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THIRST AND VOLUME, ELECTROLYTE HOMEOSTASIS
1Institut National de la Santé et de la Recherche Médicale U76, Institut National de Transfusion Sanguine, F-75015 Paris; 2Service de Biologie Cellulaire, CEA/Saclay, F-91191 Gif-sur-Yvette Cedex; 3Laboratoire de Physiologie de l'Environnement, Université Claude Bernard, Faculté de Médecine Grange-Blanche, F-69373 Lyon Cedex 8; and 4Assistance Publique-Hôpitaux de Paris, Hôpital Sainte-Perrine, F-75781 Paris, France
Submitted 17 April 2003 ; accepted in final form 14 August 2003
| ABSTRACT |
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papillary osmolality; urea transporter-A1, -A2, -A3, and -B1; aquaporin-4; vasopressin
In the brain, UT-B1 protein was found in astrocyte end feet processes surrounding vascular microvessels and in ependymal cells lining ventricles (46). Such a location implies a role in brain parenchyme clearance of urea in excess, potentially toxic at high concentration (7). In erythrocytes, UT-B1 is believed to protect the cells from excess shrinking and swelling when passing through the hypertonic inner medulla (IM) (21).
In humans and rodents, urine-concentrating ability declines with age, resulting in polyuria and impaired renal concentrating ability (5, 6, 10, 12, 24). Such a polyuria associated with insufficient water intake due to abnormal thirst thresholds frequently results in dehydration in elderly subjects (39, 42). We have previously observed that senescent female WAG/Rij rats, which do not exhibit age-associated chronic progressive nephropathy and pituitary tumors, are polyuric despite normal AVP secretion and plasma concentrations under normal hydration (16). Impaired expression of AQP-2 and -3 in kidney medulla appears to be an important cause of age-related polyuria (37). In addition, we have recently observed that UT-A1 and UT-B1 are also greatly underexpressed in these aging rats (9).
In the current study, we analyzed in the same rat model, the adaptation of aging kidney and brain to dehydration, with emphasis on the possible involvement of urea and its transporters. Maximal urine-concentrating ability, plasma AVP levels, and kidney medulla urea content were determined. The changes in UT expressions were evaluated in kidney and brain in adult and senescent animals under control condition and after dehydration.
| MATERIALS AND METHODS |
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Metabolic cage experiments. Twelve 10-mo-old and twelve 30-mo-old rats (body wt 195 ± 4 and 220 ± 5 g, respectively) were housed in metabolic cages for 2 days of habituation followed by a 2-day control period with water intake and urine flow rate determination. Urine was collected under mineral oil to minimize evaporation. Urine osmolality was determined with a Roebling Automatik osmometer. The drinking water was then removed for 2 days for half of the rats in each age group. Rats lost
10% of body weight after the thirsting period.
Measurement of plasma AVP. Animals were killed by decapitation at the end of the 2-day dehydration period, and trunk blood was rapidly collected and centrifuged at 4°C. Plasma AVP concentration was measured by RIA with antiserum K9-IV (19) (gift of Dr. L. C. Keil, NASA Ames Research Center) and 125I-labeled iodo-AVP (16, 19). The minimum sensitivity of the assay was 0.25 pg/assay. For each animal, determination of plasma AVP concentration was performed in triplicate with independent standard curves.
Measurement of papillary osmolality and urea concentration. Kidneys were rapidly removed, and the whole papilla was excised on ice from each kidney, weighed, and thoroughly homogenized with a motor-driven homogenizer, after addition of 600 µl of distilled water. Homogenate osmolality was measured with a Roebling Automatik osmometer, and urea concentration was measured using a specific kit (Bio-Mérieux, Lyon, France). Papilla osmolality and urea content were calculated assuming that 80% of papilla wet weight is water (2).
Antibodies. UT-A1 and UT-A2 were revealed using an affinity-purified rabbit polyclonal antibody raised against the COOH-terminal peptide sequence common to rat UT-A1 and UT-A2 (Alpha Diagnostics International, San Antonio, TX). Affinity-purified UT-A3 polyclonal antibody (Q-2695-2) was kindly provided by Dr M. A. Knepper and previously characterized (44). UT-B was detected by an affinity-purified rabbit polyclonal antibody against the COOH terminus of rat UT-B1 (46). AQP-4 was detected using an affinity-purified rabbit polyclonal antibody raised against the COOH-terminal peptide sequence of rat AQP-4 (Alpha Diagnostics International). Glial fibrillary acid protein (GFAP) was revealed with a polyclonal antibody raised in rabbits against bovine GFAP and purified using protein A (Promega, Madison, WI).
Western blot analysis. Because UTs are not evenly expressed in kidney inner stripe of outer medulla (ISOM) and in the IM, the ISOM was divided into upper and lower halves, and the IM was divided into base (upper third) and tip (two lower thirds). Given the difference in cell type composition of the various cerebrum areas, brain coronal sections were collected from the same midcerebrum areas for each rat. The tissue fragments were thoroughly homogenized in ice-cold lysis buffer (250 mmol/l sucrose, 10 mmol/l triethanolamine, pH 7.6) containing protease inhibitors (Complete Mini EDTA-free protease inhibitor cocktail tablets, Roche Diagnostics, Mannheim, Germany). Homogenate protein concentration was determined by the Bradford method (Bio-Rad, Hercules, CA). Samples were then solubilized in Laemmli buffer and heated at 65°C for 10 min before loading. Fifteen or thirty micrograms of protein were separated by SDS-PAGE (10%) and transferred to polyvinylidene difluoride (PVDF) membranes (NEN, Boston, MA). Blots were blocked for 45 min at room temperature with PBS containing 5% nonfat dry milk, followed by incubation with the primary antibody for 2 h at room temperature. The membranes were then thoroughly washed and incubated for 60 min with a goat peroxidase-conjugated anti-rabbit IgG polyclonal antibody. Bands were visualized on Hyperfilm-ECL (Amersham) by chemiluminescence (ECL+, NEN). Equal protein loading was verified by Coomassie blue staining of the PVDF membranes at the end of the experiment. After scanning, semi-quantitative densitometry was performed on films using NIH Image software. A background value was subtracted from the density value of each band. The abundance of each transporter, for each rat, was determined by combining the densities of unglycosylated and/or glycosylated forms.
Statistics. Results were expressed as means ± SE. Differences between control and thirsted rats at both ages were analyzed by one-way ANOVA. Differences were considered significant for P < 0.05.
| RESULTS |
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AVP plasma concentration. The AVP plasma level of senescent rats was not significantly different from that of adult rats (1.7 ± 0.2 and 1.4 ± 0.2 pg/ml, respectively, n = 6). Thirsting for 2 days caused a similar sixfold increase of plasma AVP concentration at both ages, resulting in the same elevated hormone concentrations (10.0 ± 1.0 and 10.9 ± 0.6 pg/ml, respectively, n = 6).
Papillary osmolality and urea content. Kidney and papilla weights were unaltered by 2-day water deprivation (data not shown). As can be seen in Table 1, papillary osmolalities were about half of urine osmolalities. Indeed, total papillary osmolality involves the osmotic gradient of whole IM, whereas urine osmolality reflects that of the very tip of papilla. Water deprivation significantly and equally incremented papillary osmolality (+350 mosmol/kgH2O) and urea concentration (+200 mmol/l) at both ages (Table 1). It can be pointed out that papilla osmolality and urea concentration remained significantly lower in dehydrated 30-mo-old compared with dehydrated 10-mo-old animals, because of lower predehydration values. As calculated from Table 1, in control 30- and 10-mo-old rats, urea accounted for 17 and 25% of papilla total osmoles, respectively. This proportion was increased to 31 and 34%, respectively, after water deprivation, indicating an increased contribution of urea to medulla hypertonicity.
UT-A1, UT-A2, UT-A3, and UT-B1 expression in kidney medulla. UT-A1 proteins in control 10-mo-old rats were predominantly expressed in IM tip [terminal inner medullary collecting ducts (IMCDs)] as 97- and 117-kDa glycosylated forms (Fig. 1). In control 30-mo-old rats, UT-A1 protein expression in IM tip was very low (Fig. 1A). Water deprivation caused a striking fall in the abundance of both forms of UT-A1 in 10-mo-old rats (Fig. 1B). In 30-mo-old rats, dehydration did not make UT-A1 detectable in the tip of IM, even with higher amounts of protein (data not shown). In line with previous observations, UT-A1 was hardly detected in IM base (initial IMCDs) of rat kidney due to very weak expression. Loading high protein amount and prolonged film exposure duration revealed that thirsting induced a significant increase in the 117-kDa form of UT-A1 in both 10- and 30-mo-old rats (Fig. 2).
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UT-A3 has been cloned recently and identified as a second urea transporter of terminal IMCD (44). It is expressed as two glycosylated bands of 44 and 67 kDa in the tip of IM (44) (Fig. 3). The third band present between these two was a nonspecific band, exhibited by WAG/Rij but not Sprague-Dawley rats, and unaltered by age and dehydration. The changes in the abundance of UT-A3 (44- and 67-kDa bands) induced by aging and dehydration were akin to those of UT-A1: UT-A3 was abated greatly by aging and significantly by dehydration, with a major disappearance of the 44-kDa protein (Fig. 3).
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Due to its main location in the distal part of descending thin limbs (DTLs) of rat short-looped nephrons, UT-A2 is predominantly detected in the lower half of ISOM as a broad band around 50 kDa. It is hardly detected in the upper half of ISOM due to its absence in the early part of DTLs (31). The abundance of UT-A2 in these two subzones was unchanged by aging as well as by water deprivation (Figs. 4 and 5).
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In the kidney, UT-B1 is present in the endothelium of descending vasa recta irrigating the medulla. It is expressed as an unglycosylated form of 29 kDa and several glycosylated forms with 45- to 56-kDa apparent molecular masses. Under normal hydration, its abundance was significantly higher in IM tip (Fig. 6) and significantly lower in IM base (Fig. 7) of 30-mo-old rats compared with 10-mo-old rats. UT-B1 abundance was not altered by dehydration in both subregions and at both ages (Figs. 6 and 7).
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UT-B1 and AQP-4 expression in cerebrum. In brain, UT-B1 and AQP-4 are colocalized in astrocytes and ependymal cells. UT-B1 is revealed by immunoblotting as two bands of 29 kDa (unglycosylated form) and 33 kDa (glycosylated form). It was overexpressed by twofold in 30-mo-old rats (Fig. 8). Immunoblotting of the same brain samples for AQP-4 detection revealed a fourfold higher expression of AQP-4 in the aging brain (Fig. 9). The abundance of GFAP, the usual marker of astrocytes and ependymal cells, was increased by 25% with age (data not shown), a variation much smaller than the doubling in UT-B1 or the fourfold increase in AQP-4. Thirsting had no effect on UT-B1 and AQP-4 abundance at both ages (Figs. 8 and 9).
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| DISCUSSION |
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The impaired concentrating ability of aging kidney has been well documented (6, 12, 16, 25, 40). Under conditions of normal hydration, this defect was attributed to abnormal expression of AQPs and UTs in kidney IM and to important reduction in papillary urea concentration, whereas AVP secretion was preserved (16, 37, 43). A new finding of the present study is that expression of UT-A3, the other terminal collecting duct urea transporter (17, 44), is also impaired akin to UT-A1 in senescent rats (8, 9). Hence, such a defect may be an additional cause for the age-related impaired urine-concentrating activity of euhydrated senescent rats. In the present study, senescent WAG/Rij rats evolved effective antidiuretic response to dehydration, as revealed by a doubling of urine osmolality and papillary urea content. Proper adjustment of plasma AVP levels occurred as noticed from the sixfold increase in control adult and aging rats of this study and in previous ones (16, 23, 27). However, a defect in maximal urine osmolality persisted, compared with dehydrated younger adult rats. The 35% residual deficit in urine osmolality of thirsted senescent compared with thirsted adult rats correlated with a 30% deficit in papillary urea concentration. This finding suggests that the age-related impaired urinary-concentrating ability of the aging kidney under both normal hydration and water deprivation is due to reduced urea supply to the medulla.
The building up of high medullary urea gradient implies high urea permeability in terminal IMCDs, descending thin limbs, and descending vasa recta, mediated by UT-A1 and UT-A3, UT-A2, and UT-B1, respectively. Table 2 summarizes the changes induced by aging and water deprivation for urea transporter abundance in kidney medulla subzones. The present study reveals that UT-A1 abundance is decreased in the tip and increased in the base of IM during thirsting. Such a pattern of changes may signify situations of exaggerated antidiuresis inasmuch as it was also found in rats chronically infused with dDAVP, a synthetic analog of vasopressin only endowed with antidiuretic effect (8).
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The current finding of an underexpression in IM tip is corroborated by the recent finding, obtained by immunogold method, of a striking decrease of UT-A1 immunoreactivity intensity in IMCD of Sprague-Dawley rats deprived of drinking water for 3 days (20). Because glucocorticoids were shown to downregulate UT-A1 expression in the terminal portion of IMCDs (29, 35), this change may pertain to the water deprivation-induced increase in glucocorticoid secretion (1, 13, 36). However, the decrease in UT-A1 abundance in the tip of IM is not consistent with the increased urea permeability of terminal collecting duct reported in dehydrated Sprague-Dawley rats (18). By contrast to IM tip, IM base undergoes a doubling of UT-A1 abundance during thirsting. Such an increase would mediate the higher basal urea permeability of initial IMCDs found by Kato et al. (18) in 2- to 3-day-dehydrated rats. Hence, the increased delivery of urea to IM interstitium may proceed through an increase in the number of UT-A1 proteins not in terminal but in initial IMCDs. It may be also assumed that during dehydration, UT-A1 proteins, although in low abundance, are totally phosphorylated in the presence of elevated endogenous AVP levels, thereby becoming the functional form for urea transport as proposed by Zhang and colleagues (49).
As shown here, UT-A3 expression does not compensate for the defective UT-A1 abundance in the tip of IM because it is also strongly lowered by thirsting. This finding is in accordance with the recent finding of abated UT-A3 immunoreactivity on kidney sections of dehydrated rats (20). Finally, UT-independent mechanisms may be involved in papillary urea sequestration during thirsting. It may be the drastic slowdown of urine flow rate in the lumen of terminal collecting ducts that favors passive diffusion of urea. Alternatively, IMCDs may adapt to dehydration by stabilization of apical membrane in a state of high urea permeability, as it does for osmotic water permeability, and/or by the opening up of paracellular pathways as suggested by Flamion et al. (15).
UT-A2, the UT of the distal part of thin descending limbs, and UT-B1, the UT of endothelial cells of descending vasa recta, are most likely involved in papillary urea recycling. UT-A2 expression did not differ significantly between 10- and 30-mo-old rats, in both the lower and the upper half of ISOM, and was unchanged by dehydration-induced antidiuresis. Such a result regarding protein expression differs from that regarding mRNA expression, which was found to be increased by thirsting in both rats (3) and mice (14). It also differs from antidiuresis induced by chronic dDAVP infusion, which, despite much less pronounced antidiuresis and urine osmolality, resulted in increased abundance of UT-A2 protein transporter in both regions of ISOM (8).
We have previously reported a lower abundance of UT-B1 in total IM of senescent rats compared with adult rats (9). The present study further discloses a different regional expression for UT-B1 within IM in the course of aging. It shows that senescent rats have a much lower abundance of the transporter in the base of IM, which constitutes the vast majority of total IM tissue, thereby confirming previous observations. Furthermore, it reveals that UT-B1 protein content in the tip of the IM is higher in senescent rats, perhaps thereby compensating for UT-A1 underexpression. Water deprivation did not change significantly the abundance of UT-B1 in IM, a result at variance with the decrease in UT-B1 expression caused by dDAVP-induced antidiuresis (8, 46).
To determine whether the age-related changes in UT-B1 are specific to the kidney, the expression of the transporter was examined in the brain, where the transporter was found in astrocytes and ependymal cells (7, 46). We disclosed that the brain abundance of UT-B1 protein was doubled in aged rats compared with adult rats. This increase is definitely abnormal because it is much higher than the 20-25% age-related increases in the number of astrocytes and GFAP immunoreactivity previously reported in aging rodents (11, 26) and here in WAG/Rij rats. Furthermore we also found that brain expression of AQP-4, which is colocated with UT-B1 in astrocytes and ependymal cells (30), was considerably increased in aging rats. The overexpression of AQP-4 in aging brain may favor cerebral edema because it has been shown that AQP-4 deletion reduces brain edema after acute water intox-ication and ischemic stroke (22). Future studies are needed to determine whether the age-related overexpression of UT-B1 and AQP-4 in brain results in dysregulation of cerebral volume and tonicity with subsequent alterations of brain functions, given that astrocytes are now recognized as active modulators of neuronal activity (41). Dehydration did not modify brain UT-B1 and AQP-4 abundances.
In summary, the present study reports age-related differences in UT-A1, UT-A3, and UT-B1 urea transporter abundance in the kidney. It also reveals an overexpression of UT-B1 and AQP-4 in aging brain, the possible role of which, in dysfunction of cerebral volume and tonicity, needs further study. Prolonged thirsting results in a pronounced antidiuresis favored by proper kidney medulla urea accumulation yet a downregulation of UT-A1 and UT-A3 in senescent and adult rats as well. However, during thirsting, the renal concentrating capacity of senescent rats remains lower than that of adult rats likely because of lower papillary osmolality and urea content. In contrast, UT-B1 expression in both kidney and brain is unchanged by water deprivation.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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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.
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