Key result
Unilateral ureteral obstruction significantly suppressed intrarenal angiotensin II generation in kidneys with podocyte injury compared to contralateral unobstructed kidneys (161 vs 248 fmol/g).
Unilateral ureteral obstruction suppresses the increase in intrarenal ANG II induced by podocyte injury, indicating that filtered angiotensinogen is the major source of increased renal ANG II in this setting.
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Indicates filtered angiotensinogen as primary driver of renal ANG II in experimental podocyte injury; leaves open relevance to clinical nephrology.
The renal tissue renin-angiotensin system is activated in chronic kidney diseases. We previously demonstrated that intrarenal ANG II is synthesized primarily from liver-derived angiotensinogen filtered through the glomerulus and that podocyte injury increases the passage of angiotensinogen into the tubular lumen and generation of ANG II. In the present study, we tested the effect of cessation of glomerular filtration by ureteral obstruction on renal ANG II generation in kidneys with podocyte injury under two experimental conditions. Ureteral obstruction is known to activate the renin-angiotensin system in nonproteinuric kidneys. Transgenic mice expressing hCD25 in podocyte (NEP25) were injected with 1.25 or 10 ng/g body wt of LMB2, a hCD25-targeted immunotoxin, subjected to unilateral ureteral ligation on the following day, and euthanized 7 and 4 days later, respectively. In both experiments, compared with the kidney in untreated wild-type mice, renal angiotensinogen protein, as assessed by immunostaining and Western blot analysis, was increased in the contralateral unobstructed kidney. However, it was markedly decreased in the obstructed kidney. Whereas intrarenal ANG II content was increased in the contralateral kidney compared with the untreated kidney (248 ± 83 vs. 106 ± 21 and 298 ± 185 vs. 64.8 ± 20 fmol/g kidney, respectively), this increase was suppressed in the obstructed kidney (161 ± 75 and 113 ± 34 fmol/g kidney, respectively), a pattern opposite to what we expected in obstructed kidneys without podocyte injury. Thus, our study indicates that the major source of increased renal ANG II in podocyte injury is filtered angiotensinogen.
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Okabe et al. (2015) studied Podocyte injury (n=22). Unilateral ureteral obstruction vs. Contralateral unobstructed kidney was evaluated on Intrarenal ANG II content (fmol/g kidney) (p=0.022). Unilateral ureteral obstruction significantly suppressed intrarenal angiotensin II generation in kidneys with podocyte injury compared to contralateral unobstructed kidneys (161 vs 248 fmol/g).
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