Key result
Treatment with losartan or captopril normalized water intake and urine excretion in VDR-null mice, establishing a causative relation between RAS overstimulation and abnormal volume homeostasis.
Why the study?
Does losartan or captopril improve volume homeostasis in VDR-null mice?
Does losartan or captopril improve volume homeostasis in VDR-null mice?
This study establishes a causative relation between RAS overstimulation and abnormal volume homeostasis in VDR-null mice, demonstrating that vitamin D repression of renin expression is independent of ANG II feedback regulation in vivo.
RAS blockade corrects volume defects in VDR-null mice; hypothesis-generating for vitamin D–RAS links in human hypertension, no practice change yet.
We recently showed that vitamin D receptor (VDR) inactivation results in deregulated stimulation of the renin-angiotensin system (RAS). To address further the relation between RAS activation and the abnormalities in electrolyte and volume homeostasis, we studied the effect of the ANG II type I receptor antagonist losartan and the angiotensin-converting enzyme inhibitor captopril on VDR-null mice. Treatment with losartan or captopril normalized the water intake and urine excretion of VDR-null mice. However, the increase in salt excretion in VDR-null mice was not affected by either drug, suggesting that this abnormality is independent of the RAS. Northern blot and immunohistochemical analyses revealed that both drugs caused a drastic stimulation of renin expression in wild-type and VDR-null mice, but renin expression remained much higher in the treated VDR-null mice than in the treated wild-type mice, suggesting that the ANG II feedback mechanism remains intact in the mutant mice. These data firmly established a causative relation between RAS overstimulation and the abnormal volume homeostasis in VDR-null mice and demonstrated that vitamin D repression of renin expression is independent of the ANG II feedback regulation in vivo.
No takes yet. Share an insight, caveat, or question.
Kong et al. (2003) studied Vitamin D receptor (VDR) inactivation. Losartan and captopril vs. Wild-type mice was evaluated on Water intake, urine excretion, salt excretion, and renin expression. Treatment with losartan or captopril normalized water intake and urine excretion in VDR-null mice, establishing a causative relation between RAS overstimulation and abnormal volume homeostasis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: