Key result
Hypoxia/reoxygenation impairs renal arterial vasorelaxation via sGC/cGMP dysfunction, doubling acetylcholine EC50.
Why the study?
Ischemia/reperfusion injury contributes to acute kidney injury and chronic renal damage, but the effects of hypoxia/reoxygenation on endothelial and endothelium-independent vasorelaxation in renal arteries are not fully understood.
Absolute Event Rate: 4.75e-7% vs 2.37e-7%
p-value: p=0.004
Hypoxia/reoxygenation impairs renal artery relaxation via dysregulation of soluble guanylyl cyclase (sGC) and decreased cGMP levels, independent of endothelial dysfunction.
H/R impairs renal artery relaxation in rats; leaves open whether endothelial dysfunction drives human AKI progression.
Ischemia/reperfusion injury holds a key position in many pathological conditions such as acute kidney injury and in the transition to chronic stages of renal damage. We hypothesized that besides a reported disproportional activation of vasoconstrictor response, hypoxia/reoxygenation (H/R) adversely affects endothelial dilatory systems and impairs relaxation in renal arteries. Rat renal interlobar arteries were studied under isometric conditions. Hypoxia was induced by application of 95% N2, 5% CO2 for 60 min to the bath solution, followed by a 10 min period of reoxygenation (95% O2, 5% CO2). The effect of H/R on relaxation was assessed using various inhibitors of endothelial dilatory systems. mRNA expression of phosphodiesterase 5 (PDE5), NADPH oxidases (NOX), and nitric oxide synthase (NOS) isoforms were determined using qRT-PCR; cGMP was assayed with direct cGMP ELISA. Acetylcholine induced relaxation was impaired after H/R. Inhibition of the NOS isoforms with L-NAME, and cyclooxygenases (COX) by indomethacin did not abolish the H/R effect. Moreover, blocking the calcium activated potassium channels KCa3.1 and KCa2.1, the main mediators of the endothelium-derived hyperpolarizing factor, with TRAM34 and UCL1684, respectively, showed similar effects in H/R and control. Arterial stiffness did not differ comparing H/R with controls, indicating no impact of H/R on passive vessel properties. Moreover, superoxide was not responsible for the observed H/R effect. Remarkably, H/R attenuated the endothelium-independent relaxation by sodium nitroprusside, suggesting endothelium-independent mechanisms of H/R action. Investigating the signaling downstream of NO revealed significantly decreased cGMP and impaired relaxation during PDE5 inhibition with sildenafil after H/R. Inhibition of PKG, the target of cGMP, did not normalize SNP-induced relaxation following H/R. However, the soluble guanylyl cyclase (sGC) inhibitor ODQ abolished the H/R effect on relaxation. The mRNA expressions of the endothelial and the inducible NOS were reduced. NOX and PDE5 mRNA were similarly expressed in H/R and control. Our results provide new evidence that impaired renal artery relaxation after H/R is due to a dysregulation of sGC leading to decreased cGMP levels. The presented mechanism might contribute to an insufficient renal reperfusion after ischemia and should be considered in its pathophysiology.
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Braun et al. (2018) studied Ischemia/reperfusion injury (n=140). Hypoxia/reoxygenation vs. Carbogen (95% O2, 5% CO2) for 70 min was evaluated on Acetylcholine-induced relaxation (EC50) (p=0.004). Hypoxia/reoxygenation significantly impaired acetylcholine-induced relaxation in rat renal interlobar arteries compared to control (EC50 4.75x10^-7 vs 2.37x10^-7 mol/l) via endothelium-independent sGC/cGMP signaling dysfunction.
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