Key result
GRK2 knockdown in mice exacerbated kidney injury, reduced glomerular filtration rate, and caused spontaneous hypertension that was reversed by the AT1R blocker Losartan.
Why the study?
Does GRK2 knockdown alter kidney function and blood pressure regulation in mice?
Does GRK2 knockdown alter kidney function and blood pressure regulation in mice?
p-value: p=<0.05
GRK2 knockdown in mice impairs kidney function and causes AT1R-mediated hypertension, suggesting potential renal toxicity of GRK2 inhibitors.
May caution against systemic GRK2 inhibition in hypertension; leaves open renal-specific targeting for future study.
The renin-angiotensin system regulates blood pressure and fluid balance in the body primarily via angiotensin receptor 1 (AT1R). Renal AT1R was found to be primarily responsible for Ang II-mediated hypertension. G protein-coupled receptor kinase 2 (GRK2) modulates AT1R desensitization and increased GRK2 protein expression is reported in hypertensive patients. However, the consequences of GRK2 inhibition on kidney functions remain unknown. We employed shGRK2 knockdown mice (shGRK2 mice) to test the role of GRK2 in kidney development and function that can be ultimately linked to the hypertensive phenotype detected in shGRK2 mice. GRK2 knockdown reduced kidney size, nephrogenesis and glomerular count, and impaired glomerular filtration. Glomerular damage in adult shGRK2 mice was associated with increased renin- and AT1R-mediated production of reactive oxygen species. The AT1R blocker, Losartan, normalized elevated blood pressure and markedly improved glomerular filtration in the shGRK2 knockdown mice. Our findings provide evidence for the crucial role of GRK2 in renal regulation of blood pressure. It also suggests that the detrimental outcomes of GRK2 inhibitors on the kidney should be carefully examined when used as antihypertensive.
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Tutunea-Fatan et al. (2018) studied Hypertension and kidney injury. GRK2 knockdown vs. Wild-type C57Bl/6 mice was evaluated on Glomerular filtration rate and blood pressure (p=<0.05). GRK2 knockdown in mice exacerbated kidney injury, reduced glomerular filtration rate, and caused spontaneous hypertension that was reversed by the AT1R blocker Losartan.
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