Key result
NO-GC1 plays a predominant role in regulating blood pressure and renal blood flow in hypertension, while NO-GC2 appears to compensate for the loss of NO-GC1 under physiological conditions.
NO-GC1 plays a predominant role in regulating blood pressure and renal blood flow, particularly in hypertension, though NO-GC2 provides compensatory regulation under physiological conditions.
Hypothesis-generating for NO-GC1-selective targeting in hypertension; human studies required before clinical consideration.
Nitric oxide (NO) modulates renal blood flow (RBF) and kidney function and is involved in blood pressure (BP) regulation predominantly via stimulation of the NO-sensitive guanylyl cyclase (NO-GC), existing in two isoforms, NO-GC1 and NO-GC2. Here, we used isoform-specific knockout (KO) mice and investigated their contribution to renal hemodynamics under normotensive and angiotensin II-induced hypertensive conditions. Stimulation of the NO-GCs by S-nitrosoglutathione (GSNO) reduced BP in normotensive and hypertensive wildtype (WT) and NO-GC2-KO mice more efficiently than in NO-GC1-KO. NO-induced increase of RBF in normotensive mice did not differ between the genotypes, but the respective increase under hypertensive conditions was impaired in NO-GC1-KO. Similarly, inhibition of endogenous NO increased BP and reduced RBF to a lesser extent in NO-GC1-KO than in NO-GC2-KO. These findings indicate NO-GC1 as a target of NO to normalize RBF in hypertension. As these effects were not completely abolished in NO-GC1-KO and renal cyclic guanosine monophosphate (cGMP) levels were decreased in both NO-GC1-KO and NO-GC2-KO, the results suggest an additional contribution of NO-GC2. Hence, NO-GC1 plays a predominant role in the regulation of BP and RBF, especially in hypertension. However, renal NO-GC2 appears to compensate the loss of NO-GC1, and is able to regulate renal hemodynamics under physiological conditions.
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Mergia et al. (2018) studied Normotension and angiotensin II-induced hypertension. NO-GC1 and NO-GC2 knockout vs. Wildtype (WT) mice was evaluated on Renal blood flow (RBF) and systemic blood pressure (BP). NO-GC1 plays a predominant role in regulating blood pressure and renal blood flow in hypertension, while NO-GC2 appears to compensate for the loss of NO-GC1 under physiological conditions.
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