from plasma or renal tissue in
COX-1 +/+ and
/
mice. Captopril administration increased renin
equally [plasma renin activity (PRA): +/+ 9.3 ± 2.2 vs.
50.1 ± 10.9;
/
13.7 ± 1.5 vs. 43.9 ± 6.6 ng ANG
I · ml
1 · h
1; renal renin
concentration: +/+ 11.8 ± 1.7 vs. 35.3 ± 3.9;
/
13.0 ± 3.0 vs. 27.8 ± 2.7 ng ANG I · mg
protein
1 · h
1; n = 6; P < 0.05 with or without captopril]. ACEI also
increased renin mRNA expression (+/+ 2.4 ± 0.2;
/
2.1 ± 0.2 fold control; n = 6-10; P < 0.05). Captopril led to similar increases in EP2
/
compared with +/+. The COX-2 inhibitor SC-58236 blocked ACEI-induced elevation in renal renin concentration in EP2 null mice
(+/+ 24.7 ± 1.7 vs. 9.8 ± 0.4;
/
21.1 ± 3.2 vs.
9.3 ± 0.4 ng ANG I · mg protein
1 · h
1; n = 5) as well as in COX-1
/
mice (SC-58236-treated PRA: +/+ 7.3 ± 0.6;
/
8.0 ± 0.9 ng ANG
I · ml
1 · h
1; renal renin:
+/+ 9.1 ± 0.9;
/
9.6 ± 0.5 ng ANG I · mg
protein
1 · h
1; n = 6-7; P < 0.05 compared with no treatment).
Immunohistochemical analysis of renin expression confirmed the above
results. This study provides definitive evidence that metabolites of
COX-2 rather than COX-1 mediate ACEI-induced renin increases. The
persistent response in EP2 nulls suggests involvement of
prostaglandin E2 receptor subtype 4 and/or prostacyclin
receptor (IP).
angiotensin-converting enzyme inhibitor; cyclooxygenase-2
/
; prostaglandin E2 receptor subtype 2
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