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1 Departments of Internal Medicine and Pharmacology, Department of Veterans Affairs Medical Center and University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, USA
* To whom correspondence should be addressed. E-mail: ulla-kopp{at}uiowa.edu.
Stretching the renal pelvic wall activates renal mechanosensory nerves by a PGE2-mediated release of substance P via activation of the cAMP-PKA pathway. Renal pelvic angiotensin (ANG) II modulates the responsiveness of renal sensory nerves by suppressing the PGE2-mediated activation of adenylyl cyclase via a PTX-sensitive mechanism. In SHR, activation of renal mechanosensory nerves is impaired. This is due to suppressed release of substance P in response to increased pelvic pressure. The present study was performed to investigate whether the PGE2-mediated release of substance P was suppressed in SHR vs. WKY and if so, whether the impaired PGE2-mediated release of substance P was due to ANG II activating a PTX sensitive mechanism. In an isolated renal pelvic wall preparation, PGE2, 0.14 µM, increased substance P release from 9±3 to 22±3 pg/min (P<0.01) in WKY, but had no effect in SHR. A ten-fold higher concentration of PGE2, 1.4 µM, was required to increase substance P release in SHR, from 7±1 to 22±3 pg/min (P<0.01). In SHR, treating renal pelvises with losartan enhanced the release of substance P produced by subtreshold concentration of PGE2, 0.3 µM, from 16±2 to 26±3 pg/min (P<0.01). Likewise, treating renal pelvises with PTX enhanced the PGE2-mediated release of substance P from 10±1 to 33±3 pg/min (P<0.01) in SHR. In WKY, neither losartan nor PTX had an effect on the release of substance P produced by subthreshold concentrations of PGE2, 0.03 µM. Conclusion, the impaired responsiveness of renal sensory nerves in SHR involves endogenous ANG II suppressing the PGE2-mediated release of substance P via a PTX sensitive mechanism.
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