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Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Mississippi 39216; and Department of Pharmacology, Vanderbilt University, Nashville, Tennessee 37232
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ABSTRACT |
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The roles of oxidative stress and renal superoxide dismutase (SOD) levels and their association with renal damage were studied in Dahl salt-sensitive (S) and salt-resistant (R)/Rapp strain rats during changes in Na intake. After 3 wk of a high (8%)-Na diet in S rats, renal medullary Cu/Zn SOD was 56% lower and Mn SOD was 81% lower than in R high Na-fed rats. After 1, 2, and 3 wk of high Na, urinary excretion of F2-isoprostanes, an index of oxidative stress, was significantly greater in S rats compared with R rats. Plasma F2-isoprostane concentration increased in the 2-wk S high Na-fed group. After 3 wk, renal cortical and medullary superoxide production was significantly increased in Dahl S rats on high Na intake, and urinary protein excretion, an index of renal damage, was 273 ± 32 mg/d in S high Na-fed rats and 35 ± 4 mg/d in R high Na-fed rats (P < 0.05). In conclusion, salt-sensitive hypertension in the S rat is accompanied by marked decreases in renal medullary SOD and greater renal oxidative stress and renal damage than in R rats.
urinary protein excretion; isoprostane; dietary sodium; renal damage
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INTRODUCTION |
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IN HUMAN HYPERTENSION,
reactive oxygen species such as superoxide ions
(O

Animal models of hypertension also have increased oxidative
stress. The spontaneous hypertensive rat (SHR) is characterized by increased production of O
Oxidative stress can be increased during hypertension by an increased
production of reactive oxygen species such as O
Our goal was to test the hypothesis that renal oxidative stress is
increased in the S rat during increased Na intake, and renal levels of
SOD are decreased compared with the Dahl salt-resistant (R) rat.
Studies were conducted in Dahl R and S/Rapp strain rats during either
low or high Na intake for 1 to 3 wk. Oxidative stress was
characterized by measuring O
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METHODS |
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Animal protocol. Experiments were conducted in 59 R and 61 S male rats, Rapp strain (Harlan, Indianapolis, IN) at an age of 7-8 wk. The project had the approval of the local Institutional Animal Committee. The rats were placed on either a low-Na (0.03%) or a high-Na (8%) diet for 1-3 wk. Rats were housed in a temperature-controlled room with a 12:12-h light-dark cycle.
The first group of R and S rats was subjected to the specified Na diet for 1, 2, or 3 wk, and a 24-h urine sample was collected for analysis of urine F2-isoprostanes and protein. The Bradford (BioRad, Richmond, CA) method was used to measure urine protein concentration. The next day, rats were anesthetized with isoflurane, a laparotomy was performed, and blood was withdrawn from the aorta for analysis of plasma F2-isoprostanes. All samples were stored at
80°C
until processing. Urine and plasma F2-isoprostane
concentrations were measured with a gas chromatography, negative
ion-chemical ionization mass spectrometry method (16).
Tissue preparation and Western blotting.
After 3 wk on the specified Na diet, a second group of R and S
rats was anesthetized with isoflurane, and kidneys were perfused through the aorta with 0.1 M phosphate-buffered saline containing 2%
heparin (1,000 U/ml). The renal cortex and medulla were dissected out
and were snap-frozen in liquid nitrogen and stored at
80°C until
processing. Renal cortical and medullary Cu/Zn SOD and Mn SOD protein
were determined by Western blotting. There are three isoforms of SOD
that localize in the cytosol (Cu/Zn SOD), the mitochondria (Mn SOD), or
the extracellular space (ecSOD). Carlsson et al. (6) found
that rat ecSOD is a dimer and has low affinity for heparin. Therefore,
ecSOD content is very low in rat tissues (6), so the
protein expression of this SOD was not measured in this study.
Chemiluminescence measurement of
O
Data analysis. Statistics were performed by first using a two-way analysis of variance and a Fisher least-significant difference test for post hoc analysis at each experimental time point. Data were considered to be statistically different if P < 0.05. All data are expressed as means ± SE.
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RESULTS |
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Urine and plasma F2-isoprostane responses to a high- or
low-sodium diet.
Figure 1 indicates that urine
F2-isoprostane excretion, an index of oxidative stress in
multiple pathological conditions (16), significantly
increased throughout the experiment in S rats on a high-Na diet
compared with R rats on a high-Na diet. Also, throughout the
experiment, urinary F2-isoprostane excretion significantly increased in R high Na-fed and S high Na-fed rats compared with low
Na-fed rats of the same strain at the same experimental time. Except
for week 1, urinary isoprostane excretion during low Na intake was not significantly different between R and S rats. At 3 wk,
the urinary excretion of isoprostanes was 31.4 ± 7.4 ng/day in S
high Na-fed rats compared with 22.0 ± 2.8 ng/day in R high Na-fed
rats (P < 0.05). Urine concentrations of isoprostane
(ng/ml) at 1, 2, and 3 wk were 0.36 ± 0.04, 0.31 ± 0.03, and 0.40 ± 0.05 for R high Na-fed rats; 0.86 ± 0.19, 0.89 ± 0.10, and 0.98 ± 0.14 for R low Na-fed rats;
0.36 ± 0.05, 0.36 ± 0.02, and 0.37 ± 0.35 for S high
Na-fed rats; and 0.81 ± 0.24, 0.88 ± 0.23, and 0.89 ± 0.12 for S low Na-fed rats.
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Renal cortical and medullary
O



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Renal cortical and medullary Cu/Zn SOD and Mn SOD responses to a
high- or low-sodium diet.
Figure 4 shows that renal cortical Cu/Zn
SOD were not significantly different in the R and S high and low Na-fed
groups in samples taken 3 wk after initiation of the Na diet. However,
renal medullary Cu/Zn SOD was significantly lower in both the S high Na-fed and S low Na-fed groups compared with the R high Na-fed and R
low Na-fed groups.
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Urinary protein excretion responses to a high- or low-sodium diet.
Figure 6 shows that urinary protein
excretion increased significantly at 1, 2, and 3 wk in S high Na-fed
rats compared with the R high Na-fed group. Also, throughout the
experiment, S high Na-fed rats also demonstrated a greater protein
excretion than the S low Na-fed group. At 3 wk, the maximum value of
urinary protein excretion in the S high Na-fed rats was 273 ± 32 mg/day, which was greater than the value of 35 ± 4 mg/day in the
R high Na-fed rats at 3 wk (P < 0.05).
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DISCUSSION |
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A major new finding in this study is that during a 3-wk increase
in dietary Na in the S rat, renal oxidative stress increased and renal
medullary Cu/Zn and Mn SOD levels decreased compared with the R rat.
Increased renal O


Changes in oxidative stress in S rats in the present experiment may have preceded major changes in arterial pressure and urinary protein excretion. Urinary isoprostane excretion in high Na-fed S rats reached a maximum value after 7 days of high Na, but arterial pressure of high Na-fed S rats in another study from our laboratory (14) reached significance for the first time on that day and had a value of 104 ± 4 mmHg. The maximum arterial pressure of 140 ± 3 mmHg was not reached until day 21 of high Na. After 7 days of high Na in S rats in the present experiment, urinary protein excretion was 94 ± 11 mg/day but increased to 273 ± 32 mg/day after 3 wk of high Na. Therefore, urinary isoprostane excretion reached a maximum after only 1 wk of high Na, and arterial pressure and urinary protein excretion continued to increase during the 3-wk period of high-Na intake. In another study from our laboratory, the increases in MAP and urinary protein excretion in S rats on high-Na intake for 3 wk were significantly blunted by long-term intravenous infusion of Tempol (14). This suggests that oxidative stress may contribute to the temporal increases in arterial pressure and renal damage in S rats on high-Na intake.
Increased oxidative stress can be caused by an increase in
O

Mn SOD is found in the mitochondria, and mitochondrial respiration is
very high in renal tubules because of active transport mechanisms. This
may increase leakage of O



Oxidative stress may have significant effects in human and experimental
hypertension. Serum thiols and ascorbic acid were reduced in patients
with hypertension, indicating an increased consumption of these
antioxidants. Administration of vitamin C or other antioxidants
decreased arterial pressure in these patients (7, 8) and
improved the attenuated endothelial-dependent vasodilation in patients
with essential hypertension (25). The SHR has high
oxidative stress as indicated by elevated O

Hayakawa and Raij (9) showed that in the S rat on a high-Na diet, there are parallel increases in urinary protein excretion, the glomerular injury score, and the tubulointerstitial injury score. Tubulointerstitial damage, which is highly correlated with the progression of renal disease, was more severe in the juxtamedullary and medullary regions (9). Therefore, although we only measured urinary protein excretion, which is due to glomerular damage, it is likely that medullary damage also occurred.
We measured arterial pressure in several groups of R and S rats, and the S rats but not R rats increase their MAP in a salt-sensitive fashion. Our studies showed that R rats remain normotensive on a high-Na diet (27) and S rats experience up to a 50-mmHg increase in MAP over 3 wk of a high-Na diet (14). During this period of time, the high Na-fed S rats also experienced an increase in glomerulosclerosis and glomerular cross-sectional area. These increases in MAP and glomerular damage in high Na-fed S rats were significantly blunted by long-term intravenous infusion of Tempol (14), an SOD mimetic. This further supports our hypothesis that a lack of SOD in S rats contributes to renal damage and suggests that oxidative stress may contribute to the temporal increases in arterial pressure and renal damage in S rats on high-Na intake.
Several recent studies suggest that high-Na intake in normotensive rats
can increase oxidative stress. Sprague-Dawley (SD) rats were fed a low-
or high-Na diet, and arteriolar and venular O



The above studies indicate that a high-Na diet even in normotensive
rats can cause a release of O


Release of O

Urinary excretion of F2-isoprostanes in the present experiment could have been increased in response to an increase in glomerular filtration rate (GFR) in the R and S high Na-fed rats. However, we previously showed that GFR is not different in high Na-fed R and S rats, and the increase in GFR in both groups compared with low Na-fed R and S rats is only 15% (27). Therefore, the increases in urinary F2-isoprostane excretion in high Na-fed R and S rats are not likely due to an increase in GFR.
In conclusion, oxidative stress increased in S rats on high-Na intake
as evidenced by increased renal cortical and medullary O



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ACKNOWLEDGEMENTS |
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This research was supported by Grant HL-51971 from the National Heart, Lung, and Blood Institute and National Institutes of Health Grants GM-42056, GM-15431, DK-26657, and CA-68485.
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FOOTNOTES |
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Address for reprint requests and other correspondence: R. D. Manning Jr., Dept. of Physiology and Biophysics, 2500 North State St., Jackson, MS 39216.
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
10.1152/ajpregu.00346.2001
Received 15 June 2001; accepted in final form 10 June 2002.
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REFERENCES |
|---|
|
|
|---|
1.
Atarashi, K,
Ishiyama A,
Takagi M,
Minami M,
Kimura K,
Goto A,
and
Omata M.
Vitamin E ameliorates the renal injury of Dahl Salt-sensitive rats.
Am J Hypertens
10:
116s-119s,
1997.
2.
Boegehold, MA.
Effect of dietary salt on arterial nitric oxide in striated muscle of normotensive rats.
Am J Physiol Heart Circ Physiol
264:
H1810-H1816,
1993
3.
Boegehold, MA.
Flow-dependent arteriolar dilation in normotensive rats fed low- or high-salt diets.
Am J Physiol Heart Circ Physiol
269:
H1407-H1414,
1995
4.
Buczynski, A,
Wachowic ZB,
Kedziora-Kornatowska K,
Tkaczewski W,
and
Kedziora J.
Changes in antioxidant enzymes activities, aggregability and malonyl dialdehyde concentration in blood platelets from patients with coronary heart disease.
Atherosclerosis
100:
223-228,
1993[ISI][Medline].
5.
Cabell, KS,
Ma L,
and
Johnson P.
Effects of antihypertensive drugs on rat tissue antioxidant enzyme activities and lipid peroxidation levels.
Biochem Pharmacol
54:
133-141,
1997[ISI][Medline].
6.
Carlsson, LM,
Marklund SL,
and
Edlund T.
The rat extracellular superoxide dismutase dimer is converted to a tetramer by the exchange of a single amino acid.
Proc Natl Acad Sci USA
93:
5219-5222,
1996
7.
Ceriello, A,
Giugliano D,
Quatraro A,
and
Lefebvre PJ.
Anti-oxidants show anti-hypertensive effect in diabetic and hypertensive subjects.
Clin Sci (Colch)
81:
739-742,
1991.
8.
Galley, HF,
Thornton J,
Howdle PD,
Walker BE,
and
Webster NR.
Combination oral antioxidant supplementation reduce blood pressure.
Clin Sci (Colch)
92:
361-365,
1997.
9.
Hayakawa, H,
and
Raij L.
Nitric oxide synthase activity and renal injury in genetic hypertension.
Hypertension
31:
266-270,
1998
10.
Lenda, DM,
Sauls BA,
and
Boegehold MA.
Reactive oxygen species may contribute to reduced endothelium-dependent dilation in rats fed high salt.
Am J Physiol Heart Circ Physiol
279:
H7-H14,
2000
11.
Li, Y,
Zhu H,
Kuppusamy P,
Roubaud V,
Zweier JL,
and
Trush MA.
Validation of lucigenin (bis-N-methylacridinium) as a chemilumigenic probe for detecting superoxide anion radical production by enzymatic and cellular systems.
J Biol Chem
273:
2015-2023,
1998
12.
Liu, Y,
Fredricks KT,
Roman RJ,
and
Lombard JH.
Response of resistance arteries to reduced PO2 and vasodilation during hypertension and elevated salt intake.
Am J Physiol Heart Circ Physiol
273:
H869-H877,
1997
13.
Liu, Y,
Rusch NJ,
and
Lombard JH.
Loss of endothelium and receptor-mediated dilation in pial arterioles of rats fed a short-term high salt diet.
Hypertension
33:
686-688,
1999
14.
Meng, S,
Cason GW,
Racusen LC,
and
Manning RD, Jr.
The role of oxidative stress in Dahl salt-sensitive hypertension (Abstract).
Hypertension
36:
686,
2000.
15.
Mohazzab-HKM,
Kaminski PM,
Fayngersh RP,
and
Wolin MS.
Oxygen-elicited responses in calf coronary arteries: role of H2O2 production via NADH-derived superoxide.
Am J Physiol Heart Circ Physiol
270:
H1044-H1053,
1996
16.
Morrow, JD,
and
Roberts LJ II.
Mass spectrometry of prostanoids: F2-isoprostanes produced by non-cyclooxygenase free radical catalyzed mechanism.
Methods Enzymol
233:
163-174,
1994[ISI][Medline].
17.
Prabha, PS,
Das UN,
Koratkar R,
Sagar PS,
and
Ramesh G.
Free radical generation, lipid peroxidation and essential fatty acids in uncontrolled essential hypertension.
Prostaglandins Leukot Essent Fatty Acids
41:
27-33,
1990[ISI][Medline].
18.
Roberts, LJ II,
and
Morrow JD.
The generation and actions of isoprostanes.
Biochim Biophys Acta
1345:
121-135,
1997[Medline].
19.
Russo, C,
Olivieri O,
Girelli D,
Faccini G,
Zenari ML,
Lombardi S,
and
Corrocher R.
Anti-oxidant status of lipid peroxidation in patients with essential hypertension.
J Hypertens
16:
1267-1271,
1998[ISI][Medline].
20.
Schnackenberg, CG,
and
Wilcox CS.
Two-week administration of Tempol attenuates both hypertension and renal excretion of 8-Iso prostaglandin f2alpha.
Hypertension
33:
424-428,
1999
21.
Skatchkov, MP,
Sperling D,
Hink U,
Mulsch A,
Harrison DG,
Sindermann I,
Meinertz T,
and
Munzel T.
Validation of lucigenin as a chemiluminescent probe to monitor vascular superoxide as well as basal vascular nitric oxide production.
Biochem Biophys Res Commun
254:
319-324,
1999[ISI][Medline].
22.
Suzuki, H,
DeLano FA,
Parks DA,
Jamshidi N,
Granger DN,
Ishii H,
Suematsu M,
Zweifach BW,
and
Schmid-Schonbein GW.
Xanthine oxidase activity associated with arterial blood pressure in spontaneously hypertensive rats.
Proc Natl Acad Sci USA
95:
4754-4759,
1998
23.
Suzuki, H,
Swei A,
Zweifach BW,
and
Schmid-Schonbein GW.
In vivo evidence for microvascular oxidative stress in spontaneously hypertensive rats: hydro-ethidine microfluorography.
Hypertension
25:
1083-1089,
1995
24.
Swei, A,
Lacy F,
DeLano FA,
and
Schmid-Schonbein GW.
Oxidative stress in the Dahl hypertensive rat.
Hypertension
30:
1628-1633,
1997
25.
Taddei, S,
Virdis A,
Ghiadoni L,
Magagna A,
and
Salvetti A.
Vitamin C improves endothelium-dependent vasodilation by restoring nitric oxide activity in essential hypertension.
Circulation
97:
2222-2229,
1998
26.
Takahashi, K,
Nammour TM,
Fukunaga M,
Ebert J,
Morrow JD,
Roberts LJ, II,
Hoover RL,
and
Badr KF.
Glomerular actions of a free radical-generated novel prostaglandin, 8-epi-prostaglandin F2a, in the rat. Evidence for interaction with thromboxane A2 receptors.
J Clin Invest
90:
136-141,
1992[ISI][Medline].
27.
Tan, DY,
Meng S,
and
Manning RD, Jr.
Role of neuronal nitric oxide synthase in Dahl salt-sensitive hypertension.
Hypertension
33:
456-461,
1999
28.
Yelinova, VI,
Khramtsov VV,
and
Markel AL.
Manifestation of oxidative stress in the pathogenesis of arterial hypertension in ISIAH rats.
Biochem Biophys Res Commun
263:
450-453,
1999[ISI][Medline].
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